MCQ medicine – set 10

With regards to insulin therapy

a) Regular insulin is best given over the abdomen.



b) Cleansing the needle with alcohol is recommended.



c) Ultrashort insulin (lispro) can be given intravenously.



d) Insulin glargine is useful during pregnancy.



e) Subcutaneous insulin absorption is affected during exercise.



Statement regarding lipid treatment

a) Cholestyramine is recommended in patients with hypertriglyceridaemia.



b) When myositis develops with statin treatment, switching to fibrates is recommended.



c) Aspirin worsens ‘hot flashes’ caused by niacin.



d) Bile acid binding resins are safe in pregnancy.



e) Statins are given in the evening because of active synthesis overnight.



Hepatitis vaccination

a) Gluteal region is the best place for injection.



b) It is recommended in household contacts with hepatitis B carrier.



c) Immunity wanes with time.



d) Serologic response is not affected by patient’s age.



e) Those who do not response should receive a second three dose vaccine.



Patients with HIV infection

a) Hairy leukoplakia is caused by cytomegalovirus.



b) Diffuse infiltrates are characteristic of pneumocystis pneumonia.



c) Esophageal candidiasis is treated with fluconazole 200mg daily for 10 days.



d) Seborrhoeic dermatitis caused by malassezia furfur does not response to topical antifungal.



e) Single dermatome herpes zoster does not require antiviral treatment.



Statements regarding osteoporosis

a) Alendronate 70mg weekly is more effective than 10mg daily in the treatment of postmenopausal osteoporosis.



b) Raloxifene increases risk of breast cancer.



c) Serum calcium is low.



d) Calcium carbonate is given for calcium supplement.



Biphosphonate reduces both vertebral and non vertebral fracture.





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