Introduction

Question 1

Family medicine def

Answer 1

Academic , scintific discpline
With eductional content research
Evidence based clinical activity

Question 2

What is role of family doctor

Answer 2

Is needed to translate acadeic def into reality of specialist

Question 3

Rachp def

Answer 3

Intial
Comprehensive
Coordinated
continued

Question 4

Aafp def

Answer 4

Comtinuing
Comprehesive
Integrates biological
Clinical
Behaviroal sciences

Question 5

Wonca def

Answer 5

Family medicine is an academic and scientific discipline with its own educational content. Research evidence based clinical activity.

Question 6

Mention diff between phc services

Answer 6

Question 7

pHC (safe dleveries

Answer 7

Family health centre

Question 8

Inpatient services

Answer 8

Hospital

Question 9

Outpatient preventive and curative

Answer 9

Family health unit

Question 10

Mr MA, a 47 years old male patient is
presenting to you complaining of sore throat,
no fever, no cough or any other symptom.
• He is not diabetic or hypertensive. He is
smoker. His father is diabetic.
• Examination shows BMI: 38, throat exam
shows congested pharynx, rest of the exam if
free
• What will you do next??

Answer 10

Question 11

The 10 most common clinician-reported reason for visits

Answer 11

Question 12

the most common clinician-reported RFVs.

Answer 12

upper respiratory tract infection and hypertension
were the most common clinician-reported RFVs.
Family Medicine Depart

Question 13

The 10 most common patient-reported RFVs were
symptomatic conditions

Answer 13

cough, back pain,
abdominal symptoms, pharyngitis, dermatitis, fever,
headache, leg symptoms, unspecified respiratory concerns,
and fatigue.

Question 14

Answer 14

Question 15

Priciples of health care

Answer 15

Question 16

Factors associated with PHC utilization

Answer 16

Question 17

Interchest rule for cad
Points
Risk group
Clinical predictor

Answer 17

Question 18

Marburg heart score

Answer 18

Question 19

Patients with localized pain that
is reproducible by palpation of
the parasternal

Answer 19

costochondral
joints likely have chest wall pain
or costochondritis.

Question 20

burning retrosternal pain,
acid regurgitation, and a sour or
bitter taste in the mouth.

Answer 20

Gastroesophageal reflux disease

Question 21

Panic disorder and anxiety states
often cause chest pain and
shortness of breath; physicians
should consider using

Answer 21

single
validated screening question to
confirm the diagnosis.

Question 22

Secobary care of cad

Answer 22

Patients who have chest pain with a
low to intermediate probability of
coronary artery disease not requiring
immediate referral to the emergency
department should be evaluated for
coronary artery disease with
exercise stress testing, coronary
computed tomography angiography,
or cardiac magnetic resonanc

Question 23

When we do echo

Answer 23

Teritray car

Question 24

Mention teritary care incase of cas

Answer 24

Electrocardiography should be
performed on all patients in whom
cardiac ischemia is suspected. The
presence of ST segment changes,
new-onset left bundle branch block,
presence of Q waves, and new T-
wave inversion increases the
likelihood of acute coronary
syndrome and acute myocardial
infarction; these patients should be
referred immediately to the

Question 25

physical, psychologi cal social. culturall and existential

Answer 25

Holistic approach

Question 26

Lonitudinacontiuty

Answer 26

Person centered approach

Question 27

Doctor patient relation ship

Answer 27

Person centered approach

Question 28

Acute , chronic health problems

Answer 28

Comprehensive approach

Question 29

Promotes health well being

Answer 29

Comprenhesive approach

Question 30

Care coordination and adovacu

Answer 30

Primary care managemnt

Question 31

First contact open acess

Answer 31

Primary care management

Question 32

Health of community

Answer 32

Community orientation

Question 33

Early undifferentiated

Answer 33

Specific problem sloving skills

Question 34

Descion making based on evidence and prevelenace

Answer 34

Specific problem solving skills

Question 35

Care is

Answer 35

Quality life centered

Question 36

Post mi care

Answer 36

All Patients Should Receive Therapy: • Smoking cessation • Anti-platelet therapy • Beta blocker post-MI or with LV dysfunction • ACE-inhibitor (or ARB) if post-MI or LVEF ≤ 40% • Add aldosterone blockade if CHF • Statin • Weight loss of 5-10% if BMI ≥ 30 kgm? • Physical activity at least 30 minutes per day • Cardiac Rehabilitation- Angina/Post MI/ Post-stent/ Post valve surgery/Heart Failure Influenza vaccine

Question 37

When return sexual activity post mi

Answer 37

6 weeks

Question 38

When return work after mi

Answer 38

Return to work: Sedentary workers 4-6wk. after uncomplicated MI Light manual workers 6-8wk. after uncomplicated MI Heavy manual workers 3months after uncomplicated MI

Question 39

How to return physical activity post mi

Answer 39

2wk. after Ml stroll in garden or street 4wk. after Ml walk @½ mile/d. 4 to 6wk. after Ml increase to 2 miles/d. by 6wk. From 6wk increase the speed of walking; aim 2 miles in <30 min.

Question 40

Dercibe levels of health care system

Answer 40

Pyrimadl

Question 41

No of chracters of displine of phc

Answer 41

11

Question 42

Greatest number of patients are seen in

Answer 42

First level of phc

Question 43

How to return physicsl activity post mi

Answer 43

Physical activity: advise gradual increase in activity 1. 2. 3. 4. 0 1. 2. 3. 2wk. after Ml stroll in garden or street 4wk. after Ml walk @½ mile/d. 4 to 6wk. after Ml increase to 2 miles/d. by 6wk. From 6wk increase the speed of walking; aim 2 miles in <30min.

Question 44

involves sending a patient to another physician for ongoing management of specific problem , with the exception that the patient will continue to see the original physician for coordination of total care.

Answer 44

Referal system

Question 45

Levels of referal

Answer 45

4

Question 46

From specialist to another

Answer 46

2 nd level refersl

Question 47

From junior to senior

Answer 47

3rd level referal

Question 48

From general hospital to spceislzed hospital

Answer 48

4th;evel of referal

Question 49

From family physion to hospital specialist

Answer 49

1st level of referal

Question 50

Secondary/Tertiary hospitals are a better alternative to seeing my doctor because they are more convenient and less

Answer 50

Unfortunately, they won’t know your medical history like your doctor does and may not be able to provide the correct form of treatment plans for you. • Secondary/tertiary care doesn’t fix the problem, it just covers it with a band- aid until it resurfaces

Question 51

Teritary care

Answer 51

Is highly specialized medical care and complex diagnosis

Question 52

Secondary care

Answer 52

Is specialized tt and support provided by doctors in hospital or clinic

Question 53

Primary care

Answer 53

Is people centered rather than disease centerd

Question 54

Primary care comptencey

Answer 54

Interpersonal relationships Care management Integrated health care systems Proffesiinal accountability