CME Questionaire

of the Kuwait Institute for Medical Specialization

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CME Accredited Articles - Issue 2

Readers who submit answers to the MCQs that accompany the CME articles become eligible for CME credits in Category 1. Each article carries 2 CME credit points. To claim credit, the reader has to have registration in the CME Program of KIMS, the answers should be received by the CME Center before 31st December 2002, and all the MCQs related to the article should have been attempted. Those who satisfy the above requirements would receive a certificate from the CME Center indicating the credits gained.

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CME Accredited Articles

After you have completed reading the CME articles, take the test given below. Check T (True) or F (False) in the MCQ Answer Sheet to show the correct answer to each MCQ.

Clinical audit in general practice
Abeer K Al-Baho, Maleka Serour

1.	The term audit adequately reflects the concept of Audit as used in general practice.	True False
2.	An example of the Audit of process is audit of referrals to hospitals.	True False
3.	Audit usually consumes an extensive amount of resources (of time, money etc.).	True False
4.	Rare conditions should be audited.	True False
5.	The higher the standard the practitioner starts with, the stronger is the resulting audit.	True False
6.	Maintaining clearly written notes of at least 20% of patients who are sensitive to penicillin is an acceptable standard in general practice.	True False
7.	The higher the amount of data the practitioner collects, the easier is the decision making process in audit.	True False
8.	The most challenging stage in Audit is implementing change.	True False
9.	In data collection all in the target population must be included.	True False
10.	The agreed standards can be reset at realistic percentages after the first round of data collection.	True False

Reperfusion therapy for ST-segment elevation myocardial infarction: a review of the available treatment options in Kuwait
Mohammad Zubaid, Wafa A Rashed, Mustafa Ridha

11.	Treatment of MI differs significantly between ST-segment elevation MI and non-ST-segment elevation MI.	True False
12.	The fibrinolytic agents SK and rt-PA are similar in their mechanism of action.	True False
13.	In the GUSTO trial there was a higher benefit of SK compared to rt-PA in the treatment of acute ST-segment elevation MI.	True False
14.	There is convincing evidence that the new variants of rt-PA are more effective than rt-PA itself.	True False
15.	For a small myocardial infarction SK and rt-PA are equal in their efficacy.	True False
16.	Reteplase is administered as a double bolus 30 minutes apart in the treatment of acute MI.	True False
17.	Under-utilization of reperfusion therapy is a common problem reported in the world literature.	True False
18.	Combination of reperfusion therapy and platelet glycoprotein IIb/IIIa antagonist reduces the mortality and morbidity of acute MI.	True False
19.	In metaanalysis, primary PCI was shown to be less effective than reperfusion therapy.	True False
20.	Currently primary PCI is the established mode of therapy of acute MI in Kuwait.	True False

Management skills for medical administrators
Makhdoom Ali Shah

21.

An administrator achieves the objectives of his organization primarily by:

	Giving directions how to work
	Doing major part of the work himself
	Coordinating the work of others
	Ensuring the availability of financial resources

26.

Each well-trained administrator has to take some corrective action sometime. This should be done to ensure that the results or the outcomes are:

	Efficient and effective
	Used to take disciplinary action
	As planned and expected
	Used to reward good workers

22.

Administrators have to establish policies, standard operating procedures and the requisite rules. These are a part of the process of:

	Planning
	Organizing
	Staffing
	Directing

27.

Administrators and managers need specific competencies primarily to:

	Plan the departments properly
	Organize the activities effectively
	Achieve the objectives effectively
	Provide justifications for budget

23.

An effective administrator ensures that each employee has a job description. This pertains to one of the following management functions: Which one?

	Planning
	Organizing
	Staffing
	Controlling

28.

An administrator who is committed to preserving high standards of performance, can do so only if he pays attention to some essentials. One of these is not an essential. Which one?

	Maintaining high morale
	Preserving enthusiasm
	Providing motivation
	Criticizing openly

24.

An effective manager has to specify the work requirements of his work unit. This should ideally be accomplished:

	During the staffing process
	Before the staffing process
	After the staffing process
	When needed

29.

An effective leader should aim to please the superiors or higher administrators through:

	Meeting the standards
	Awarding good workers
	Punishing bad workers
	Pleasing the superiors

25.

Motivation, communication, and leadership are essential attributes of an effective management practice. These are used to:

	Developing plans
	Organizing the work
	Selecting the needed personnel
	Energizing the work force

30.

A major source of dissatisfaction and conflict among employees in organizations is:

	Some are more qualified than others
	Some are paid more than others
	A manager favors some over the others
	None of the above

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