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MCQ June 2020

1. Concerning the benefits and risks of hormone replacement therapy (HRT), which of the following is true?

A. HRT increases the risk of coronary heart disease in women who start HRT within 10 years of menopause.
B. HRT increases the risk of stroke when it is initiated after the age of 60.
C. The benefit of bone protection continues after discontinuation of HRT.
D. The risk of breast cancer among ex-HRT users decreases and becomes similar to non-users.
E. The use of transdermal HRT is associated with an increased risk of venous thrombo-embolism.

Answer: B.


2. A 52-year-old lady complained of troublesome hot flushes and vulval dryness for 9 months. Her last menstrual period was 18 months ago. She enjoyed good past health and never smokes or drinks. Which of the following hormone therapy is the most appropriate?

A. Oral continuous combined oestrogen and progestogen
B. Oral cyclical combined oestrogen and progestogen
C. Oral oestrogen
D. Transdermal oestrogen
E. Vaginal oestrogen

Answer: A.


3. Which of the following is wrong when assessing mental capacity of our patients?

A. The patient needs to be able to understand and retain the information relevant to the decision in question.
B. The patient needs to belief in the information given to him or her.
C. The patient needs to be able to weigh the information in the balance to arrive at a choice.
D. Patient with mental illness must be mentally incapacitated.
E. If there is no impairment of, or disturbance in functioning of the mind or the brain, the person is deemed to have capacity.

Answer: D.


4. Which of the following is wrong when giving consent to medical treatment by mentally incapacitated persons who have mental disorder or mental handicap?

A. A relative can consent to medical treatment for a mentally incapacitated person who have mental disorder or mental handicap.
B. Part IV C of the Mental Health Ordinance is commonly known as consent by two doctors.
C. Best interests of patients are central to all clinical decisions.
D. Where treatment is not urgently needed, all reasonable steps must be taken to ascertain whether there is a guardian.
E. Part IV C of the Mental Health Ordinance gives a doctor the power to provide urgent or non-urgent medical treatment to a mentally incapacitated patient without consent, provided that the patient does not understand the nature and effect of the treatment.

Answer: A.


5. Which of the following is the parametric test for testing one categorical independent variable (>2-level) and one continuous dependent variable?

A. Chi-Square Test
B. Independent T-test
C. 1-way ANOVA
D. Welch’s ANOVA
E. Mann-Whitney Test

Answer: C.


6. Which of the following is NOT a correct pair of null hypothesis and alterative hypothesis?

A. Null hypothesis: mean in group 1 equals to mean in group 2; Alterative hypothesis: mean in group 1 does not equal to mean in group 2.
B. Null hypothesis: proportion in group 1 equals to proportion in group 2; Alterative hypothesis: proportion in group 1 does not equal to proportion in group 2.
C. Null hypothesis: means in group 1 to 4 are equal; Alterative hypothesis: two or more means in group 1 to 4 are different from the others.
D. Null hypothesis: means in group 1 to 4 are equal; Alterative hypothesis: means in group 1 to 4 are not equal.
E. Null hypothesis: variance in group 1 equals to variance in group 2; Alterative hypothesis: variance in group 1 does not equal to variance in group 2.

Answer: D.


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