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MCQ June 2013
| 1. | Which ONE of the following statements about palliative care in Hong Kong is TRUE? |
| A. | Palliative care is mainly provided experienced family physicians with palliative care training. |
| B. | Family physicians are involved with in-patient palliative care management. |
| C. | The majority of home deaths are dealt with by family physicians. |
| D. | There is a surplus of palliative care specialists in Hong Kong. |
| E. | All the above statements are incorrect. |
Answer: E.
| 2. | Identified barriers to providing palliative care include the following EXCEPT: |
| A. | Limited time. |
| B. | Lack of research opportunities. |
| C. | Inadequate support from other disciplines. |
| D. | Doctor’s lack of interest. |
| E. | Inadequate public-private interface. |
Answer: B.
| 3. | Which of the following statements regarding palliative care in Hong Kong is INCORRECT? |
| A. | It tackles only patients with cancers. |
| B. | The demand is getting larger and larger. |
| C. | It consists of an in-patient palliative care unit and an ambulatory palliative care service. |
| D. | Home death rate remains low. |
| E. | According to a recent local survey, 37% of patients preferred home as a place of care. |
Answer: A.
| 4. | Which of the following statements represents a challenge facing the palliative care consult team? |
| A. | The number of different referring teams with different expectations is large. |
| B. | Referrals usually come late in the course of patients’ illness. |
| C. | There is a misunderstanding of what palliative care is all about. |
| D. | Recommendations are not being followed by referring teams. |
| E. | All of the above. |
Answer: E.
| 5. | Which of the following statement(s) is/are the difficulties faced by the home-based end of life care for home death? |
| A. | Some drugs like parenteral opioids cannot be administered by health care professionals at home. |
| B. | Because of limited manpower resources, 24 hours coverage cannot be provided. |
| C. | The concept of a “haunted house” discourages people dying in their own home. |
| D. | Lack of specific policies for ambulance crew and police force when handling patients who have made advance care plan or given advance directive with a refusal of cardiopulmonary resuscitation. |
| E. | All of the above. |
Answer: E.
| 6. | Which of the following statements regarding cancer screening is INCORRECT? |
| A. | The upper age limit for breast cancer screening may be extended from 70 to 73 years of age in some cases. |
| B. | Women aged 65 or above are not screened for cervical cancer. |
| C. | Women with a positive HPV test may need to be screened more often. |
| D. | Faecal occult blood is commonly used in bowel cancer screening. |
| E. | CA125 is not a specific marker for ovarian cancer. |
Answer: B.
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