Administration and health infomatics

Question 1

Requirements for universal credit are: (must satisfy all requirements)

Answer 1

low income or out of work
>18
< State Pension age
You and your partner have £16,000 or less in savings between you
live in the UK

Question 2

Prescription exemption certificate (in England) - conditions that do not require payment for medication

Answer 2

hypoparathyroidism
Addisons (hypoadrenalism)
diabetes insipidus (hypopituitarism)
diabetes mellitus
myasthenia gravis
hypothyroidism
epilepsy
Cancer related treatments - medication, dressings, fistula

Question 3

DVLA: drug and alcohol misuse
“misuse”
“Abuse”

Answer 3

“misuse” = 6 months no drive
“Abuse” = 12 months no drive - eg heroine, cocaine, alcohol dependency

Question 4

What are local medical comittees?

Answer 4

Local Medical Committees (LMCs) are independent bodies that represent all NHS general practitioners, including GP Registrars, in a specified area. They act as a conduit between the General Practitioners and the NHS health authorities. GP Registrars, who are trainee GPs in their final year of training, have representation in LMCs because they form an integral part of the primary care workforce.

Question 5

Key Facts about foster care (2)

Answer 5

limit of 3 foster children per family
all children in long-term foster care require a 6-monthly medical examination until 5yo. then 12 monthly unless child refuses.

Question 6

Consultation method Calgary-Cambridge

Answer 6

CLASSIC Consultation

initiating the session
gathering information
building the relationship
giving information, explaining and planning
closing the session

Question 7

Consultation method Stewart

Answer 7

EXPERIENCE - exploring both the disease and the illness experience

UNDERSTANDING THE PERSON - understanding the whole person

HEALTH PROMORTION + PREVENTION - incorporating prevention and health promotion
enhancing the doctor-patient relationship
being realistic (with time and resources)

Question 8

Consultation metho Pendleton

Answer 8

ICE - define the reason for the patient’s attendance (ideas, concerns and expectations)

SHARED - achieve a shared understanding of the problems with the patient

RESPONSIBILITY - involve the patient in the management and encourage him/her to accept appropriate responsibility

Question 9

Consultation method - Fraser

Answer 9

CLASSIC

interviewing and history-taking
physical examination
diagnosis and problem-solving
patient management
relating to patients
anticipatory care
record keeping

Question 10

Consultation Method - Neighbough

Answer 10

connecting
summarising
handing over
safety netting
housekeeping

Question 11

Consultation method - Tuckett

Answer 11

DOCTORS = MEDICINE
PATIENT = OWN HEALTH
seek understanding of each other

Question 12

Consultation Method - Stott and Davies

Answer 12

management of presenting problems
management of continuing problems
modification of help-seeking behaviour
opportunistic health promotion

Question 13

Coroner Office definitions
Inquest
Confidential enquiry

Answer 13

Inquest - investigate the circumstances of death. eg who, where, when - establish the facts

Enquiry - aim to improve patient care through learning from different cases

Question 14

Controlled drugs schedule (1-5)

Answer 14

2 - diamorph, morph
3 - gabapentin, barbituates, buprenorph
4 - benzo, zolpidem, steroids
5 - oramorph

Question 15

What is the Personal Independence Payment (PIP)

Answer 15

Has two components: daily living and mobility.

The daily living component is for people who need help with tasks like preparing meals, washing, dressing or communicating.

The mobility component is for people who have difficulty moving around or going out. PIP does not include a housing component.

Question 16

Fitness to fly CVD

Unstable angina/ Uncontrolled HTN/ Arrythmia/ Decompensated heart failure
MI (uncomplicated)
MI (complicated)
CABG
PCI
Stroke

Answer 16

Severe Angina/ htn/ arrythmia - do not fly
MI (uncompl) - 7-10 days
MI (compli) - 4-6 week
CABG - 10-14 days
PCI - 3 days
stroke - 10 days

Question 17

Fitness to fly Respiratory

pneumothorax

Answer 17

pneumo - no fly. can fly after two weeks if successful drainage and cxr shows no residual air

Question 18

Fitness to fly Pregnancy

Answer 18

36 weeks - single preg
32 weeks - multiple preg

Question 19

Fitness to fly surgery

Abdominal surgery
Laparoscopic
colonoscopy

Answer 19

abdominal - 10 days
lap - 24 hr
colonoscopy - 24 hr

Question 20

Fitness to fly haematology

Answer 20

Must have Hb >8 to fly

Question 21

Caldicott guardian role

Answer 21

Protect patient data

Question 22

Income support criteria

Answer 22

16-59 yo
low income
working less than 16 hours per week and not receiving Job Seekers Allowance

Question 23

Job Seeker Allowance

Answer 23

> 18 years old to state pension age (currently 66yo)
Claimants must be capable of working and agree to actively seek work

Question 24

Personal Independence Payment (PIP)

Answer 24

Replaced the Disability Living Allowance (DLA)
16-64 yo
Need help with personal care due to physical or mental disability
For children there is still the ‘DLA for children’

If >65yo = Attendance Allowance

Question 25

Statutory Sick pay

Answer 25

For employees unable to work due to illness. Unable to work for > 4 days in a row. Paid up to a maximum of 28 weeks

Question 26

Incapacity Benefit & Employment and Support Allowance

Answer 26

Employment and Support Allowance replaced Incapacity Benefit for new claimants from October 2008. Claimable by those NOT entitled to Statutory Sick Pay (SSP), for example self-employed, or when SSP has ended

Question 27

Bereavement support payment

Answer 27

Replaced 'Bereavement payment' and 'Bereavement allowance' Lump sum followed by 18 monthly payments Spouse must be under state pension age when their partner died Depends on national insurance contributions Must claim within 3 months of your partner's death to get the full amount. You can claim up to 21 months after their death but you'll get fewer monthly payments.

