Clinical Skills

Question 1

Choice of cognitive test for patient at primary care setting

Answer 1

AMTS - abbreviated mental test score
GPCOG - GP assessment of cognition
MINI COG

Question 2

Choice of cognitive test for patient in memory clinics

Answer 2

Addenbrookes COG test
Montreal COG test
MMSE mini mental state exam

Question 3

Choice of cognitive test for patient in acute care setting

Answer 3

AMTS
6CIT- 6-item cog impairment test
GPCOG

Question 4

Choice of cognitive test for patient in care homes

Answer 4

AMTS
6CIT- 6-item
GPCOG
Montreal

Question 5

What does the result of PHQ9 means?

Answer 5

0-10 points - unlikely to suffer from depression

10-27 - v likely

Question 6

GPCOG can detect what condition

Answer 6

Dementia

Question 7

What is GPCOG consist of

Answer 7

Cog test items + historical Qs

Question 8

Why is 6CIT not very well known as a cog impairment test?

Answer 8

• newer test then AMTS

- more complex scoring system

Question 9

AMT is a quick to use test but not used so much today.

This is bc

Answer 9

It can be confounded by intelligence. Age. Social class. Sensitivity of hearing. History of stoke.

Question 10

What’s the easier and quicker to administer version of AMT

Answer 10

A 4 point AMT is easier than 10 point version

Question 11

AMT for delirium and cog impairment has more validation in which setting, primary care or hospital

Answer 11

Hospital

Question 12

Med rec plays an important role when pt

Answer 12

Is transferred from one healthcare setting to another

Hospital, home, ward, care home

Question 13

Define med Rec (by institute for healthcare improvement)

Answer 13

The process of obtaining an up to date and accurate med list that has been compared to the most recently available information and has documented any 
- discrepancies 
- changes
- deletions
- additions 
Resulting a complete list of med

Question 14

What are the 3C in med rec

Answer 14

Collecting
Checking
Communicating

Question 15

MUR IS AN…. SERVICE

Answer 15

Advanced

Question 16

An mur is... 
a full clinical review 
A chance to identify problematic se 
An agreement about changes to meds
A way to reduce med wastage

Answer 16

2,4

Question 17

Who can conduct an MUR

Answer 17

Pharmacist only

Question 18

What are the MUR target group

Answer 18

High risk med (naproxen)
Respiratory
CVR
recent discharge from hospital

Question 19

Examples of High risk meds

Answer 19

Naproxen - NSAID
Dalteparin - LMWH anticoagulant
Bendroflumethiazide- diuretics for CVD

Question 20

Under what circumstance can’t you perform a MUR due to NMS?

Answer 20

- Can’t do MUR if NMS within 6M 
Unless discharged from hospital 
- if had MUR within 12m
- if pt not used this pharmacy for longer than 3M
- unless pt on more than 1 D 
Unless the only D is high risk med

Question 21

What’s the issue with hypothyroidism patient taking calcium tablet

Answer 21

Levothyroxine x calcium

Take dose separately

Question 22

Medicine optimisation for patients with aki

Answer 22

• medication that could exacerbate AKI
• Medications where doses need to be adjusted
• Educate patient before discharge about which med restart
• Communication with GP which medicine to restart and when

Question 23

What are the medications to be stopped in acute kidney injury

Answer 23

CANDA
Contrast media, ace inhibitor, NASID, diuretics, ARB
Also. Metformin, spironolactone

Question 24

What are the problems with epileptic meds

Answer 24

Carbamazepine and phenyltoin are enzyme inducer

Sodium valproate is enzyme inhibitor

Question 25

Dose equivalence N conversion for Caffeine citrate to caffeine base

Answer 25

2 mg caffeine citrate = 1 mg caffeine base

Question 26

Define preterm: term : post term neonate

Answer 26

<37w
37-42w
>=42w gestation

Question 27

How to calculate corrected gestationalr age

Answer 27

Term (40w)- gestation (35) = 5 w of prematurity

Age since born 8w- 5w= 3w