1. | Which of the following statements is INCORRECT about Henoch-Schonlein purpura? |
A. | It is usually a benign self-limiting condition. |
B. | Arthritis or arthralgia, if present, usually involves joints of lower limbs. |
C. | Intussusception, if present, is usually ileocolic. |
D. | The preventive effect of corticosteroid on the development of nephritis is still unproven. |
E. | It is characterised by the presence of immunoglobulin A1 (IgA1) immune deposits in small vessels. |
2. | In a recent local study on UTI in primary care, which ONE of the following statements is TRUE? |
A. | Escherichia coli was the least commonly isolated organism. |
B. | Enterococcus species were more prevalent in the community setting than that in the hospital setting. |
C. | Escherichia coli isolated in the community were significantly less susceptible to amoxicillin-clavulanate than hospital isolates. |
D. | The majority of male patients with UTI were aged less than 50 years. |
E. | The majority of male patients with UTI presented with haematuria. |
3. | According to a local study on the management of hypertension in Hong Kong’s ethnic minority groups (EMG), Which ONE of the following statements is INCORRECT? |
A. | EMG hypertensive patients from South Asia were much younger, more obese and had lower prevalence of diabetes. |
B. | The blood pressure control of EMG patients was poorer when compared to that of Chinese patients. |
C. | Pakistanis were found to have a particularly poorer glycaemic control. |
D. | Nepalese were found to have a particularly poorer diastolic blood pressure control. |
E. | Genetic factors do not affect the outcome of this study. |
4. | Which ONE of the following statements about urinary tract infections (UTIs) is TRUE? |
A. | The antibiotic susceptibility pattern of UTI related organisms exhibit minimal variations among different countries. |
B. | Existing local data on UTI is mainly derived from primary care. |
C. | UTIs mostly occur among male patients. |
D. | Existing evidence suggests that primary care physicians over-prescribe antibiotics. |
E. | Most UTI management guidelines include data from male patients. |
5. | Which of the following statements is CORRECT about the renal involvement in Henoch-Schonlein Purpura? |
A. | 40% of children with Henoch-Schonlein Purpura develop nephritis. |
B. | Microscopic haematuria with various degree of proteinuria is most common. |
C. | Nephrotic syndrome and end stage renal failure is rare at presentation. |
D. | Gross haematuria may be present in 25% of patients. |
E. | All of the above. |
6. | Rashes in Henoch-Schonlein purpura are usually: |
A. | Present on the buttocks and lower limbs, but can spread to face and upper limbs. |
B. | Erythematous papules at the beginning and coalesce into classical palpable purpuric rashes within one to two days. |
C. | Do not require any therapy. |
D. | Subsiding in weeks’ time. |
E. | All of the above |