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MCQ September 2014
| 1. | According to the Hong Kong Central Registry of Drug Abuse, which ONE of the following statements is TRUE? |
| A. | The large majority of abusers were teenagers. |
| B. | Over 10,000 abusers were identified in 2012. |
| C. | Around 50% of abusers were previously convicted. |
| D. | Current training in tackling drug abuse is up to international requirements. |
| E. | None of the above. |
Answer: B.
| 2. | Regarding motivational interviewing (MI), which ONE of the following statements is FALSE? |
| A. | It is a client-centered method of patient interviewing. |
| B. | It is aimed at enhancing intrinsic motivation. |
| C. | Resolving ambivalence is one of the keys of MI. |
| D. | In Hong Kong, the efficacy of MI performed by family physicians has been well established. |
| E. | It has been shown to be able to reduce drug use by teenagers. |
Answer: D.
| 3. | Referring to the recent local study on motivational interview by family physicians, which ONE of the following statements is TRUE? |
| A. | There was a significant reduction in the total number of drugs used by abusers. |
| B. | There were no changes in the overall abstinence rate following intervention. |
| C. | Only 50% of participants regarded the program as helpful. |
| D. | Because the program involved a large number of abusers, results from this study can be further generalised to the rest of the population. |
| E. | Ecstasy was found to be the most commonly abused drug. |
Answer: A.
| 4. | Which ONE of the following best define “conspiracy of silence”? |
| A. | The doctor refuses to talk to a talkative patient. |
| B. | The patient refuses to talk to a paternalistic doctor. |
| C. | No one, including the doctor, patient and his/her relatives, talk about the patient’s terminal illness. |
| D. | The patient is not informed directly about his/her terminal illness. |
| E. | None of the above. |
Answer: D.
| 5. | Which of the following statements concerning the use of isotretinoin in acne vulgaris is INCORRECT? |
| A. | The recommended treatment regime is 0.5-1mg/kg/day for 16-24 weeks. |
| B. | A cumulative dosage of 120-150mg/kg can significantly reduce relapses. |
| C. | Mild paradoxical flare-ups usually warrant dose reduction of isotretinoin. |
| D. | Severe paradoxical flare-ups may need steroid coverage. |
| E. | Isotretinoin is both comedolytic and anti-inflammatory. |
Answer: C.
| 6. | Side effects of isotretinoin include all of the following EXCEPT: |
| A. | Teratogenicity. |
| B. | Liver function derangement. |
| C. | Depression. |
| D. | Predominantly increased cholesterol in case of hyperlipidaemia. |
| E. | Cheilitis and skin dryness. |
Answer: D.
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