GP Flashcards
Name 3 health impacts of alcohol
Liver Disease
Feral alcohol syndrome
Obesity
Name 3 social impacts of alcohol
Domestic violence
Antisocial behaviour
Violent crime
Name 3 economic impacts of alcohol
Time off work due to alcohol related disease
Unemployment due to alcoholism
NHS cost to treat
What is the WHO definition of health
Health is a state of complete physical mental and social well-being, and not merely the absence of disease or infirmity
What is the definition of obesity
BMI greater than 30kg/m2
When every intake > energy expenditure
What is the NHS health check ?
Free health check up of overall health. Aged 40 to 74 check up every five years. Checks your risk of heart disease
Kidney disease
Diabetes
Stoke
What questionnaires do you use to measure cognitive impairment?
Mini mental state examination.
Score <10 is severe impairment
Name five types of dementia
Alzheimer's Vascular Lewy Body Mixed Parkinson's dementia
What are three impacts for dementia carers?
Often become socially isolated
Coping with behavioural change
Income inequalities
Name 3 of the criteria on the mental capacity act?
Every adult has the right to make the decision for themselves.
If a person lacks capacity, any decisions taken on their behalf must be of best interest.
Decisions taken on behalf must be the least restrictive option to their rights and freedom.
What is the ABCD2 score ?
Estimates risk of stroke after suspected TIA
What factors are taken into consideration when calculating ABCD2 score?
Age > 60 BP > 140/99 Clinical features of TIA Duration of symptoms Diabetes
What are 3 primary prevention strategies for a stroke?
Calculate ABCD2 score
Hypertension medication
Lifestyle modifications
What are five triggers of atopic eczema?
Irritants Food or animal allergies Environmental factors e.g. Pollen Hormonal changes Certain materials e.g. Wool
Name three psychosocial impacts of skin conditions?
Loss of self esteem
Sleep problems
Anxiety
Define chronic kidney disease ?
Progressive loss of kidney function over a period of months. Doesn’t usually carry symptoms until it reaches advanced stage
At what stage of CKD is renal failure ?
Stage 5, GFR <15 or dialysis
Name three causes of CKD?
Hypertension
Diabetes
Long term use of NSAIDS
Kidney disease
What is patient activation?
Measure of a person’s confidence and knowledge to manage their own health
What food should you avoid during pregnancy ?
Alcohol
Raw eggs
Soft cheese
Liver and pate
Which 2 vitamins should you take pre and during pregnancy ?
Folic acid
Vitamin D
At which week is the anomaly scan ?
18-20 weeks
Which weeks are the dating scan ?
8-14 weeks
Name 2 methods to screen for Down’s syndrome ?
Chronic villous sampling
Amniocentesis
What is the definition of polypharmacy?
The use of four or more medications by a patient, generally age 65 and over
What is the definition of multi morbidity ?
The cooccurrence of two or more chronic medical conditions in one person
Name for problems of an ageing population
Increased pressure on NHS. Increased health gap.
Increased number of people who live with the disabilities.
Funding decreased.
How many minutes of physical aerobic activity should you do per week
150 minutes
How is an airflow obstruction defined
FEV1/FVC ratio is less than 0.7
What is the definition of one pack year ?
20 cigarettes a day for one year.
What are 8 of the Wilson and Jugner criteria for screening ?
Condition screen for should be an important health problem.
Natural history of condition should be well understood.
There should be a detectable early stage. Suitable test devised for early stage.
Test should be acceptable.
Intervals for repeating test determined.
Risk outweighs benefits.
There is sufficient healthcare provision for increased clinical workload.
What does TNM stand for in the cancer staging system?
Tumour
Node
Metastasis
List five red flag symptoms for Bowel cancer
Abdominal pain. Rectal bleeding. Changes in bowel habit. Abdominal rectal mass. Unexplained weight loss
In the complaints procedure name the seven stages of the significant to event audit?
One awareness and prioritisation of significant event
Information gathering.
Facilitated team based meeting.
Analysis of significant event.
Agree, implement and monitor change. Write it up.
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