MCQ Paper No.227th April 2017 by admin Please select True or False for the following questions. 1. Decreased rates of nosocomial clostridium difficile infections are associated with:a. The use of alcohol hand gel True False b. Avoidance of proton pump inhibitors True False c. Minimising antibiotic use True False d. Methotrexate therapy True False e. High fat enteral feed solutions True False 2. In HIT (heparin induced thrombocytopenia): a. The risk of abnormal coagulation recedes within 7 days of stopping the heparin True False b. Non-immune mediated HIT may be mild and rarely associated with a decrease in platelet count below 100 x 109/L True False c. Some anticoagulants such as danaparoid can still be used safely True False d. Unfractionated heparin can be replaced by low molecular weight heparin True False e. Thrombocytopenia will not present following cessation of heparin True False 3. With regards to heparin induced thrombocytopaenia (HIT): a. Low molecular weight heparin is associated with an increased risk vs unfractionated heparin True False b. It is most common in female patients True False c. It is most common in medical patients True False d. It is associated with disseminated intravascular coagulopathy (DIC) True False e. Warfarin use is safe in acute HIT True False 4. In the diagnosis of brain stem death: a. A neurological opinion is essential True False b. The EEG must be isoelectric for 24 hours True False c. The presence of convulsions rules out the diagnosis True False d. Spinal reflexes may be present True False e. A blood screen for the presence of drugs must be made True False 5. Symptoms characteristic of amniotic fluid embolus include: a. Cyanosis True False b. Hypofibrinogenaemia True False c. Chest pain True False d. Hypoventilation True False e. Hypertension True False Time's up
