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CPD May 2011

1. True (A) or false (B) – click on the correct answer:

Obstetric haemorrhage is the leading cause of maternal death. (False) 2. True (A) or false (B) – click on the correct answer:

Approximately 50% of obstetric haemorrhagic deaths are attributable to severe bleeding at caesarean section. (True)

3. True (A) or false (B) – click on the correct answer:

The findings of the National Committee on Confidential Enquiries into Maternal Death are that over 80% of maternal deaths were “clearly avoidable”. (True)

4. True (A) or false (B) – click on the correct answer:

The extended 2 year internship currently undertaken by medical graduates incorporates a 4 month long Obstetrics and Gynaecology rotation. (True)

5. True (A) or false (B) – click on the correct answer:

Childbirth by caesarean section is associated with a reduced risk of mortality and morbidity when compared with vaginal delivery. (False)

6. True (A) or false (B) – click on the correct answer:

Immuno-competent hosts are not at risk of CNS infection by the measles virus. (False) 7. True (A) or false (B) – click on the correct answer:

Subacute Measles Encephalitis (SME) is an opportunistic infection occurring 1-7 months after acute measles in the context of AIDS. (True)

8. True (A) or false (B) – click on the correct answer:

SME typically presents with seizures and altered mental status. (True) 9. True (A) or false (B) – click on the correct answer:

Recent surveys of cancer deaths worldwide show a steady decline in those attributable to lung cancer.

(False)

10. True (A) or false (B) – click on the correct answer:

Adenocarcinoma of the lung has replaced squamous cell carcinoma as the most common histological type. (True)

11. True (A) or false (B) – click on the correct answer:

Drug-drug toxic interactions occur as a result of competition for the same renal tubular cytochrome enzyme system involved in drug metabolism. (False)

12. True (A) or false (B) – click on the correct answer:

Excessively high dosages of lopinovir/ritonovir administered to children in combined capsule formulation lead to diarrhoea, nausea and vomiting. (True)

13. True (A) or false (B) – click on the correct answer:

E.coli remains the most common pathogen causing both uncomplicated and complicated urinary tract infection in the community. (True)

14. True (A) or false (B) – click on the correct answer:

Current microbiological surveillance confirms E. coli’s susceptibility to trimethoprim- sulphamethoxazole as first-choice empiric therapy. (False)

15. True (A) or false (B) – click on the correct answer:

A high prevalence of multi-drug resistant Staphylococcus aureus nasal carriage has been found among immuno-compromised patients co-infected with HIV and TB. (True)

16. True (A) or false (B) – click on the correct answer:

(2)

Surveys carried out in South Africa and neighbouring countries show that prevalence of drug-resistant HIV mutations in ARV-naive HIV infected individuals is low. (True)

17. True (A) or false (B) – click on the correct answer:

A Tanzanian study of stroke reveals that haemorrhagic stroke can reliably be distinguished from ischaemic stroke at the bedside using a clinical diagnostic tool such as the Allan score (developed for the purpose at Guys Hospital, London). (False)

18. True (A) or false (B) – click on the correct answer:

In the setting of socio-economic disadvantage (a Cape Town based study has shown that) mortality is directly linked to the need for naso-gastric feeding following discharge home. (True)

19. True (A) or false (B) – click on the correct answer:

Death following stroke is strongly attributable to pulmonary embolus. (False) 20. True (A) or false (B) – click on the correct answer:

Common drug errors in anaesthesia include inadvertent substitution of suxamethonium for fentanyl and inadvertent administration of adrenaline for atropine.(True)

JS

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