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Community and Family Medicine > CM MCQ > Flashcards

CM MCQ Flashcards

1
Q

Which of the following about ROC is true?

A. Plotted with specificity / 1- sensitivity

B. In some cases, a smaller area under ROC is better than larger area

C. Upper left corner is the most significant clinically

D. Optimal cutoff point is determined by Youden index

E. Area under ROC increases, sensitivity increases

A

B.

In many cases clinical choice is not solely based on AUC, and when a high sensitivity or a high specificity is preferred - just like the scenario in your question - a test with a smaller AUC may be chosen.

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2
Q

Primary method for metabolising inorganic arsenic.

A. Fenton reaction

B. Ubiquitination

C. Methylation

D. Oxidation

E. Hydroxylation

A

C

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3
Q

What is the work of AFCD?
A. rodent control
B. food safety
C. mosquitoes control
D. dog licensing
E. legionnaires disease investigation

A

D

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4
Q

Which of the following interventions benefit the LARGEST population?
A. Traditional intervention that changes people’s default health decisions, e.g. clean water supplies
B. Long-lasting preventative measures, e.g. vaccination
C. Long term daily monitoring of chronic disease, e.g. BP measuring
D. Interventions that target socio-economic determinants to improve poverty
E. Education

A

D

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5
Q

In HK, which situation legally required to be reported by practitioner to DH
A. Food poisoning
B. Poisoning by Chinese medicine
C. Adverse effect of immunisation
D. HIV case
E. Adverse drug reaction

A

A

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6
Q

Occupational health as a medical specialty started
A. In Ancient Egypt
B. In Ancient Greece by Hippocrates
C. By physicians in Europe in the Middle Ages and Renaissance
D. By physicians in England during Industrial Revolution
E. After WWII in the International Labour Organisation, United Nations

A

C

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7
Q

Which of the following is TRUE about the HIV/AID notification system in HK?
A. AIDS instead of HIV is a statutory notifiable disease
B. notification of HIV detection by laboratory confirmation is statutorily required
C. AIDS/HIV reporting system has been established for over 30 years
D. Consent from patient is required for notification
E. Name of patient infecting AIDS/HIV is required in the notification form for contact tracing

A

C

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8
Q

According to 2020 social hygiene clinic statistics, which one is the most common STI in Hong Kong.
A. Syphilis
B. Gonorrhoea
C. Herpes Genitalis
D. Genital warts
E. Hep C

A

B

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9
Q

Which of the following is NOT part of the WHO recommended quadrivalent vaccines for use in the 2022-2023 influenza season in the northern hemisphere?
A. H1N1
B. H3N2
C. H5N1
D. B/Victoria lineage
E. B/Yamagata lineage

A

C

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10
Q

82-year-old woman, smoker, hx of ischemic heart disease, dementia, gout, admitted on chest pain, found ST elevation in ECG, do immediate PCI. 3 days after deteriorated and died despite PCI. Sputum culture found pneumococcus. Which is the best entry for underlying cause of death?
A. Pneumonia
B. Myocardial infarction
C. PCI complication
D. Chest pain
E. Ischemic heart disease

A

E

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11
Q

Which of the following is the first Priority for Action for Sendai Framework 2015-2030?
A. Understanding Disaster Risk In All Its Dimensions
B. Strengthening disaster risk governance to manage disaster risk
C. Investing In Disaster Risk Reduction For Resilience
D. Enhancing Disaster Preparedness For Effective Response,and to «Build Back Better» in recovery, rehabilitation and reconstruction
E. None of the above

A

A

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12
Q

Which of the following can do federated search for preappraised literature?

