evaluation of the FMAs

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1.

What type of data is tracked by the drug stock feature in the Simple app?

Follow-up visit rates

Number of patients registered

Anti-hypertensive drug consumption

Doctor attendance

2.

What is the primary purpose of the Simple app?

To improve NCD management of hypertension and diabetes

To provide entertainment for patients

To store patient records for general illnesses

To conduct surveys

3.

The following steps are important to ensure patients adhere to their antihypertensive medication

Explain how many times a day the patient should take the medication

Check the patient’s understanding before the patient leaves the health center.

The patient should understand the need to take life-long treatment.

Avoid explaining the potential damage to target organs, as it may cause fear in the patient.

4.

What is the estimated proportion of people who suffer from hypertension?

One in seven people

One in six people

One in four people

One in five people

5.

What makes it easier for healthcare workers to track patients who are lost to follow-up?

Overdue patient lists

Drug stock tracking

Progress reports

QR code ID cards

6.

A patient treatment book may contain the following information-

Laboratory investigations done

NCD patient screening and management flow chart

Advice for lifestyle modification

Patient identification information

7.

How is a confirmatory diagnosis for hypertension made?

Patients with SBP ≥ 160 mmHg and/ or DBP ≥ 100 mmHg may be diagnosed with hypertension in a single visit.

Diagnosis of hypertension should be confirmed at 2 nd visit, usually 2 weeks after the first measurement if the SBP and/or DBP is ≥140 mmHg and/or ≥90 mmHg on both visits.

All patients need to attend two visits to confirm a diagnosis of high blood pressure, except those with a blood pressure reading above 160/90 mmHg.

If the blood pressure is SBP ≥ 140 and/or DBP ≥ 90 mmHg, check in the left arm also. The arm with the higher reading should be used for measurements after that.

8.

Which of the following is true?

If initial SBP ≥160 mmHg and/or DBP ≥ 100 mmHg, start treatment at Step 2

The target BP to be achieved is ≤130/80 mmHg for patients with high CVD risk and patients having comorbidity (Diabetes, ischaemic heart disease, stroke, chronic kidney disease)

The target BP to be achieved is <140/90 mmHg for most patients

If initial SBP 140-159 mmHg and/ or DBP 90-99 mmHg, start at Step 1

9.

Which of the following individuals is considered hypertensive?

An individual whose BP is below 140/90 mmHg while taking medication

An individual with BP readings of 138/78 mmHg and an unhealthy diet

An individual with BP readings of 120/80 mmHg

An individual with BP readings of 136/90 mmHg but not taking medication

10.

Burden of cardiovascular disease – in Bangladesh.

34% of all deaths

38% of all deaths

32% of all deaths

37% of all deaths

11.

Specific hypertension medications for women of childbearing age who may become pregnant

Review after one month, if the treatment target is not met, increase amlodipine to 10 mg once daily

Start amlodipine 2.5 – 5 mg once daily

Do not prescribe ACE Inhibitors, ARBs (Losartan), or thiazide/ thiazide-like diuretics to women who may become pregnant

Review after one month, if the treatment target is not met, Refer the patient to a higher center

12.

Which of the following is stage 2 hypertension?

BP reading of 130/70 mmHg or higher

BP reading of 140/90 mmHg or higher

BP reading of 130/80 mmHg or higher

BP reading of 130/60 mmHg or higher

13.

What does a heart attack mean?

Blood flow to the heart is severely reduced or blocked

Blood flow to both the brain and heart is reduced

Blood flow to the brain is suddenly cut off

Blood flow to the heart is reduced but not blocked

14.

How does Simple ensure patient privacy during calls?

Calls are recorded

Secure calling hides the worker’s phone number

Healthcare workers call from a centralized number

Calls require a password

15.

Which feature of the Simple app helps healthcare workers remind patients about their visits?

Overdue patient lists

Secure calling

Automatic SMS

Progress reports

16.

What feature of the Simple app allows healthcare workers to contact medical officers from community clinics?

Simple telemedicine

Progress reports

Patient line lists

Dashboard monitoring

17.

Who should have their blood pressure measured?

Individuals suffering from kidney disease

Individuals who are diabetic

Individuals with high cardiovascular risk

Individuals with a family history of heart attack or stroke

18.

Which of the following are components of a scalable hypertension program?

Digital application, training manual, standardized protocols, medication supply

Standardized training manual, team-based care, protocol, task sharing

Digital BP device, standardized protocols, medication supply, standardized training manual

Standardized protocols, medication supply, patient-centered care, team-based care

19.

What is the advantage of translating the app into 11+ local languages?

Improves data storage

Simplifies patient registration

Makes it easier for healthcare workers to use in their native language

Reduces internet usage

20.

What percentage of hypertensive patients achieve control in Bangladesh?

Among the hypertensive patients, less than 14% are in control in Bangladesh

Among the hypertensive patients, less than 22% are in control in Bangladesh

Among the hypertensive patients, less than 10% are in control in Bangladesh

Among the hypertensive patients, less than 15% are in control in Bangladesh

21.

What makes the Simple app particularly convenient for healthcare workers in low-connectivity areas?

Built-in mobile hotspot

Works only in online mode

Requires no device installation

Offline performance with data sync when internet is active

22.

How to measure blood pressure?

Consider a patient hypertensive and initiate medication if blood pressure is 130/92 mmHg.

Use the appropriate cuff size, noting the lines on the cuff to ensure that it is positioned correctly on the arm.

The patient should sit with the back supported, legs uncrossed, empty bladder, relaxed for 5 minutes, and not talking.

At the initial evaluation, blood pressure should be measured in the right arm; if the BP readings are below 140 mmHg/90 mmHg,

23.

Which one of the following is true?

CHCP can increase the dose, or add a new medicine as needed

Medical officer initiates treatment, increases the dose, or adds a new medicine

CHCP should measure BP and check for adherence to therapy at each monthly visit.

CHCP should refer the patients to the medical officer if needed

24.

Mention the medications used for treating hypertension (according to protocol).

Amlodipine, Losartan potassium, Hydrochlorothiazide

Losartan potassium, Rosuvastatin, Hydrochlorothiazide

Amlodipine, Gliclazide, Losartan potassium

Amlodipine, Metformin, Rosuvastatin

25.

What are the risk factors for high blood pressure development?

Consumption of pan, supari

More sugar intake

Reluctance of physical activity

More salt intake

26.

When will diagnosis be made on a single visit?

If BP is ≥160/100 mmHg or higher

If BP is ≥150/90 mmHg or higher

If BP is ≥150/80 mmHg or higher

If BP is ≥140/90 mmHg or higher

27.

How long does recording a follow-up visit in the Simple app typically take?

30 seconds

1 minute

13 seconds

5 minutes

28.

What information may a facility register book contain?

Medicine record for every visit

All the patients referred from community clinics/health care facilities

All patients aged 18 years or above who measure their blood pressure

All patients with hypertension

29.

Why is a QR code necessary in a hypertension control program?

To keep the patient record

To find out the patient

To refer the patients for better treatment

To dispense the medications

30.

How does the Simple dashboard help healthcare workers?

By tracking facility progress and patient follow-up rates

By offering online courses

By scheduling patient appointments

By providing patient diagnostic reports