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 gelTrueFalseb. Avoidance of proton pump inhibitorsTrueFalsec. Minimising antibiotic useTrueFalsed. Methotrexate therapyTrueFalsee. High fat enteral feed solutionsTrueFalse2. In HIT (heparin induced thrombocytopenia): a. The risk of abnormal coagulation recedes within 7 days of stopping the heparinTrueFalseb. Non-immune mediated HIT may be mild and rarely associated with a decrease in platelet count below 100 x 109/LTrueFalsec. Some anticoagulants such as danaparoid can still be used safelyTrueFalsed. Unfractionated heparin can be replaced by low molecular weight heparinTrueFalsee. Thrombocytopenia will not present following cessation of heparinTrueFalse3. With regards to heparin induced thrombocytopaenia (HIT): a. Low molecular weight heparin is associated with an increased risk vs unfractionated heparinTrueFalseb. It is most common in female patientsTrueFalsec. It is most common in medical patientsTrueFalsed. It is associated with disseminated intravascular coagulopathy (DIC)TrueFalsee. Warfarin use is safe in acute HITTrueFalse4. In the diagnosis of brain stem death: a. A neurological opinion is essentialTrueFalseb. The EEG must be isoelectric for 24 hoursTrueFalsec. The presence of convulsions rules out the diagnosisTrueFalsed. Spinal reflexes may be presentTrueFalsee. A blood screen for the presence of drugs must be madeTrueFalse5. Symptoms characteristic of amniotic fluid embolus include: a. CyanosisTrueFalseb. HypofibrinogenaemiaTrueFalsec. Chest painTrueFalsed. HypoventilationTrueFalsee. HypertensionTrueFalseTime is Up!