A. ACCESSSS
B. PUBMED
C. EMBASE
D. Google Scholar
E. Cochrane

A

A

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13
Q

Which of the following is the cause of acute decompression sickness?
A. high pressure in lungs
B. high pressure in joints
C. nitrogen bubbles in lungs and/or joints
D. oxygen bubbles in lungs and/or joints
E. none

A

C

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14
Q

What is the consequence of exposing under the noise of 75 dB for 8 hours.
A. high frequency hearing loss
B. acoustic neuroma
C. sleep disturbance
D. annoyance
E. all of the above

A

D

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15
Q

There is a rumour in the local community that a “brain cancer cluster” is caused by mobile phone base stations. Which of the following is true regarding investigation?

A. local news is preferred over international news in risk communication
B. compliants and informants should be used to communicate risk
C. prospective epidemiological studies are the mainstay of investigation
D. controls are chosen from those who work at the base station but are not diagnosed with cancer
E. none of the above

A

C

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16
Q

Universal Health Coverage which is not an alternative:
A. essential drug lists
B. designated healthcare providers
C. cheap vaccinations
D. voluntary health insurance
E. government funding catastrophe health costs

A

D

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17
Q

Pr(A)=0.3, Pr(B)=0.4, if they are mutually exclusive, what is Pr(A and B)? `.
a. 0.0
b. 0.12
c. 0.58
d. 0.7
e. cannot be determined

A

A

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18
Q

Which of the following cause(s) peripheral neuropathy?
A n-hexane
B Hg
C Pb
D DM
E All of the above

A

E

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19
Q

Why are chlorofluorocarbons banned?
A chemical hepatitis
B expensive
C BM suppression
D liver cancer
E destroys the ozone layer in the atmosphere

A

E

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20
Q

Which of the following is true regarding Bradford Hill criteria for causality?
A Specificity: one exposure is linked to one disease
B Biological gradient: gradient of different exposures on different levels of effect
C Coherence: results can be repeated across different populations
D Analogy: the use of analytical study
E Plausibility: necessary for establishing causality

A

B

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21
Q

SPHERE project was originated from __ , started in __
A. Bengal famine, 1770
B. Somali Crisis, 1990
C. Indonesia tsunami, 2004
D. Rwandan genocide, 1997
E. Niger Crisis, 2005

A

D

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22
Q

What is the definition of health according to WHO?
A. A state of complete physical, mental and social well-being and not merely the absence of disease and disability
B. A state of complete physical, mental and cultural well-being and not merely the absence of disease and disability
C. A state of complete physical, mental and social well-being and not merely the absence of disease and infirmity
D. A state of complete physical, mental and societal well-being and not merely the absence of disease and disability
E. A state of complete physical, mental and spiritual well-being and not merely the absence of disease and disability

A

C

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23
Q

What is the first occupational cancer discovered in chimney sweepers?
A) breast cancer
B) lung cancer
C) scrotal cancer
D) leukemia
E) none of the above

A

C

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24
Q

NCD accounts for more than half of health burden even in developing countries. below statements suggest why EXCEPT
A. interventions on unhealthy food pose unequal burden on lower income population
B. regulation on food will have greater political and social opposition
C. UN declaration on prevention and control on NCD should concentrate on the healthcare delivery system rather than stretching over non-medical measures
D. Role of law on prevention and control of NCD should shift from tax on unhealthy products such as tobacco and alcohol to encouraging healthy environment
E. Lack of public health intervention in the context of changing people’s choice for health improvement

A

C?

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25
Q

Which of the following is false regarding the SPHERE Project ?
A It was established after the Rwandan genocide
B Access to information was one of five goals in its first edition
C It is guided by the principle of humanity and the humanitarian imperative D The aim of SPHERE is to improve the quality of assistance given
E It is founded by WHO

A

E (it is founded by a group of NGOs)

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26
Q

Why is it important to provide chronic disease medical service in disaster response?
1. High increase in incidence of chronic disease post disaster
2. Treating chronic illnesses is more cost effective than treating infection
3. Chronic disease needs to be managed before surgery for acute conditions
4. Chronic diseases if untreated pose a burden on healthcare system in long term
A. 1,3,4
B. 2,4
C. 3,4
D. All of the above
E. forgot

A

D?

