GP Mock Flashcards
Percentage of patients with medical explainable symptoms
70%
This patient has gained weight, has become very tired and feels the cold a lot.
{#1}
This patient has experienced constipation, blurred vision and a very dry mouth.
{#2}
This patient has developed a rash when exposed to sunshine.
{#3}
part 1: Amiodarone;
part 2: Propafenone;
part 3: Amiodarone
Relevant access to medical records must be given within how many days of receipt of the written request and appropriate fee?
40 days
What proportion of primary care prescriptions contains a prescribing or monitoring error?
5%
A 65-year-old woman has been on lithium carbonate for 10 years with good effect. Due to mild hypertension she was started on bendroflumethiazide 2.5 mg. Six months later she went on holiday for two weeks to southern Europe. Three days before leaving she developed diarrhoea with watery stools every few hours and abdominal pain. She vomited once and remained nauseous. Two days after her return home, she attends you as she still has diarrhoea and nausea and is having some difficulty walking. You notice that her speech is a little slurred. She has a mild fever (37.6°C).
Lithium
Which of the following is considered an ESSENTIAL service, which every GP practice is obliged to offer?
Non-specialist care of the terminally ill
According to a recent systematic review, which ONE of the following primary care service interventions, if any, significantly REDUCES inappropriate A&E attendances? Select ONE option only.
None of the above
Which ONE of the following statements is TRUE regarding entitlement to parental leave for employees
Statutory parental leave is unpaid
Which is the SINGLE MOST appropriate estimation of the percentage of patients who experience an error or unintentional change to their medication when care is transferred between providers? Select ONE option only.
50%
You have found a marked drop in the uptake of primary immunisation in your practice population over the past year, and wonder what are the most likely explanations, and how best to address this problem.
{#1}
Your pharmacist advisor is advocating the use of a particular proton pump inhibitor (PPI) drug because of potential cost savings; but you have concerns about its clinical efficacy compared with your current first-line PPI.
{#2}
A patient with ulcerative colitis asks you if the condition could have been caused by exposure to excessive amounts of smoked fish in childhood.
{#3}
part 1: Qualitative study;
part 2: Double-blind, randomised parallel trial;
part 3: Retrospective case-control study
Which ONE of the following general practice projects would require approval by a Research Ethics Committee? Select ONE option only
The practice participates in a regional trial comparing the efficacy of acupuncture with oral ibuprofen in the treatment of acute lower back pain .
A research project looking at the management of moderate hypertension divides its subjects into two groups. Group A, with 1776 subjects, receives anti-hypertensive medication. Group B, with 1800 subjects, receives a placebo. After five years the risk of a stroke in Group A is 12%, while in Group B it is 20%.
NNT is the reciprocal of the absolute risk reduction. For patients with moderate hypertension, receiving placebo treatments, about 20% would be expected to have a stroke over the next five years. This risk is reduced to 12% with anti-hypertensive drugs. This results in an absolute risk reduction of 0.20-0.12=0.08. The reciprocal of this number is 12.5 - implying that a doctor would need to treat about 12.5 moderately hypertensive patients for five years before he or she could expect to prevent one extra stroke. Resources: RCGP curriculum. Enhancing professional knowledge British Medical Journal. The number needed to treat: a clinically useful measure of treatment effect. Getting NNTs
Which ONE of the following correctly defines Level IIa evidence?
Hierarchy of strength of evidence used: Ia – evidence from systematic reviews or meta-analysis of randomised controlled trials Ib – evidence from at least one randomised controlled trial IIa – evidence from at least one controlled study without randomisation IIb – evidence from at least one other type of quasi-experimental study III – evidence from non-experimental descriptive studies, such as case-control studies IV – evidence from expert committee reports or opinions or clinical experience of respected authorities Resources: Oxford Centre for Evidence-based Medicine. Levels of Evidence. 2009 RCGP Learning. Research and Surveillance in Primary Care RCGP Learning. Research Ready
1.A 20-year-old student with a steady partner
{#1}
- A 65-year-old whose last smear was normal aged 49
{#2}
- A 26-year-old with two children aged four and two
{#3}
- A 67-year-old whose last smear was normal aged 62
{#4}
- A 30-year-old whose last smear was normal three years ago and who is six weeks post natal
{#5}
part 1: No screening required; part 2: Single screen; part 3: Three yearly screen; part 4: No screening required; part 5: Screen in three months
The NHS cervical screening programme is available to women aged 25 to 64 in England with all eligible women who are registered with a GP automatically receiving an invite to attend screening. Women aged 25 to 49 receive invitations every 3 years and those aged 50 to 64 receive invitations every 5 years. In June 2016, the age of first screening has now risen from 20 to 25 years of age in Scotland. Resources: Public Health England. Cervical cancer screening. 2015 NHS National Services Scotland. Cervical screening
A 30-year-old woman presents, concerned about her breast cancer risk. There is a family history of the disease in that she has one first degree relative diagnosed with breast cancer at age 70 years.
Sarcoma
