Health promotion

Question 1

What are the 4 fundamental counselling skills in motivational interviewing?

Answer 1

OARS
1. ask Open-ended questions that are likely to elicit change
2. Affirm and
3. Reflect the patients’s change talk and set skills
4. Summarize what the patient said about their own change motivation

Question 2

What is considered abdominal obesity in women/men?

Answer 2

Women >88cm
Men >102 cm

Question 3

What BMI do people benefit from bariatric programs?

Answer 3

According to canadian task force 2015 above 40

Question 4

Should pharmacologic solutions be routinely offered?

Answer 4

CTF not routinely, however BMI 25-40 offer behavior modification programs.

Question 5

Canadian dietary guidelines?

Answer 5

1/2 plate = veggies/fruits
1/4 plate = grains
1/4 plate = proteins

Question 6

Canadian 24h movement guidelines for infants (0-1)?

Answer 6

• At least 30min tummy time
• sleep 14h on average
• no screen time
• not siting in chair/stroller more 1h
• When sedentary engage: reading/play

Question 7

Canadian 24h movement guidelines Toddlers (1-2)?

Answer 7

• Move at least 180 die.
• Sleep between 11-14h
• Under 2 years old no screen.
• From 2-3 yo max 1h die (less is better)
• When sedentary engage/play/read

Question 8

Canadian 24h movement guidelines Preschoolers (3-4)?

Answer 8

• Move at least 180 min die
• Sleep 10-13h
• No more than 1h of screen time.

Question 9

Canadian 24h movement guidelines Preschoolers (3-4)?

Answer 9

• Move at least 180 min die
• Sleep 10-13h
• No more than 1h of screen time.

Question 10

Canadian 24h movement guidelines (5-17)?

Answer 10

• Sweat: Moderate to vigorous activity at least 60min per day
• Step: Several hours of walking
• Sleep: Uninterrupted 9-11h for 5-13 yo and 8-10 hours for 14-17.
• No more than 2h of screen time per day of recreational screen time.

Question 11

Canadian 24h movement guidelines for adults (18-64)?

Answer 11

• Physical: Accumulation of at least 150min/week of moderate to vigorous and muscle strengthening activities at least twice per week. Several hours of light, including standing.
• Sleep 7-9h with consistent bed/wake-up time.
• Limiting sedentary activities to 8 hours daily, no more than 3h of recreational screen time.

Question 12

Canadian 24h movement guidelines aged 65 and older?

Answer 12

• Physical: Same as adult + adding challenging balance.
• 7-8 hours of sleep.
• Sedentary time 8h/die and max 3h recreational screen time.

Question 13

Dental hygiene according to canadian gov?

Answer 13

Brush at least twice die for 2 in. Best practice after every meal.
Floss die

Question 14

Canadian task force guideline on screening for impaired vision in primary care setting for adults 65 and older?

Answer 14

Recommendation against screening for impaired vision in primary care settings among those aged 65 who live independently in the community and who have not reported concerns about their vision. (weak)

Question 15

At what age do patient have to do a self-declaration of medical information (SAAQ)?

Answer 15

75, after 80 need q 2 years medical examination and a vision test carried by health care professional.

Question 16

If you hold a Class 1, 2, or 3 licences (road tractor, bus, straight-body truck), or a Class 4A or 4B licence (emergency vehicle or minibus), you are required to undergo a medical examination. (SAAQ)

Answer 16

age 45-55-60-65 and q 2 years after

Question 17

What is the low health risk recommendations?

Answer 17

• Women: max 2 die and 10/week
• Men max 3 die and 15 per week

Question 18

What is the 5 A model for tobacco smoking cessation?

Answer 18

Ask
Advise to quit
Assess willingness to change
Assist in quit attempts
Arrange F-U

Question 19

What is medication covered by RAMQ?

Answer 19

• skin patch
• nicotine gum
  stop-smoking meds: bupropion/varenicline
  Coverage max of 12 consecutive weeks per 12 months period starting on purchase date.
  Coverage of Varenicline may be extended an extra 12 weeks if stopped smoking.