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27
Q

Which of the following about mobile phone usage is correct?
A. Ionizing radiation is emitted.
B. Heat related effect is the only well established effect on human body
C. Mobile phone radiation is considered as probably carcinogen
D. Reducing the length of mobile phone usage is more important than increasing the distance between
E. Roof signal station poses more effect than holding the phone near the face

A

B

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28
Q

Which of the following is NOT essential in surveillance on emerging infectious disease?
A. World Health Organization
B. Mainland
C. Laboratory Survelliance
D. Media and Rumour Surveillance
E. Review annual mortality statistics

A

E

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29
Q

There is a paradigm shift of child obesity management from the Health Care System to the School System.

Statement A: The scale of the obesity epidemic makes it difficult to manage every overweight and obese person through clinical services alone

Statement B: Variety of behavioural modification strategies for weight management can only be effectively used in school setting
A. Both statements are correct. Statement B is the right explanation for Statement A.
B. Both statements are correct. Statement B is NOT the right explanation for Statement A.
C. Statement A is correct; statement B is incorrect.
D. Statement A is incorrect; statement B is correct.
E. Both statements are incorrect

A

C

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30
Q

Which of the following is the most desirable when dealing with epidemics in impact phase of disaster cycle?

A. Maximise number of foreign medical personnel as more assistance is always good
B. Main emphasis (human resources, material deployment) in epidemic control regardless of types of disaster
C. General public health education related to the epidemics in camps that accommodate displaced population
D. Accept all foreign aids indiscriminately for easy logistics and they will always be utilised by low income countries
E. None of the above

A

E

(secure the basics, determine health threats, find & provide resources)

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31
Q

Which of the following is NOT in place to reduce transmission of TB in HK
A. Prompt treatment of TB
B. BCG vaccination
C. Quarantine of imported TB cases
D. Pre exposure prophylaxis with antimicrobial agents
E. Genetic screening and treatment for latent TB infections

A

D

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32
Q

About the receiver operating characteristic curve (ROC), which of the following is the most appropriate?
A. Area under ROC curve can be less than 0.5
B. Specificity describe to the predictive value to the gold standard
C. When the area under ROC curve is increased, it means either sensitivity / specificity increase
D. ROC curve is obtained by plotting sensitivity against specificity
E. In an optimal test, area under ROC curve should be 50%

A

C

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33
Q

Which of the following(s) about p-value is correct?
A The p-value represents the probability of data you observe if the null hypothesis is fine
B 0.05 critical level is an arbitrary cut-off
C The null hypothesis is true if p-value > 0.05
D A p-value = 0.001 is much higher clinically significant than p-value = 0.100
E All of the above are true

A

B

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34
Q

Incidence rate
A. Probability of getting the disease at a particular instant
B. Account for the migration and death
C. Better for disease with longer duration
D. Used in cross sectional study
E. None of the above

A

B

35
Q

Which of the following is FALSE about RCT?
A. It is less useful for powerful treatment
B. It requires ethical approval
C. It can easily prove the absence of effect of treatment
D. It is the most vigorous study for evaluating the effect of treatment
E. It has less bias than other descriptive studies

A

C

B. It requires ethical approval:
- RCTs involving human participants must be reviewed and approved by an ethics committee to ensure the safety and rights of the participants are protected.

C. It can easily prove the absence of effect of treatment:
- This statement is false. Proving the absence of an effect is generally more challenging than proving the presence of an effect in RCTs. RCTs are designed to have sufficient statistical power to detect clinically meaningful effects, but they may not always be able to conclusively demonstrate the absence of an effect, especially for small effect sizes.

