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MCQ March 2015
| 1. | Which of the following statements concerning home blood pressure monitoring (HBPM) is INCORRECT? |
| A. | WHO recommends it. |
| B. | It can lead to blood pressure control at least comparable to office-monitored blood pressure. |
| C. | The use of it is increasing worldwide. |
| D. | It can improve blood pressure control. |
| E. | All patients performing it know how to do it correctly. |
Answer: E.
| 2. | Which of the following about home blood pressure monitoring (HBPM) in a local study in Hong Kong is CORRECT? |
| A. | 58.5% of patients with hypertension performed HBPM. |
| B. | Only half of the patients performing HBPM did it correctly. |
| C. | Cost, confidence, knowledge and skills were barriers against HBPM. |
| D. | The majority of patients did not receive formal training in HBPM. |
| E. | All of the above. |
Answer: E.
| 3. | Which ONE of the following statements about COPD is TRUE? |
| A. | Individual symptoms of COPD are usually specific for persistent airflow limitation. |
| B. | Combination of symptoms have been shown in different studies to be consistent with airflow limitation. |
| C. | Clinical questionnaires based on symptoms have low positive predictive values for diagnosing COPD. |
| D. | There is a clear and consistent relationship between BMI and COPD across different studies. |
| E. | Most primary care physicians use spirometry to diagnose COPD. |
Answer: C.
| 4. | Referring to the results from a recent local study on COPD, which ONE of the following results is TRUE? |
| A. | The large majority of patients previously diagnosed with COPD according to symptoms had persistent airflow limitation. |
| B. | Those correctly diagnosed to have COPD by symptoms were significantly more likely to have a lower BMI. |
| C. | Those correctly diagnosed to have COPD by symptoms were significantly more likely to have a lower CAT score. |
| D. | Almost all patients with airflow limitation were on inhaled corticosteroids. |
| E. | Patients with at lower CAT score were more likely to have airflow limitation. |
Answer: B.
| 5. | Which of the following statements about warfarin therapy is INCORRECT? |
| A. | The risk of under-anticoagulation is small. |
| B. | Warfarin has a narrow therapeutic range. |
| C. | The rate of major bleeding as a result of over-anticoagulation is 7-8% per year. |
| D. | The targeted INR is usually 2.0-3.0 in thrombo-embolic situations. |
| E. | A higher INR is targeted in patients with prosthetic heart valves. |
Answer: A.
| 6. | According to a local study in Hong Kong, which of the following statements concerning warfarin therapy in primary setting is INCORRECT? |
| A. | There was still room for improvement in the titration of warfarin in some patients. |
| B. | Regular auditing could improve the standard of patient care. |
| C. | Reminders are useful to frontline doctors. |
| D. | Counselling conducted by pharmacists was not fully utilised. |
| E. | Most patients considered the booklets issued to them not useful at all. |
Answer: E.
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