Question 28

Data protection act principles (8)

Answer 28

- used for the specific purpose - can NOT be disclosed to other parties without consent - individuals have right of access to the information held about them - information may be kept for no longer than is necessary and must be kept up-to-date - information may NOT be transmitted outside the European Union unless consent has been given - all entities must register with the Information Commissioner's Office - adequate security measures must be in place. - subjects (i.e. patients) have the right to have factually incorrect information about them corrected

Question 29

Notifiable death criteria - when to refer to Coroner (12)

Answer 29

- unexpected/ sudden deaths - attending Dr did not see them within 28 days before death - death occurs within 24 hours of hospital admission - accidents and injuries - suicide - industrial injury or disease (e.g. asbestosis) - result of ill treatment, starvation or neglect - death during an operation or before recovery from the effect of an anaesthetic - poisoning, including taking illicit drugs - stillbirths - prisoner or people in police custody - service disability pensioners

Question 30

Post operative recovery times

Answer 30

Laparoscopic Open Abdominal/groin hernia 1 - 2 weeks 2 - 3 weeks Appendicectomy 1 - 2 weeks 2 - 3 weeks Cholecystectomy 2 - 3 weeks 3 - 5 weeks Hysterectomy 3 weeks 7 weeks

Question 31

Forms to register patients to the GP Practice Temporary Permanent

Answer 31

Temp - GMS3 (up to 3 months) Permanent - GMS1

Question 32

General Medical Services (GMS) contract is...

Answer 32

is a contract between general practices and primary care organisations (PCOs). The contract is negotiated nationally every year between NHS England and the General Practice Committee.

Question 33

Working Hours mandatory breaks

Answer 33

11 hours within 24 hour period 20 minutes if working longer than 6 hours shift

Question 34

Parental leave Fx

Answer 34

Unpaid time off work for parental care Criteria: employee >1 year up to 18 weeks unpaid leave for each (adopted) child up to 18th birthday up to 4 weeks per child per year named on Birth/ Adoption certificate Not Foster parent

Question 35

Mefloquine - how long before to start and after travel to continue

Answer 35

Start 2-3 weeks prior to travel Finish 4 weeks after travel return

Question 36

Shingles vaccination criteria

Answer 36

All 65-79 years old >50 with weakened immunity (eg chronic disease)

Question 37

Positive predictive value of FIT

Answer 37

7%

Question 38

Abdominal aorta screening age

Answer 38

Men >65 yo

Question 39

Learning styles: Honey and Mumford Questionnaire

Answer 39

4 Learning styles: Activist Reflector Theorist Pragmatist

Question 40

Consultation methods: Calgary-Cambridge Observation guide

Answer 40

5 Tasks of a consultation: initiating gathering information building the relationship giving information (explaining and planning) closing the session (summary)

Question 41

Caldicott Guardian is..

Answer 41

A senior person who protects confidentiality of patient information

Question 42

Industrial Injuries Disablement Benefit claim requirements

Answer 42

Sensorineural deafness > 50 dB in each ear The average of losses at 1, 2 and 3 kHz frequencies (main speech frequencies) >1 occupational noise hazard

Question 43

Controlled drugs schedules

Answer 43

Schedule 1 – ONE love Bob Marley and his spliff: Cannabis Schedule 2 – TWO pupils pin-point/ dilated: Strong Opioids and Cocaine Schedule 3 – THREE “B”ees in a bonnet: Buprenorphine, Benzos (Midaz + Temaz), Barbituates PLUS GaBapentin and PregaBalin Schedule 4 – FOUR poster bed for sleep and muscle rest: all other Benzos, Z-drugs (Zopiclone, Zolpidem), Anabolic steroids Schedule 5 – high FIVE (drugs that make you feel high): Oramorph, Codeine

Question 44

Requirements for universal credit

Answer 44

Live in UK >18 + low wage/ no income <£16,000 collectively in savings <65 16-17yo can claim if carer

Question 45

Procedure and recovery time (laprascopic vs open) Abdominal hernia Appendicectomy Cholecystectomy Hysterectomy

Answer 45

Procedure Recovery time Laparoscopic Open Abdominal/groin hernia 1 - 2 weeks 2 - 3 weeks Appendicectomy 1 - 2 weeks 2 - 3 weeks Cholecystectomy 2 - 3 weeks 3 - 5 weeks Hysterectomy 3 weeks 7 weeks