36
Q

Policy makers are obsessed with health cost escalations and sometimes try to include health costs in programs for service procedures. Consider the following statements
1. Charging costs during delivery favours quantity over quality service
2. Charging costs favours promotion of 3’ prevention instead of more cost effective primary prevention procedures

Which of the following is the most valid
A. 1 and 2 are both correct and 2 is the correct explanation of 1
B. 1 and 2 are both correct but 2 is not the correct explanation of 1 (might also be this one?
C. 1 is correct but 2 is not correct
D. 2 is correct but 1 is not correct
E. Both 1 and 2 are incorrect

A

B

  1. Charging costs during delivery favors quantity over quality service:
    • When patients are charged for healthcare services, there is a risk that providers may focus on delivering a higher volume of services rather than prioritizing the quality of care, as they may be incentivized to increase the number of procedures performed to generate more revenue.
  2. Charging costs favors promotion of 3’ prevention instead of more cost-effective primary prevention procedures:
    • This statement is correct, but it is not the correct explanation for statement 1.
    • Charging for healthcare services may lead to a focus on more lucrative tertiary prevention (treatment of established disease) rather than primary prevention (preventing the onset of disease), which is generally more cost-effective in the long run.
37
Q

Lead poisoning involve damage to: (choose the best option)
A. Haemoglobin synthesis
B. Peripheral neuropathy
C. Renal tubules
D. A, B
E. A, B, C

A

E

38
Q

Drug resistance is a major challenge of clinical management of which of the following STI?
A. Syphilis
B. Gonorrhea
C. Chlamydia
D. Warts
E. Herpes genitalis

A

B

39
Q

Which of the following is not included in the statutory/regulatory role of DH?
A. Observing International health regulation
B. Implement regulation of food safety
C. Licensing drug manufacturers
D. Licensing private hospital
E. Implement regulations related to Chinese Medicine

A

B (food and environmental hygiene department)

40
Q

Psychosocial health components
A. Spiritual emotional mental social
B. Spiritual emotional psychological security
C. Security psychological mental spiritual
D. Emotional mental psychological social
E. None of the above

A

A

41
Q

The government try to reduce cases of stroke:
A. Depression and stress are two key risk factors for stroke.
B. Good community structure is to have good accessibility to physical activity??

A. Both statements are correct. Statement B is the right explanation for Statement A.
B. Both statements are correct. Statement B is NOT the right explanation for Statement A.
C. Statement A is correct; statement B is incorrect.
D. Statement A is incorrect; statement B is correct.
E. Both statements are incorrect

A

B

42
Q

Mercury poisoning symptoms
A. Cerebellar symptoms
B. Psychiatric symptoms
C. Parkison-like symptoms
D. A+B
E. A+B+C

A

E

43
Q

When is Cap 599 enforced?
A. 1984
B. 2003
C. 2008
D. 2016

A

C

44
Q

Which is important measure in surveillance of emerging disease in Hong Kong?
A. Regular meeting with managers of TV channel
B. Interview in MTR station
C. Sentinel Surveillance
D. Good communication platform with Mainland representative
E. Focus group in kindergarten

A

D

45
Q

Which of the following is true?
(A) Universal intervention should be taken rather than targeted interventions?.
(B) If all in a population should be involved, focus needs to be on more than just the determinants of health

A. Both statements are correct. Statement B is the right explanation for Statement A.
B. Both statements are correct. Statement B is NOT the right explanation for Statement A.
C. Statement A is correct; statement B is incorrect.
D. Statement A is incorrect; statement B is correct.
E. Both statements are incorrect

A

B

Explanation:

Statement A: Universal intervention should be taken rather than targeted interventions.
This statement is correct. Universal interventions, which target the entire population, are often more effective and equitable than targeted interventions focused on high-risk individuals or groups.

Statement B: If all in a population should be involved, focus needs to be on more than just the determinants of health.
This statement is also correct. If a universal intervention is to be implemented, it needs to consider factors beyond just the traditional determinants of health, such as social, economic, and environmental factors that affect the overall well-being of the population.

46
Q

Two statements on public health.
(A) There is an inequality of health rather than an inequality of wealth.
(B) Mental illness is due to lower social capital.

