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MCQ June 2015

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.

Answer: C.


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.

Answer: B.


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.

Answer: A.


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.

Answer: D.


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.

Answer: E.


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

Answer: E.


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