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CPA Exam > Comms exam > Flashcards

Comms exam Flashcards

1
Q

Name the 12 components of a social history:

A
  1. Alcohol
  2. Sexual history
  3. Smoking
  4. Diet
  5. Recreational drugs
  6. Living situation
  7. Occupation
  8. Stress
  9. Travel
  10. Sleep
  11. Physical activity e.g. exercise
  12. Wider relationships
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2
Q

What could you ask instead of: “Do you drink much?”?

A

“Do you drink alcohol?”

“Do you use recreational drugs?”

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3
Q

What could you ask instead of: “Are you married?”?

A

“Who’s at home with you?”

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4
Q

What could you say instead of: “ We ask all our patients this…”?

A

“ Can I ask you some more general questions about you and your daily life ?….’
“Can I ask you about…”

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5
Q

What could you say instead of: “what’s your job?”

A

“Do you work?”

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6
Q

What is ADL an abbreviation for?

A

Activities of Daily Living

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7
Q

What are the 5 components of ADL?

A 
Personal hygiene
Continence
Dressing 
Feeding 
Ambulation
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8
Q

What is part of the definition of an independent adult?

A

Can manage activities of daily living

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9
Q

5 questions you could use to enquire about ADL?

A

Who is at home?
Who helps? Do you have carers / paid carer?
What is the home like? Stairs, bathroom, adaptations
Do you manage to go out – how? Shopping?
How do you …… Is it a struggle?

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10
Q

What are the consequences of alcohol misuse? [10]

A
  1. Heart disease
  2. High BP
  3. Liver cirrhosis/cancer
  4. Reduced fertility
  5. Harm to unborn babies
  6. Breast cancer in women
  7. Pancreatitis
  8. Depression & anxiety
  9. Cancer of the mouth, throat, oesophagus or larynx
  10. Stroke
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11
Q

What questions do you ask everyone about alcohol? [3]

A

• Do you drink alcohol?
• How much would you say in an average week (or per
day?)
• Is that every week/day?

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12
Q

How to calculate units?

A

Units = (ABV x volume in ml)/1000

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13
Q

What are the current recommended weekly limits for alcohol?

A

14 units a week (men & women)

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14
Q

Definition of binge drinking (women)

A

> 6 units in a single sitting

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15
Q

Definition of binge drinking (men)

A

> 8 units in a single sitting

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16
Q

Consider alcohol screening when: [4]

A
  1. Registering a new patient
  2. Screening for other conditions
  3. Managing a chronic disease e.g. diabetes, CHD
  4. Carrying out a medication review
17
Q

What are the alcohol assessment questionnaires called?

A
  1. FAST (Fast Alcohol Screening Tool)

2. AUDIT (Alcohol Use Disorders Identification Test)

18
Q

What are the health risks of smoking? [12]

A
  1. CHD
  2. Reduced LE
  3. Asthma
  4. Ageing & facial wrinkles
  5. CVD
  6. Cataracts
  7. Ulcers
  8. Rheumatoid arthritis
  9. Periodontal disease
  10. COPD
  11. Cancers
  12. Reduced fertility
19
Q

What questions should you ask everyone about tobacco use? [6]

A
  1. Do you smoke?
  2. Have you ever smoked?
  3. How many a day (or amount tobacco) do you smoke?
  4. Have you always smoked this amount?
  5. When did you begin smoking?
  6. Do you vape?
20
Q

How do you express the amount people have smoked in a lifetime?

A

Pack-years

21
Q

How many cigarettes are in one packet?

A

20

22
Q

Who should you especially ask about recreational drug use? [6]

A
  1. Heavy drinkers
  2. Smokers
  3. People who are stressed
  4. People who are tired
  5. People with mental health problems
  6. People with unexplained symptoms
23
Q

What could you use instead of the terms: “illicit/street/used”

A

Use of the term “recreational” less judgemental than “illicit” or
“street” and “taken” better than “used

24
Q

How can you ask about drug use as part of medication history?

A 
D doctor
R recreational
U user - OTC/alternative
G gynaecological pill/contraceptive patch
S sensitivities - allergy/intolerance
25
Q

What are 4 questions to ask about drug use:

A
  1. Do you smoke?
  2. Do you smoke anything other than tobacco?
  3. Do you use any other (recreational) drugs or drugs that are
    not prescribed?
  4. What ? When ? How? and Why ? (effects)
26
Q

What is the overweight BMI?

A

25-30 kg/m2

27
Q

What is the obese BMI?

A

> 30 kg/m2

28
Q

Who do you ask about diet? [3]

A
  1. People with illnesses known to be related to diet e.g. heart disease, diabetes, stomach ulcers
  2. People who look markedly over/underweight
  3. Where exclusion diets may affect their illness e.g. vegans in anaemia/osteoporosis
29
Q

What are 4 questions to ask about diet? (more than just calories)

A
  1. “Can I ask about your diet?”
  2. Can you take me through a typical days food and drink?
  3. Do you eat a special diet for any reason
  4. Have you worried about your weight?
30
Q

What are some additional dietary questions? [4]

A
  • “Five a day” ( or ten a day)
  • Junk food
  • Saturated fat
  • Salt
31
Q

What are the recommended amounts of physical activity to do in a week?

A

75 minutes vigorous intensity per week
150 minutes moderate intensity per week
OR both
2 days per week strength exercises

CPA Exam (6 decks)

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