A. Both statements are correct. Statement B is the right explanation for Statement A.
B. Both statements are correct. Statement B is NOT the right explanation for Statement A.
C. Statement A is correct; statement B is incorrect.
D. Statement A is incorrect; statement B is correct.
E. Both statements are incorrect

A

C.

Explanation:

Statement A: There is an inequality of health rather than an inequality of wealth.
This statement is correct. Health inequalities, which refer to differences in health outcomes between different socioeconomic groups, often exist even in societies with relatively low income inequality. The social determinants of health, such as education, living conditions, and access to healthcare, can contribute to health disparities beyond just income or wealth.

Statement B: Mental illness is due to lower social capital.
This statement is incorrect. While social capital, which refers to the networks, trust, and cooperation within a community, can contribute to mental health, the causes of mental illness are complex and multifactorial. Factors such as genetics, neurobiology, life events, and access to mental health services also play a significant role in the development of mental illness.

Therefore, the correct answer is option C, as Statement A is correct, but Statement B is incorrect.

47
Q

The 95% confidence interval (CI) is calculated in a sample. Keeping everything else the same, what would happen if 90% CI is calculated instead?
A. The 90% CI will be narrower than 95% CI.
B. The 90% CI will be of the same width as 95% CI.
C. The sample size will increase.
D. The 90% CI will be wider than 95% CI.
E. Not enough information is given to answer.

A

A

48
Q

Which of the following is false?
A. Odds ratio can substitute RR when the population rate is over 10/100 (smth like that)
B. Odds ratio should not be used if the baseline incidence of disease in population is over 10%
C. AR is a proportion
D. RR gives a better estimate of aetiology than OR
E. all above are false

A

E

49
Q

Which of the following risk factors is the leading cause of death in the world in 2019?
A. smoking
B. alcohol
C. obesity
D. hypertension
E. hyperlipidemia

A

D

50
Q

In HK what is the current strategy of preventing sexually transmitted infection?
A. Reporting is mandatory as stipulated by Venereal (I forget this word) order
B. Voluntarily contact tracing of sexually transmitted disease in Department of Health
C. Syndromic approach in social hygiene clinic
D. Pre-exposure prophylaxis of septrin will be given to high-risk individuals
E. Post-exposure prophylaxis of septrin will be given to high-risk individuals

A

C

51
Q

Which is false regarding WHO promoting Health for all principles ?
A. reduce disparities of health
B. Health in all sectors
C. promote collaborative policy design
D. promote public and private partnership for quality service

A

D

52
Q

Which of the following chemicals is carcinogenic? A. Benzene
B. Asbestos
C. Vinyl Chloride
D. A & B
E. A & B & C

A

E

53
Q

About medical screening, which of the following statements is the least appropriate?

A. All screening tests can be harmful
B. The test is only a part of a screening problem
C. Screening is usually cost-effective in high risk people
D. Using parallel tests can increases the sensitivity and decrease the PPV
E. If the same test is used for screening and diagnosis, the disease prevalence in the diagnostic test is higher

A

A

(e.g. COVID test)

54
Q

Non-communicable disease (NCDs) pose burden globally, which of the following is TRUE with regard to risk factor for NCDs?

A. Age-standardised rate of cardiovascular disease is highest in high-income countries
B. Obesity is a risk factor for morbidity in children for mental health problem
C. In modern Japan, closer adherence to Japanese dietary guidelines is NO longer associated with a lower risk of total mortality and mortality of cardiovascular disease
D. Central (abdominal) obesity is associated insulin resistance but is NOT linked to a range of inflammatory and hypercoagulatory states that contribute to the development of cardiovascular disease and diabetes
E. The prevalence of overweight/ obesity has increase over the past 2 decades in Indonesian child, adolescent and adult. Prevalence rate are higher in male than female in all age group.

