Health screening mcq by Prof Kamarudin Kana
1. A good screening test should fulfill the following criteria:
A. Trx for the condition must be available
B. The case finding should be a continuous process & not a ‘once and for all’ project
C. The test must be acceptable to the population concerned
D. The +ve & -ve predictive values should approach 100%
E. The sensitivity & specificity should approach 100%
2. Obesity
A. Is commoner in lower socioeconomic groups
B. Is an early feature in Prader-Willi syndrome
C. Has a strong familial component
D. May lead to Perthes’ disease, Blount’s disease & slipped femoral epiphyses
E. Is usually accompanied by decreased insulin levels
3. Obesity is a/w the following conditions”
A. Hiatus hernia
B. Endometrial ca
C. Hyperlipidemia
D. Infertility
E. Hyperthyroidism
4. Risk factors for ca of cervix:
A. Multiple sexual partners
B. Late first sexual intercourse
C. Partner with HPV infection of skin
D. Lower socioeconomic status
E. History of vulval viral warts
5. The cervical smear screening programme:
A. Yearly screening is not significantly better than 3-yearly screening
B. All women of reproductive age should be screened
C. It is a primary preventive strategy for cervical ca
D. The smear can be taken by the practice nurse
E. Yearly screening is necessary for some patients
6. Nasopharyngeal ca
A. Is screened by x-rays of nasopharynx
B. Is aetiologically related to Epstein-barr-virus
C. Causes early local symptoms
D. Is high incidence among Bidayuhs
E. Is mainly treated by complete excision
7. Colorectal carcinoma
A. Familial adenomatous polyps is high risk
B. It is the commonest cancer of GI tract
C. Obstructive symptoms are early in tumours of the ascending colon
D. Pain is an uncommon symptom
E. Mucus in stools and incomplete defecation should alert the GP to the possibility of
colorectal ca at any age
8. Concerning faecal occult blood testing:
A. It fulfils the Wilson’s criteria for a screening test
B. In screening programmes, the majority of +ve stool samples are false -ve
C. With a three-day test the sensitivity for colonic ca is over 90%
D. The test is more sensitive for caecal tumours than for sigmoid tumours
E. Banana ingestions has been shown to cause false +ves
9. Ca of the bronchus is a/w exposure to the following:
A. Asbestos
B. Silica dust
C. Sulphur dioxide
D. Aniline dyes
E. Radon gas
10. The useful screening procedure & the disease are correctly paired:
A. Carcino-embryonic antigen: Colorectal ca
B. Prostate specific antigen: Prostate ca
C. CA 19-9: Breast ca
D. CA 15-3: Pancreatic ca
E. Alpha-feto-protein: Hepatocellular carcinoma
11. Screening
A. In prostate cancer, has been shown to be no benefit in a randomized controlled trial
B. PSA has a 95% specificity as a screening test
C. There is no evidence to support screening of unselected women below 50 years of age
for breast cancer
D. Two-yearly mammograms are currently recommended in the breast cancer screening
programme
E. With faecal occult bloods, has been shown to decrease mortality by 40% in colorectal
cancer
