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MCQ Dec 2020

1. Which of the following is not a surgical treatment for stress urinary incontinence?

A. Retropubic tape
B. Colposuspension
C. Laparoscopic sacrocolpopexy
D. Autologous fascial sling
E. Transobturator tape

Answer: C.


2. Which of the following is not an anti-muscarinic drugs?

A. Betmiga
B. Tolterodine
C. Oxybutynin
D. Solifenacin
E. Trospium

Answer: A.


3. How likely are patients with lung cancer to manifest Hypertrophic Pulmonary Osteoarthropathy (HPOA)?

A. Less than 1%
B. Less than 3%
C. Less than 5%
D. Less than 7%
E. Less than 10%

Answer: A.


4. Which of the following is not a feature of Hypertrophic Pulmonary Osteoarthropathy (HPOA)?

A. Painful hands
B. Proptosis
C. Finger clubbing
D. Painful ankles
E. Swollen knee joints

Answer: B.


5. Concerning multi-morbidity and polypharmacy, which of the following statement is false?

A. Multi-morbidity is defined as the co-existence of three or more chronic conditions in the same individual
B. To date, there is no consensus definition for polypharmacy
C. The most commonly reported definition of polypharmacy was the numerical definition of five or more medications daily
D. Both multi-morbidity and polypharmacy create significant concerns for the patients as well as for the healthcare system
E. With the rising prevalence of multi-morbidity, a single-diseased framework to set management guideline for chronic diseases, such as diabetes, is increasingly recognised as out-dated

Answer: A.


6. With regard to multi-morbidity and its relationship with disease control in patients with type 2 diabetes, which of the following statement is false?

A. It is a rarity for diabetic patients to be free from other chronic conditions
B. Multi-morbidity often complicates diabetic treatment and its outcomes
C. An increase in the number of co-existing condition(s) is associated with poorer glycaemic condition as measured by HbA1c
D. According to a local study on multi-morbidity and its association with disease control in diabetic patients attending a primary care clinic for follow-up, multi-morbidity was observed in over 90% of the study cohort
E. With multi-morbidity being observed in majority of patients with type 2 diabetes, an approach to care for patients with diabetes in primary care that takes account of multi-morbidity is important

Answer: C.


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