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MCQ March 2025 (deadline: 22 May 2025)

1. Which one of the following CYP450 enzymes are important for there to be a response to clopidogrel?

A. CYP1A2
B. CYP2B6
C. CYP2C9
D. CYP2C19
E. CYP3A4


2. How long should ticagrelor be withheld for endoscopy?

A. For at least 1 day
B. For at least 3 days
C. For at least 5 days
D. For at least 7 days
E. No need to withhold ticagrelor before endoscopy


3. How should dangerous drugs be managed to ensure patient safety?

A. Store them in unlocked cabinets for easy access.
B. Keep them in a designated locked cupboard and maintain a Dangerous Drug Register.
C. Allow any staff member to handle them without supervision.
D. Discard expired dangerous drugs in regular waste.
E. Document them only when they are used.


4. Which of the following practices is recommended to minimise confusion among Look-Alike, Sound-Alike (LASA) drugs?

A. Organise drugs in alphabetical order.
B. Use "tall man" lettering for LASA drugs.
C. Store LASA drugs together for convenience.
D. Use the same colour for all drug label for better aesthetic.
E. Keep LASA drugs in a separate section without labels.


5. For patients with shoulder pain, which of the following is NOT indicating an extrinsic cause?

A. Rest pain or nocturnal pain
B. Poorly located pain
C. Local swelling
D. Pain over the posterior aspect of shoulder
E. Associated with clinical sign of other systems


6. What is the most appropriate investigation if you suspect a pancoast tumour in general practice?

A. Sputum cytology
B. Chest X-ray with an apico-lordotic view
C. Thoracic CT
D. Thoracic MRI
E. PET-CT


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