FOPC Y1 Formative Exam Flashcards
What are 4 aspects of lifestyle that you might discuss with a patient?
Exercise
Diet
Alcohol
Smoking
Which factors enable you, as her GP, to be the
most appropriate professional to guide her about
her current worries?
Aware of Hannah’s current and past medical history
Aware of Hannah’s social circumstances e.g. family support
GP has knowledge of a broad range of illnesses and health
conditions
Trusted health professional who is likely to have been known
by the patient/family for some time, perhaps lifelong
What are the different types of questions that can be used during a GP consulation and give a brief explanation of each?
Open-ended - Not seeking a particular answer, but signals to the patient to tell their own story
Direct question-asks about a specific item
Closed question-can only be answered by “yes” or “no”
Leading question - presumes the answer
Reflected question - the doctor does not answer the question but asks the patient to think about the answer themselves
List 4 factors which would motivate someone to change their behaviour and give up something like drinking alcohol
1 - The health advantages of giving up the behaviour
2 - Expecting a positive response from others to her behaviour change, e.g. friends and family are supportive
3 - There is social pressure to change their behaviour
4 - The patient feels they have the ability to carry out the new behaviour in different situations
What is the WHO definition of health?
A state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity
List four factors which influence lay beliefs about health AND give an example of how each of these factors may influence lay beliefs about
health
Age-older people concentrate on functional ability, younger people tend to speak of health in terms of physical strength and fitness
**Social class**-people living in difficult economic and social circumstances regard health as functional, women of higher social class or educational qualifications have a more multidimensional view of health
Gender -men and women appear to think about health differently (women may find the concept of health more interesting, women include a social
aspect to health)
Culture - different perceptions of illness/disease, differences in concordance with treatment
List six actions the government could take to stem the rise in obesity
Health education-diet and exercise
Tax on unhealthy foods, “fat tax”
Proper labelling & lists of ingredients
Ban on advertising unhealthy food
Improve exercise/sport facilities
Transport policy e.g. cycle lanes
What is meant by cultural competence?
Cultural competence is the ongoing capacity of healthcare systems, organizations and professionals to provide for diverse patient populations high quality care that is safe, patient- and family- centered, evidence-based,
and equitable
List five potential difficulties which may arise when consulting with a patient from a different culture
Lack of knowledge about NHS and UK health system
Different health beliefs
Language barriers
Religious beliefs
Stereotyping
Racism
List three different routes via which someone may be exposed to a hazardous
substance (other than via skin)
Inhalation
Ingestion
Blood
List two categories of hazard (other than chemical) AND give an example of each in relation to Jenni’s work in the chemistry lab
Mechanical - trips and slips
Physical - heat, noise from lab equipment
List three aspects of advice you may give to the patient/their carer when safety netting
Advise patient of expected course of illness and recovery
Advise patient of symptoms which would indicate deterioration
Advice on who to contact should patient deteriorate
List three other ways in which Neighbour suggests risk can be minimized?
Summarise and verbally check that reasons for attendance are clear
Hand over and bring the consultation to a close i.e. hand over to the patient at the end to ensure all issues have been covered
Deal with the housekeeping of recovery and reflection e.g. record keeping, referral if necessary, pausing to reflect before next patient
The GP is often described as the “gatekeeper” of the NHS.
What is meant by the term “gatekeeper” in this context?
The person who controls patients’ access to specialist or secondary care
List four advantages of GPs as gatekeepers.
Identify those patients who are in need of 2° care assessment
Personal advocacy
Patient does not necessarily know which specialty to go to
Increases likelihood of referral to appropriate department
