MCQ Paper No.2

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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
b. Avoidance of proton pump inhibitors
c. Minimising antibiotic use
d. Methotrexate therapy
e. High fat enteral feed solutions
2.   In HIT (heparin induced thrombocytopenia):

a. The risk of abnormal coagulation recedes within 7 days of stopping the heparin
b. Non-immune mediated HIT may be mild and rarely associated with a decrease in platelet count below 100 x 109/L
c. Some anticoagulants such as danaparoid can still be used safely
d. Unfractionated heparin can be replaced by low molecular weight heparin
e. Thrombocytopenia will not present following cessation of heparin
3. With regards to heparin induced thrombocytopaenia (HIT):

a. Low molecular weight heparin is associated with an increased risk vs unfractionated heparin
b. It is most common in female patients
c. It is most common in medical patients
d. It is associated with disseminated intravascular coagulopathy (DIC)
e. Warfarin use is safe in acute HIT
4. In the diagnosis of brain stem death:

a. A neurological opinion is essential
b. The EEG must be isoelectric for 24 hours
c. The presence of convulsions rules out the diagnosis
d. Spinal reflexes may be present
e. A blood screen for the presence of drugs must be made
5. Symptoms characteristic of amniotic fluid embolus include:

a. Cyanosis
b. Hypofibrinogenaemia
c. Chest pain
d. Hypoventilation
e. Hypertension

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