DHA Clinical Practice & Guidelines 4

Question 1

According to DHA guidelines, what is the recommended first-line treatment for uncomplicated community-acquired pneumonia in a healthy adult without comorbidities?

Accepted Answer

Amoxicillin 500mg TID for 5 days

Answer

Azithromycin 500mg once daily for 3 days

Answer

Levofloxacin 750mg once daily for 5 days

Answer

Ceftriaxone 1g IV once daily for 7 days

Question 2

A patient presents with a blood pressure of 160/100 mmHg on two separate occasions. Per DHA hypertension guidelines, which classification does this represent?

Accepted Answer

Stage 2 hypertension

Answer

Elevated blood pressure

Answer

Stage 1 hypertension

Answer

Hypertensive urgency

Question 3

Under DHA clinical guidelines, which screening interval is recommended for colorectal cancer using fecal immunochemical testing (FIT) in average-risk adults aged 50–74?

Accepted Answer

Annually

Answer

Every 6 months

Answer

Every 2 years

Answer

Every 3 years

Question 4

When managing a patient with type 2 diabetes and established cardiovascular disease, DHA guidelines recommend which medication class as a preferred add-on to metformin?

Accepted Answer

SGLT-2 inhibitors

Answer

Sulfonylureas

Answer

DPP-4 inhibitors

Answer

Alpha-glucosidase inhibitors

Question 5

A pregnant woman at 28 weeks gestation tests positive on the 50g glucose challenge test (GCT) with a value of 155 mg/dL. What is the appropriate next step per DHA antenatal guidelines?

Accepted Answer

Perform a 75g oral glucose tolerance test (OGTT)

Answer

Diagnose gestational diabetes and initiate dietary management

Answer

Repeat the 50g GCT in 2 weeks

Answer

Initiate insulin therapy immediately

Question 6

Per DHA sepsis management guidelines (Sepsis-3), which combination of interventions must be completed within the first hour of sepsis recognition (Hour-1 Bundle)?

Accepted Answer

Lactate measurement, blood cultures, broad-spectrum antibiotics, and 30 mL/kg IV crystalloid

Answer

Blood cultures, broad-spectrum antibiotics, 30 mL/kg IV crystalloid, and vasopressors if MAP <65 mmHg

Answer

Blood cultures, urine culture, lactate measurement, and broad-spectrum antibiotics

Answer

CBC, BMP, chest X-ray, and empiric antibiotics

Question 7

According to DHA stroke guidelines, what is the maximum time window for administering IV alteplase (tPA) in eligible acute ischemic stroke patients from symptom onset?

Accepted Answer

4.5 hours

Answer

1 hour

Answer

3 hours

Answer

6 hours