FOPC notes Flashcards

1
Q

define prevalence

A

● the number of people in population with a specific disease at a single point in time or in a defined period of time

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2
Q

define incidence

A

● the number of new cases of disease in a population in a specified period of time

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3
Q

List actions the government could take to stem the rise in obesity:

A

● health education (diet / exercise)

● tax (on unhealthy foodstuffs)

● legislation (ingredients on cans / labelling)

● enforcement of the above legislation

● ban on advertising unhealthy food

● improve exercise / sport facilities

● subsidise / fund healthy food

● transport policy

● funding of NHS treatment

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4
Q

List examples of what the GP could do to help individual patients:

A

● role model

● prescribing

● tailored advice (diet / exercise)

● referral (dietician etc)

● treat diseases that contribute to obesity

● arrange to see regularly

● education about risks associated with obesity

● tackle underlying causes (depression / low self-esteem)

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5
Q

List other health professionals who could also be involved in obesity management or prevention:

A

● community dietician

● psychologist

● pharmacist

● bariatric surgeon (2ndary care)

● practise nurse

● school nurse

● health visitor

● midwife

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6
Q

statistical normality

A

based on the normal distribution curve / standard deviation

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7
Q

cultural normality

A

based on norms and values within a certain group (community)

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8
Q

● list 2 advantages of GPs as gatekeepers

A

○ keep people out of expensive secondary care

○ continuity of the doctor-patient relationship

○ personal advocacy

○ patient does not know where to go / appropriate referral / use of resources

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9
Q

● list 2 disadvantages of GPs as gatekeepers

A

○ patients have less choice in secondary care

○ puts stress on GP to know everything about every disease / symptom

○ dependent on individual GP knowledge, attitudes, skill, practice organisation

○ puts stress on a good doctor-patient relationship

○ seeing a GP might increase the time it takes to receive the needed treatment

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10
Q

Categories of hazerd

A

● mechanical

● physical

● chemical

● biological

● psychological / stress

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11
Q

list the 4 ethical principles derived from deontology and utilitarianism (4 marks):

A

● beneficence (do good)

● non-maleficence (do no harm)

● justice

● autonomy

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12
Q

define culture

A

○ complex whole which includes knowledge / beliefs / art / morals / law / customs (Tyler 1874)

○ systems of shared ideas, systems of concepts, rules and meanings that underlie and are expressed in the ways that human beings live (Keesing 1981)

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13
Q

Define ethnicity

A

○ cultural practises and outlooks that characterise and distinguish a certain group of people; characteristics identifying an ethnic group may include a common language, common customs and beliefs and tradition; term preferred over ‘race’

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14
Q

Define race

A

○ a group of people linked by biological / genetic factors

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15
Q

List the 6 social classes

A

● professional

● managerial & technical

● skilled non-manual

● skilled manual

● partly skilled

● unskilled

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16
Q

Primary health professionals who have a role in tackling obestiy and what they do

A

● dietician = individual dietary advice

● pharmacist = general advice; OTC anti-obesity medication; weight management programmes

● health visitor = health education; advice on healthy diet

● GP = advice; prescription of weight reducing drugs

● practise nurse = weight clinics; general dietary advice

● midwife = encourage breast feeding; early dietary advice

17
Q

3 models of stress

A

Engineering model

Medico-physiollgical mdoel

Psychological or transactional model

18
Q

Briefly describe the engineering model of stress

A

● stress acts as a stimulus which the individual must resist

● if the stimulus becomes too intense or prolonged, the individual breaks

19
Q

possible coping mechanisms an individual may use when faced with a stressful situation

A

● problem focused

● emotion focused

● combination of problem / emotion focused

20
Q

Doctor patient relatiobships

A

Guidance/co-op

Authoritarian/paternalistic

Mututal participation

21
Q

Whart is a gatekeeper in terms of GP

A

person who controls patients’ access to specialist or secondary care

22
Q

Lifestyle factors to promote a helthy lifestyle

A

● diet

● exercise

● alcohol

● smoking

● illicit drug use

● sexual health

23
Q

What is the World Health Organisation (WHO) definition of health (4 marks

A

● A state of completely physical (1), mental (1) and social (1) well-being and not merely the absence of disease or infirmity (1)

24
Q

3 different routes via which someone may be exposed to a hazardous substanc

A

● blood

● sexual contact

● ingestion

● inhalation

Skin

25
Q

What is hazard

A

Something with potenital to cause harm

26
Q

What is risk

A

Likelihood of harm occuring

27
Q
A