QCHP exam questions by profession

Answer: B. Use a professional interpreter in person or by telephone

A trained professional interpreter protects accuracy and confidentiality and allows the woman to disclose sensitive information, including domestic abuse, which is routinely asked at booking. Family members may filter information or be the source of coercion. Postponing booking delays essential antenatal screening.

Answer: B. An SGLT2 inhibitor such as empagliflozin

KDIGO and ADA guidance recommend an SGLT2 inhibitor with proven kidney benefit for people with type 2 diabetes and CKD with eGFR of 20 or above, on top of maximally tolerated ACE inhibitor or ARB, because it reduces albuminuria, eGFR decline and kidney failure. Adding an ARB to an ACE inhibitor (dual RAAS blockade) increases hyperkalaemia and acute kidney injury without improving outcomes.

Answer: A. 150 mg after the fifth shock

A further dose of amiodarone 150 mg IV is given after the fifth shock for persistent VF or pulseless VT. Repeating 300 mg is not recommended and increases the risk of hypotension after return of circulation.

Answer: C. McRoberts positioning with suprapubic pressure

McRoberts positioning (hyperflexion of the maternal hips) with suprapubic pressure resolves a large proportion of shoulder dystocias and is the recommended first step, followed by internal manoeuvres or delivery of the posterior arm. Fundal pressure worsens impaction and increases the risk of uterine rupture and brachial plexus injury. Excessive or lateral traction on the head causes brachial plexus injury, and the Zavanelli manoeuvre is a last resort.

Answer: B. Ionic bonding of carboxylate groups to calcium

Polyacrylic acid in glass ionomer forms ionic bonds between carboxylate groups and calcium in hydroxyapatite, giving true chemical adhesion. Resin tags in etched enamel are the mechanism for resin-based adhesives.

Answer: C. Give 15-20 g of fast-acting carbohydrate and recheck glucose in 15 minutes

A conscious patient who can swallow should receive 15-20 g of quick-acting carbohydrate such as glucose tablets or juice, with a recheck after 15 minutes and repeat if still low. Glucagon is reserved for patients who cannot take oral treatment safely. A sandwich alone is absorbed too slowly to correct hypoglycaemia, although a longer-acting snack is useful once glucose has recovered.