Adult Health Flashcards

1
Q

What are the two main heath inequalities related to men’s health in the UK?

A

Live shorter lives

Suffer life-limiting disease sooner

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2
Q

What are the three main health issues that affect exclusively men?

A

Erectile dysfunction
Testosterone
Prostate problems

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3
Q

What does the UK government define sex as?

A

The biological aspects of an individual as determined by their anatomy which is produced by their chromosomes, hormones and their interactions - Male or female

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4
Q

What does the UK government define gender as?

A

A social construction relating to behaviours and attributes based on labels of masculinity and femininity; gender identity is a personal, internal perception of oneself and so the gender category someone identifies with may not match the sex they were assigned at birth

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5
Q

What are the 3 most common causes of death in which Women’s life expectancy is affected more than men?

A

Breast cancer
Cervix uteri cancer
Alzheimer’s disease

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6
Q

When compared to females, the increased mortality associated with being male is driven predominantly by?

A

Exposure to occupational and environmental risks

Health seeking behaviours: Men are far less likely to ask for help when they need it

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7
Q

In which sex is suicide most common in?

A

Men

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8
Q

What is the WHO definition of self-care?

A

What people do for themselves to establish and maintain health and to prevent and deal with illness

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9
Q

Outline the 7 pillars of self-care framework

A
Knowledge and health literacy 
Mental wellbeing
Physical activity 
Healthy eating
Risk avoidance
Good hygiene
Rational use of products and services
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10
Q

What are the main social, cultural and political factors of chronic disease?

A

Globalisation
urbanisation
Ageing population

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11
Q

What are the main personal risk factors of chronic disease?

A

Unhealthy diet,
Physical activity
Tobacco use
Excess alcohol (age and genes)

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12
Q

What are the intermediate risk factors of chronic disease?

A

Raised blood pressure
Raised blood glucose
Abnormal blood lipids
Overweight/obesity

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13
Q

What are the main chronic diseases?

A
Heart disease
Stroke
Cancer
Lung Disease
Diabetes
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14
Q

What are the 3 main principles of self-care of communicable diseases?

A

Risk avoidance - school closures, lockdown measures, and social distancing

Good hygiene: hand washing, sanitiser gel, contact tracing app

Awareness and literacy: Health literacy, public health messaging, shielding high risk groups

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15
Q

What does flattening the curve mean with self-care?

A

Self-care reduces the chance to which the health system capacity is reached

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16
Q

Name 3 places where you can find self-care information?

A

1) Sustainable development
2) WHO guideline
3) Country level

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17
Q

What are the common promotions of self-care behaviours?

A
Activation 
Incentivisation
Nudges
Gamification 
Personalisation
18
Q

What are the common self-care behaviours?

A
Lifestyle medicine
lifestyle over drugs
Person centred medicine
Doctors as coaches
The democratisation fo self-care
Health in all policy approach
19
Q

Outline some of the self-care technologies/enablers available?

A

Health apps

Wearables

20
Q

Outline examples of health apps

A

300,000+ health apps: eHealth and mHealth, Internet of things, Diagnostics, Fitness trackers, Internet pharmacies, Social media platforms, AI

21
Q

Outline examples of wearables

A

1000+ wearables: Blood pressure monitor, Sleep apnoea monitor, Glucometer, Breath-analysis, Pedometer, Heart rate, Mood assessment

22
Q

Which drug is methadone prescribed as a safe substitute for?

23
Q

What type of drug is heroin?

24
Q

What is the function of methadone?

A

Reduce withdrawal symptoms and cravings for other opioids

25
How is methadone adminsitered?
Taken as a liquid orally rather than as injection
26
What list is Methadone on?
World Health Organisation's Model List of Essential Medicines
27
Define alcohol misuse
* >14 units/week * >8 units/session for men * >6 units/session for women
28
What is the relationship between socioeconomic status and alcohol misuse?
Inversely proportional
29
What are the screening tools available for alcohol?
Audit-C
30
What is the pathway of management of a patient with a harmful alcohol use?
Brief advice Self-help resources Follow-up appointment If successful - Extended brief interventions and/or cognitive behavioural therapy
31
What are the symptoms of acute alcohol withdrawal?
``` Hypertension Tachycardia Sweating Tremor Agitation Confusion, seizures, hallucinations: Delirium tremenes ```
32
What vitamin deficiency is the primary cause for Wernicke's encephalopathy?
Vitamin B1 (Thiamine)
33
What are the symptoms are Werncike's encephalopathy?
Gait and balance disturbance Altered Consciousness Eye Movement abnormalities
34
What is the treatment for Wernicke's Encephalopathy?
IV Thiamine
35
What should a patient do prior to a planned withdrawal?
Advise not to stop drinking immediately Inform the DVLA and stop driving Assessed for alcohol related comorbidities requiring specialist care: mental illness, liver disease and pancreatitis Patients are likely to require oral thiamine
36
What situation should primary care be offered?
The patient is at reduced risk of adverse outcomes Under the supervision of a GP with a special interest in substance misuse
37
What does chlordiazepoxide bind to?
Stereospecific benzodiazepine (BZD) binding sites on GABA (A) receptor complexes at several sites
38
Where are GABA-A receptors located within the CNS?
Limbic system | Reticular formation
39
What does chlordiazepoxide do?
Increased binding of the inhibitory neurotransmitter GABA to the GABA A receptor
40
What does acamprosate do?
Act as an NMDA receptor antagonist and positive allosteric modulator of GABA-A receptors, reducing cravings
41
What are the two ways to maintain abstinence?
* Acamprosate: believed to act as an NMDA receptor antagonist and positive allosteric modulator of GABAA receptors; reducing cravings * Talking Therapy; to prevent relapse
42
Which hormone is released during stress and is priortised?
Cortisol