A

B

55
Q

Meta analysis of 5 RCT, 3 use tool A 2 use tool B. Both tools A & B are validated but on different scales to measure the same outcome. What parameter should be used to measure its outcome?
A. Pooled OR
B. Pooled RR
C. Weighted mean difference
D. Standardised difference
E. Area under the curve

A

D

56
Q

Why is there emerging infectious disease?
A. Break down of public health
B. New invention of antibiotics
C. Competition between hospitals
D. Public sector

A

A

57
Q

What is the common insecticide in Hong Kong?
A. Arsenic
B. DDT
C. Methamidophos
D. Aldicarb
E. All of the above

A

C

58
Q

What is the least response rate (in %) in an ideal cross sectional study
A. 20
B. 30
C. 40
D. 60
E. 80

A

C

59
Q

Tobacco control offices work does not include:
A. Promotes smoke free culture and draw up legislation
B. Smoking cessation services
C. Enforcing Cap 371 Public Health (Smoking) Ordinance
D. Community health talks in secondary schools to promote benefits of not smoking

A

B
(by DH)

60
Q

The reason why conventional public health strategy cannot be applied to control childhood obesity nowadays:
A. Individual interventions are better than group effort
B. It targets parents but parent management is not effective in controlling children
C. Clinic training to give top priority to managing overweight and obesity due to its top epidemiology
D. It only targets parents but not children

A

B

61
Q

Effects of mercury poisoning?
A. Cancer
B. Renal tubular acidosis
C. Parkinsonian-like
D. Hallucination
E. All of the above

A

E

62
Q

Treatment-as-prevention be achievable in HIV patient only when:
A. High coverage of antiretroviral therapy is achieved in HIV patients
B. HIV patients are managed with DOTS
C. Antiretroviral therapy start promptly when CD4 count <200/uL
D. Functional cure is achieved in HIV patient
E. Viral load becomes undetectable within one week of treatment

A

A

63
Q

Which one is the correct definition for information bias?
A. Bias of the estimated effect of an exposure on an outcome due to the presence of a common cause of the exposure and outcome
B. Bias in the estimated association or effect of an exposure on an outcome that arises from the procedures used to select individuals into the study or the analysis.
C. Errors that can occur in interpretative and evaluative processes of scientific evidence.
D. A flaw in measuring exposure, covariate or outcome variables that results in different quality (accuracy) of information between comparison groups
E. The result of the tendency of authors to submit, organisations to encourage, reviewers to approve, and editors to publish articles containing “positive” findings

A

D

64
Q

According to the “Pathway of care” model, which steps should be prioritised in disaster management?
1. Health risk protection / prevention
2. Treatment
3. Rehabilitation
4. Palliation
A. 1 only
B. 1,2,3,4
C. 2,3
D. 3,4
E. None of the above

A

B

65
Q

Which of the option below is not accurate about the epidemiology of tuberculosis in Hong Kong? A. Multidrug resistant TB is uncommon
B. There are about 5000 latent tuberculosis cases in Hong Kong
C. Notification is an important surveillance of tuberculosis
D. HIV is a not a predisposing factor of Tuberculosis

A

B
(5000 active cases)

66
Q

Dengue fever, which department is responsible? A. FEHD
B. ICSD
C. C&SD

A

A

67
Q

How were workers exposed to N-hexane?
A. Inhalation
B. Ingestion
C. Dermal absorption
D. A and B
E. A and B and C

A

E

68
Q

According to Lopez study, which of the following population-based intervention is most effective?
A. Mammogram screening>40 years old
B. Cervical cancer screening >25 years old
C. screen all social drinkers
D. National cholestol screening of all adults
E. Screen those with low level of physical activity

A

B

69
Q

The burden of cardiovascular diseases in low-income and middle-income countries becomes higher than the burden in high-income countries. Which of the followings is the most appropriate explanation?
A. Blood pressure is strongly associated with cardiovascular diseases and the “rules of halved” only applies to low-income and middle-income countries
B. The urbanisation and motorisation in high-income countries lead to more road traffic injuries
C. The governments in the low-income and middle-income countries invested mainly in the healthcare services but not the social system, resulting in social inequity
D. Obesity is linked to inflammatory and hypercoagulability states contributing to cardiovascular diseases and obesity is less likely in high-income countries
E. Lack of urbanisation in low-income and middle-income countries hampers the development of healthcare services

A

C

70
Q

Taking into account that 45%global mortality and 36% global burden is attributable to the 19 risk factor studied in (Lopez 2006), which of the following is considered effective treatment?
A. Pap smear screening for all female above 18 years old
B. Mammography for all females above 18 year old
C. Identify social drinker
D. National cholesterol screening for all adults
E. Identify those with physical inactivity.

