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. |
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. |
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. |
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 |
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 |
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). |