General GP Knowledge

Question 1

Murtagh Model Stages

Answer 1

1. Diagnosis
2. Patient knowledge
3. Patient emotions
4. Educate the patient
5. Management plan
   
   • Immediate
     
     • Always included even if no action is proposed
   • Long-term
     
     • For chronic long term or recurrent illnesses
   • Preventative
     
     • Sometimes specifies measures apply.
     • Often patient education is required
6. Preventative opportunities
7. Reinforce the information
8. Take away information
9. Evaluate the consultation
10. Follow up arrangement

Question 2

Murtagh Masquerades

Answer 2

-  Anaemia
- Spinal dysfunction
-  Thyroid & other endocrine
-  Urinary infection
- Depression
- Diabetes
- Drugs
iatrogenic
self abuse and OTC

Question 3

Holistic mindfulness

Answer 3

ESSENCE

• Education
• Stress management
• Spirituality
• Exercise
• Nutrition
• Connectedness
• Environment

Question 4

Breaking Bad News Strategy

Answer 4

SPIKES

S- Get the SETTING right 
P- Find out what the patient knows or 
PERCIEVES 
I- Get an INVITATION from the patient to sharethe information 
K- Give the KNOWLEDE and medical facts 
E- Address the patients EMOTIONS with 
empathetic responses 
S- STRATEGY and SUMMARY

Question 5

Advanced Life Support

Answer 5

Primary Response
DR ABCDE

• Danger - minimal in hospitals
• Response - GCS or AVPU
• Airway - C-spine
• Breathing - Give O2
• Cardiovascular - IV Fluids
• Disability

Secondary Survey

• Examination - Head to toe
• History - Collateral
• Investigations

Question 6

Child & Adolescent History Taking Structure

Answer 6

HEADSSS

• Home - parents, siblings
• Education / Employment / Economic
• Activities / Affect / Ambitions / Anxieties
• Drugs / Depression
• Sex – activity, orientation
• Stress / Self esteem
• Safety - Suicide risk / abuse