A

E

71
Q

which is an example of imposing individual responsibility on healthy policy
A. drink driving law
B. alcohol tax
C. health and safety legalisation
D. fluoridization of water
E. general taxation

A

A?

72
Q

In general, which subgroup is the most vulnerable to mental distress after disaster?
A. Children
B. Elderly
C. Adult
D. Disaster relief responder
E. Women

A

A

73
Q

Which of the following can be caused by excessive exposure to inorganic lead?
A. anaemia
B. peripheral neuropathy
C. encephalopathy
D. A+B
E. A+B+C

A

E

74
Q

Poverty is still a significant health issue even in developed countries. Which of the following is not a not a reflection of the problem?
A. Most wealth is controlled in a small population
B. Lack of investment in a social system

D. Focus should be places on affordability of service instead of accessibility of service

E. Health services should be directed to in-site management of population tobacco use, physical activity, alcohol instead of centralised health information

A

E

75
Q

Which of the following is not included in AMSTAR scale for systematic review?
A. Was a ‘prior’ design study provided
B. Was blinding performed on participants and personnel
C. Was the characteristics of included in studies provided
D. Was the likelihood of publication bias assessed E. All of the above are included.

A

B

76
Q

The Prevention and Control Disease Ordinance (Cap 599) was implemented in 14 July 2008 by

A) secretory of food and hygiene department
B) MargaretChan
C) Head of health center
D) US CDC
E) WHO

A

A

77
Q

Which of the following is not a service provision of TB and Chest clinic?
A. prevent spread
B. contact tracing
C. chemoprophylaxis
D. Routine TB screening
E. DOTS

A

D

78
Q

Which of the following is NOT listed as the major attributable risk factor to “global mortality and burden of disease in high-income countries” by WHO?
i. Unsafe sex
ii. Tobacco use
iii. Overweight and obesity iv. Illicit drug
v. High blood pressure

A

A

79
Q

Which of the following is NOT notifiable disease in Hong Kong?
a. Syphilis
b. Hepatitis C
c. Avian influenza
d. SARS
e. Tuberculosis

A

A

80
Q

Which of the following job(s) need regular medical examination as requested by the laws in Hong Kong?
A. Workers in noisy environment
B. Divers
C. Construction workers
D. Quarry workers
E. All of the above

A

D

  • workers exposed to ionising radiation, asbestos or controlled carcinogenic substances
  • workers engaged in tunnelling work, mines, quarries and compressed air work
81
Q

MPOWER does not include:
A. Monitor tobacco usage
B. Protect against smoking
C. Offer treatment
D. Warn about danger in tobacco use
E. Enforce bans on tobacco selling

A

E

(ban promotion)

82
Q

How should we explain a risk to a patient?
A. 1 in 100 vs 1 in 25
B. 1 in 100 vs 4 in 100
C. 100x risk higher

A

B

83
Q

Leading cause of death in Hk in the past decade
A. pneumonia
B. Malignant tumors
C. Heart disease
D. cardiovascular disease
E. COPD

A

B

84
Q

In Hong Kong, public health surveillance of TB involves all of the following except:
A. Report diagnosed case to Department of Health
B. Report diagnosed case to Labour Department
C. Routine detection of latent infection in general public
D. Laboratory surveillance of resistant mycobacteria
E. Monitor notification rate as marker of incidence

A

C

Community and Family Medicine (2 decks)

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