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MCQ March 2014

1. All of the following statements concerning smoking and smoking cessation are correct EXCEPT:

A. Tobacco is a major killer in Hong Kong.
B. Quitting smoking has immediate and long term benefits.
C. Nicotine replacement therapy should not be prescribed to patients with stable cardiovascular diseases.
D. Nicotine replacement therapy provides smokers with a non-tobacco source of nicotine which lessens the severity of nicotine withdrawal.
E. Bupropion is an approved smoking cessation agent.

Answer: C.


2. Which of the following is NOT a short acting nicotine replacement therapy product?

A. Nicotine gum.
B. Nicotine nasal spray.
C. Nicotine inhaler.
D. Nicotine lozenges.
E. Nicotine patches.

Answer: E.


3. Which of the followings is INCORRECT according to a local study on Nicotine Replacement therapy (NRT) in Hong Kong?

A. NRT increased abstinence rate for up to 52 weeks.
B. Combined NRTs was more effective than monotherapy.
C. Available types of NRTs provided similar abstinence rates.
D. Professional smoking cessation advice also helped in quitting smoking.
E. The abstinence rates in the study applied to those motivated smokers.

Answer: B.


4. Which ONE of the following statements about depression is TRUE?

A. Antidepressants are more effective than placebo for patients with mild depression.
B. Among patients with sub-threshold depression, the key goal of intervention is for complete symptom relief.
C. Tricyclic antidepressants are the treatment of choice among patients without suicide ideations.
D. Treatment should be discontinued once patient is in remission.
E. There is a possibility of addiction with antidrepressants.

Answer: B.


5. Which ONE of the following statements about SSRIs is FALSE?

A. The risk of gastrointestinal bleeding is increased.
B. They should not be co-prescribed with warfarin.
C. They inhibit liver enzymes.
D. Their main problems are related to their anticholinergic effects.
E. Among SSRIs, sertraline has less propensity for drug interactions.

Answer: D.


6. Which of the following is/are a role/roles of a family physician in caring for cancer patients?

A. Early detection of cancers.
B. Co-management of the patients with other specialist teams.
C. Ongoing care for patients’ co-morbidities and monitoring of survivors.
D. Facilitating palliative care.
E. All of the above.

Answer: E.


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