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MCQ Sept 2021

1. With regards to telemedicine consultations, which of the following is TRUE?

A. A telemedicine consultation cannot be terminated by the doctor once he has started it.
B. A telemedicine consultation is equally as preferable as a face to face consultation.
C. In cross border telemedicine consultations, the doctor must be licensed in both jurisdictions if he intends to undertake the consultation solely on his/her own
D. In cross border telemedicine consultations, the doctor must also have medical protection/malpractice insurance in both jurisdictions in order for MPS to cover the doctor in Hong Kong
E. Both new to, and existing patients of the doctor are equally suitable for telemedicine consultations.

Answer: C.


2. Which of the following is FALSE in the above-mentioned article?

A. If a prescription is electronically sent to a community pharmacy, the patient must provide the originally signed prescription to pick up the medicine.
B. Currently, there is a special scheme to deliver prescription medicine to HK residents with urgent needs in Guangdong and Fujian.
C. Both a telemedicine platform and the doctors involved are equally held professionally accountable and answerable to the Medical Council.
D. MCHK views the Standard of Care that is given during a person-to-person consultation must apply equally to a Telemedicine consultation.
E. Monitoring of patients through telecommunication systems is a form of telemedicine.

Answer: C.


3. With regards to telemedicine consultations, which of the following is FALSE?

A. Video recording of tele-consultation would provide additional support of proper consultation had taken place.
B. Both implied and express consent is advisable when conducting tele-consultation.
C. Due diligence is needed to ensure true identity of provider and patient.
D. Written instruction about follow-up plan enable successful continuity of care.
E. The patient would provide the electronic prescription to the community pharmacy to pick up medication.

Answer: E.


4. In the study titled “Supporting Dying in place in Hong Kong – Retrospective analysis of a Cohort of Terminally Ill Patients in Public Sector with a Preference for Dying at Home”, which of the following is NOT found to be associated with home death as compared to hospital death?

A. High intensity nursing visit
B. Fewer episodes of clinical admissions during terminal care at home
C. Professional support in vital sign monitoring at home before death
D. Having foreign domestic worker as caregiver living with the patient
E. Less visits to Accident and Emergency Department during terminal care at home

Answer: C.


5. Currently for a patient dying at home in Hong Kong, the attending emergency rescue personnel (ERP) of Fire Services Department (FSD) would not perform cardiopulmonary resuscitation (CPR) if he/ she has

A. A medical letter stating his/her terminal illness and the preference for dying at home
B. An advance directive with a refusal of CPR
C. A Hospital Authority standardized Do-Not-Attempt CPR form for non-hospitalized patients
D. All A + B + C above
E. No cardiac arrest

Answer: E.


6. Regarding provision of end-of-life care in community, which of the following is FALSE:

A. Caregivers play a crucial role in supporting dying patient at home.
B. Palliative home care services increase odds of dying at home and are effective in reducing symptom burden.
C. Use of continuous subcutaneous infusion (CSCI) allows symptom control at home for patients who no longer tolerate oral medication.
D. Use of strong opioids by CSCI for dying patients in community is illegal.
E. In Hong Kong, a registered doctor who has attended a patient during his/her last illness can certify the death at home and issue the Certificate of the Cause of Death (Form 18).

Answer: D.


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