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MCQ September 2022

1. Regarding ambulatory blood pressure monitoring (ABPM) in primary care, which of the followings is FALSE?

A. ABPM should not be ordered in patients with normal clinic blood pressure (BP).
B. ABPM would be considered as invalid if the overall successful measurements are less than 70% of all readings.
C. ABPM is useful to establish the diagnosis of hypertension especially if patients do not have out of office BP measurements.
D. ABPM can be used to monitor BP control among hypertensive patients.
E. ABPM an provide better prognostic information about cardiovascular disease than office BP measurements.

Answer: A.


2. Which of the following conditions would prompt the use of ABPM rather than home blood pressure monitoring to confirm white-coat effect?

A. Self-reporting bias
B. Patients with dementia
C. Suspected nocturnal hypertension
D. All of the above
E. None of the above

Answer: D.


3. What is the prevalence of complicated grief after major bereavement?

A. 1-4%
B. 5-9%
C. 10-14%
D. 15-19%
E. 20-24%

Answer: B.


4. Which of the following is NOT a technique of Interpersonal Psychotherapy for complicated grief?

A. Communication analysis
B. Role-playing
C. Dream analysis
D. Facilitate expression of emotions
E. To reconstruct relationship with the deceased

Answer: C.


5. What are the differential diagnoses of sterile pyuria?

A. Recently treated urinary tract infection
B. Sexually transmitted infection
C. Urinary tract infections by atypical organism
D. Urinary stones
E. All of the above

Answer: E.


6. What investigation can be performed to diagnose urinary tuberculosis in primary care?

A. Mid-stream urine culture
B. Early morning urine test for mycobacterial culture and acid-fast bacilli smear
C. Kidney, ureter, and bladder (KUB) X-ray
D. Sputum test for mycobacterial culture and acid-fast bacilli smear
E. Chest X-ray

Answer: B.


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