1st year foundations of primary care

Question 1

3 broad types of skills needed for successful medical interviewing

Answer 1

Content skills ( doctor communicates) 
Perceptual skills (picking up on how patient feels) 
Process skills ( how doctor communicated information)

Question 2

What type of reasoning is used in Primary care?

Answer 2

Hypothetical - deductive reasoning

Question 3

What questions can be asked during a consultation

Answer 3

Open - ended ( allows patient to voice concern)
Closed ( yes or no answers)
Direct (specific answer)
Leading (avoided - directs towards an answer)
Reflective (allows reflection)

Question 4

When is a patient most likely to change their lifestyle?

Answer 4

Benefits outweigh disadvantages
positive response from peers
social pressures forcing them to change
new lifestyle will be consistent with new self image
Can carry out the new behaviour in a number of different situations.

Question 5

5 environmental factors affecting health

Answer 5

1. Culture
2. Location
3. Income
4. Time
5. Social support

Question 6

How can the government tackle obesity?

Answer 6

Health and education on diet and exercise 
Tax unhealthy foods 
Legislation on proper food labelling
Enforce legislation 
Ban advertising of unhealthy foods
Improve exercise / sport facilities 
Subsidise healthy foods

Question 7

What is Duty of Candour?

Answer 7

• Apologise to the patient and offer an appropriate remedy
• Support to put matters right and explain the short term and long term effects of what has happened
• Open and honest when something goes wrong

Question 8

Lifestyle choices covered in GP consultation

Answer 8

Diet 
Exercise 
Alcohol 
Smoking 
Sexual health 
Illicit drug use

Question 9

What is a gate keeper and how does a GP act as one?

Answer 9

Person who controls patients access to specialist care.

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Question 10

5 factors that dictate the social cognitive theory?

Answer 10

1. Goal setting
2. Outcome expectations
3. Observational learning
4. Self efficacy
5. Self regulation