evaluation of the FMAs

Welcome to your evaluation of the FMAs

This is a reminder that the evaluation of the FMAs will begin in 40 minutes. Please carefully review the following instructions:

Exam Link:

Log In On Time:

Ensure you log in to the platform at least 10 minutes before the exam starts.

Technical Requirements:

1. Check your internet connection to ensure it is stable throughout the exam.

2. Use a compatible browser (preferably Chrome or Firefox) for the best experience.

Exam Rules:

1. The exam is timed, so manage your time wisely.

2. Do not refresh or close the browser during the exam, as it may disrupt your progress.

3. Ensure no unauthorized materials are accessible during the exam.

Support:

If you encounter any technical difficulties, please contact IT Team immediately.

We wish you the very best of luck in the exam

Name

Email

1.

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

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, increase amlodipine to 10 mg once daily

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

Start amlodipine 2.5 – 5 mg once daily

2.

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

Amlodipine, Metformin, Rosuvastatin

Amlodipine, Gliclazide, Losartan potassium

Amlodipine, Losartan potassium, Hydrochlorothiazide

Losartan potassium, Rosuvastatin, Hydrochlorothiazide

3.

Which of the following is true?

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)

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

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

4.

Burden of cardiovascular disease – in Bangladesh.

38% of all deaths

34% of all deaths

32% of all deaths

37% of all deaths

5.

How does the Simple dashboard help healthcare workers?

By providing patient diagnostic reports

By tracking facility progress and patient follow-up rates

By offering online courses

By scheduling patient appointments

6.

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

30 seconds

1 minute

5 minutes

13 seconds

7.

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

8.

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

Automatic SMS

Overdue patient lists

Secure calling

Progress reports

9.

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

One in six people

One in seven people

One in five people

One in four people

10.

How does Simple ensure patient privacy during calls?

Secure calling hides the worker’s phone number

Calls are recorded

Calls require a password

Healthcare workers call from a centralized number

11.

How to measure blood pressure?

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

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.

12.

What are the risk factors for high blood pressure development?

More salt intake

More sugar intake

Consumption of pan, supari

Reluctance of physical activity

13.

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

Progress reports

QR code ID cards

Drug stock tracking

Overdue patient lists

14.

Who should have their blood pressure measured?

Individuals with a family history of heart attack or stroke

Individuals with high cardiovascular risk

Individuals suffering from kidney disease

Individuals who are diabetic

15.

Which of the following is stage 2 hypertension?

BP reading of 130/80 mmHg or higher

BP reading of 130/60 mmHg or higher

BP reading of 130/70 mmHg or higher

BP reading of 140/90 mmHg or higher

16.

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

Simplifies patient registration

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

Improves data storage

Reduces internet usage

17.

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

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

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

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

Digital application, training manual, standardized protocols, medication supply

18.

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

To keep the patient record

To dispense the medications

To find out the patient

To refer the patients for better treatment

19.

What information may a facility register book contain?

All patients with hypertension

All the patients referred from community clinics/health care facilities

Medicine record for every visit

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

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 15% are in control in Bangladesh

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

21.

What is the primary purpose of the Simple app?

To store patient records for general illnesses

To provide entertainment for patients

To improve NCD management of hypertension and diabetes

To conduct surveys

22.

A patient treatment book may contain the following information-

Advice for lifestyle modification

Patient identification information

Laboratory investigations done

NCD patient screening and management flow chart

23.

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

Requires no device installation

Works only in online mode

Offline performance with data sync when internet is active

Built-in mobile hotspot

24.

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

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

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

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

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

25.

Which of the following individuals is considered hypertensive?

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

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

An individual with BP readings of 120/80 mmHg

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

26.

How is a confirmatory diagnosis for hypertension made?

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.

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.

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.

27.

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

Dashboard monitoring

Simple telemedicine

Progress reports

Patient line lists

28.

What does a heart attack mean?

Blood flow to both the brain and heart is reduced

Blood flow to the heart is severely reduced or blocked

Blood flow to the brain is suddenly cut off

Blood flow to the heart is reduced but not blocked

29.

Which one of the following is true?

CHCP should refer the patients to the medical officer if 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 can increase the dose, or add a new medicine as needed

30.

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

Follow-up visit rates

Number of patients registered

Doctor attendance

Anti-hypertensive drug consumption