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 Stage 2 (Moderate COPD) is defined by FEV1/FVC <0.70 with FEV1 50–79% predicted.

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

The WHO analgesic ladder prescribes Step 2 weak opioids (tramadol, codeine) for moderate pain when non-opioids (Step 1) are insufficient.

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

AGPs on suspected airborne-infection patients require N95 (or equivalent) respirator, gloves, fluid-resistant gown, and eye/face protection per DHA infection control standards.

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

A weight-for-height Z-score between -3 and -2 (exclusive) indicates Moderate Acute Malnutrition (MAM) requiring therapeutic nutritional support.

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

For very high CV risk patients including those with prior MI, the LDL target is <1.8 mmol/L (<70 mg/dL) with ≥50% reduction from baseline per DHA/ESC guidelines.

DHA - Dubai Health Authority Practice Test

DHA - Dubai Health Authority Practice Test

DHA Clinical Practice & Guidelines 5