DHA Clinical Practice & Guidelines 5

Question 1

A 65-year-old male with COPD has an FEV1/FVC ratio of 0.62 and FEV1 of 55% predicted. Per DHA/GOLD guidelines, what GOLD stage is this?

Accepted Answer

GOLD 2 (Moderate)

Answer

GOLD 1 (Mild)

Answer

GOLD 3 (Severe)

Answer

GOLD 4 (Very Severe)

Question 2

Under DHA guidelines for pain management, which WHO analgesic ladder step is appropriate for a patient with moderate cancer pain (NRS 5/10) who has failed Step 1 therapy?

Accepted Answer

Step 2: Weak opioids (e.g., codeine or tramadol)

Answer

Continue Step 1 with dose escalation

Answer

Step 3: Strong opioids (e.g., morphine)

Answer

Adjuvant therapy only (e.g., corticosteroids)

Question 3

Per DHA infection control guidelines, which PPE combination is required when performing an aerosol-generating procedure (AGP) on a patient with suspected airborne infection?

Accepted Answer

N95 respirator, gloves, gown, and eye protection

Answer

Surgical mask, gloves, and gown

Answer

N95 respirator and gloves only

Answer

Surgical mask, gloves, gown, and face shield

Question 4

A child is brought to the DHA clinic with a weight-for-height Z-score of -2.8. How should this nutritional status be classified per WHO/DHA standards?

Accepted Answer

Moderate acute malnutrition

Answer

Normal nutritional status

Answer

Mild acute malnutrition

Answer

Severe acute malnutrition

Question 5

According to DHA guidelines, what is the target LDL-cholesterol level for a patient classified as very high cardiovascular risk (e.g., prior MI)?

Accepted Answer

< 1.8 mmol/L (< 70 mg/dL)

Answer

< 3.0 mmol/L (< 116 mg/dL)

Answer

< 2.6 mmol/L (< 100 mg/dL)

Answer

< 1.4 mmol/L (< 55 mg/dL)

Question 6

Under DHA clinical governance standards, a 'never event' occurs in the hospital. What is the mandatory initial reporting timeframe to the DHA?

Accepted Answer

Within 24 hours

Answer

Within 48 hours

Answer

Within 72 hours

Answer

Within 7 days

Question 7

A patient on warfarin presents with an INR of 7.2 and minor bleeding (gum bleeding). Per DHA anticoagulation guidelines, what is the most appropriate management?

Accepted Answer

Hold warfarin, give oral vitamin K 1–2.5mg, and monitor INR

Answer

Administer IV vitamin K 10mg and fresh frozen plasma

Answer

Continue warfarin at reduced dose and recheck INR in 1 week

Answer

Administer 4-factor PCC (prothrombin complex concentrate) immediately