Self-assessment CPD Challenge Questions
Were you paying attention? Test your retentive capacities on issues raised in this edition of Africa Health. You can quietly test yourself, or – and we're particularly keen on this – you could make it a part or the foundation of a Journal Club in your department or health institution. Life-long learning is a collaborative exercise and the whole health team can be positively stimulated by being involved in such discussion.
1. Assessment and diagnosis of the poisoned patient
Qi. What is the most commonly used method to as- sess the degree of impairment of consciousness?
Qii. What should be measured to assess cardiovascular function?
Qiii. When considering self-poisoning, why are state- ments about amounts taken usually unreliable?
2. Substance abuse Qi. In substance abuse, substances may be ingested or inhaled. Name two other routes.
Qii. Which is the fastest method of delivering drugs to the brain?
Qiii. Drugs hidden in the vagina or rectum are less likely to cause significant symptoms. Why is this?
3. Clinical Review
Qi: Which of these is most effective in disinfecting clear water? a. Sunlight.
b. Sunlight plus lime juice. c. Sunlight plus lime slurry.
Qii: Cloudy water cannot be used in SODIS (solar wa- ter disinfection) because the light cannot penetrate it well. How can the water sometimes be cleared? a. By adding sugar. b. By adding salt. c. By adding lime juice.
Qiii: To clear water that is cloudy with bentonite clay what is the correct amount of salt to add to a 2-litre bottle? a. A teaspoon. b. A tablespoon. c. Half a teaspoon.
Qiv. Pictures can be used to help people understand how to take their medicines. They are effective when
a. Used to show warnings. b. Used to show the times of day. c. Not enough has been done to show they work.
July 2012
Qv. How is leprosy believed to be transmitted? a. Touch.
b. Nasal droplets. c. Sexual intercourse.
Qvi. Why is leprosy often incorrectly diagnosed?
Qvii. WHO has suggested clinical classification of lep- rosy according to what?
Qviii.The current drug regime for the treatment of lep- rosy is for how long? a. 12 months. b. 24 months. c. 6 months.
4. Medicine Digest Qi: Yaws has reappeared in children in poor rural areas of Africa. Unless treated early it can become chronic and relapse, causing what?
Qii: People with gout are often hypertensive. Up to what percentage? a. 35%. b. 74%. c. 54%.
Qiii. In systolic blood pressure readings what might a differ- ence of 10mmHg between arms indicate?
Qiv. The most common cause of sepsis in early infancy is what?
a. Group B streptococcus. b. Candida. c. Enterovirus.
Qv. In the treatment of bipolar disorder the drug lithium is effective but there are concerns about possible side- effects. What are they (two answers).
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Africa Health 61
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