Leadership and Management Flashcards
framework that can be used by clinicians to structure breaking bad news
SPIKES
model that adopts an evidence-based approach with a structure that includes information gathering, building the relationship and explanation/ planning
Cambridge–Calgary model
model that introduces the concept of uncertainty about the diagnosis and what conditions might be missed
Murtagh’s model
model that includes the concepts of summarising, safety-netting and housekeeping.
Roger Neighbour’s
model that combines structure with a psychodynamic element introducing enquiry about ideas, concerns and expectations.
Pendleton’s model
what is Pendleton’s rules.
acknowledging what went well before suggesting what could have been done differently
what to use to identify four learning styles identified, Activists, Reflectors, Theorists and Pragmatists
Honey and Mumford Questionnaire
questionnaire to identify the nine types of personalities
The Belbin Inventory
tool that can be used to assess and improve self awareness, and mutual understanding between individuals within a group and improve a groups’ relationship with other groups.
The Johari Window
unexpected death OOH, who to inform
police
involuntary movements of his legs during sleep -caused by what deficiency
iron
how long to remain off work if you have mumps
5 days following onset of symptoms
A PHQ-9 score of what is indicative of less severe depression.
below 16
management for restless leg syndrome
Ropinirole
threshold at which gifts should be recorded in a register
100
consultation model is for situations when doctors deal with what might be considered unreasonable demands from difficult patients
FRAYED consultation model
considered to improve local control and reduce the incidence of progression of bladder cancer
Intravesical Bacillus Calmette–Guérin (BCG)
underlying principle in Michael Balint’s work
A doctor’s behaviour and personality can impact on the doctor–patient relationship
consultation models introduced and described the concept of ‘housekeeping’
Neighbour
what age are young carers
Young carers are defined as any persons below the age of 18 years
mangement restless leg syndrome
pramiprexole
roughly how many are carers
1 in 10
if a full plaster cast has been applied, the traveller should avoid flying for ? if the flight is shorter than two hours and avoid flying for ? if the flight is longer than two hours
24, 48 hours
stroke or TIA - not allowed to drive for? Group 1 and 2
one month, one year
employees are entitled to a BREAK of how many hours between working days
11 hours
a worker is entitled to an uninterrupted break of ? when daily working time is more than six hours
20 mins
Relevant access to medical records must be given within how many days of receipt of the written request?
28 days
What is the standard time limit in the NHS for a patient to make a complaint about an adverse event?
one year
How long can a patient be treated as a temporary resident without registering with a practice?
3 months
What is the name of the tool used to adjust the global sum paid to a practice according to the demographic factors of the practice population?
Carr–Hill formula
rewards practices with financial payment for performance against pre-set criteria.
quality and outcomes framework
Which ONE of the following forms should be used to register this patient as a temporary resident in England, Wales or Scotland?
GMS3
Terminally ill patients or their relatives can apply for disability benefits; ??? if over 16 years of age but under 65, and ??? if over 65 years.
Personal Independence Payment (PIP); Attendance Allowance (AA)
can be completed by any healthcare professional caring for the patient if life expectancy is less than 12 months
SR1 form
A child under the age of ??? can never legally consent to sexual activity.
13
According to the World Health Organisation’s (WHO) Global Health Estimates, which ONE of the options below represents the greatest burden of disease, with the highest percentage of years lost due to disability (YLD)
Ischaemic heart disease
provides qualified right of access to a deceased individuals health records where the person seeking access has an interest in the estate of the deceased
Access to Health Records Act 1990 (Northern Ireland 1993)
allows patients to see medical reports about them, for employment or insurance purposes, written by the doctor with whom they normally have a patient/doctor relationship
The Access to Medical Reports Act 1988
The act applies to all of the UK and governs access to the health records of living people
The Data Protection Act 1998
conveys powers to the Secretary of State for Health (in England and Wales) to make regulations to enable, or require the release of, patient information where disclosures would otherwise be restricted by the common law.
The Health and Social Care Act 2001
Requirements for carer’s allowance (4x)
Carers do not have to be related or live with the person they care for
The carer must be aged 16 years or over, and spend at least 35 hours per week caring for a person
The ill or disabled person must be in receipt of either Attendance Allowance or Disability Living Allowance
The carer must have been living in England, Scotland or Wales for at least 2 of the last 3 years prior to applying
. If there is no consensus about an agreed person being the formal decision-maker, then who to make decision
emergency Court of Protection
Shared Parental Leave (SPL), how many weeks entitled
50 weeks of leav
Shared Parental Leave (SPL), how many weeks of pay
37 weeks of pay
What is the minimum length of continuous service required with the same employer in order to receive statutory maternity pay?
26 weeks
Statutory Maternity Pay (SMP), how many weeks
39 weeks
Which of the following forms is completed to allow a pregnant woman to claim statutory maternity pay?
MATB1 form
enables disabled people to use their government-funded mobility allowance to lease a new car, scooter or powered wheelchair
Motability Scheme
At what stage of pregnancy can a doctor or registered midwife issue a maternity certificate?
Not more than 20 weeks before the expected week of confinement
According to the Children and Families Act 2014, which professional is likely to carry out the young carer’s needs assessment?
Social worker
Industrial Injuries Disablement Benefit may be claimed for occupational deafness when the hearing loss is (3x)
Sensorineural hearing loss amounting to at least 50 dB in each ear
The average of losses at 1, 2 and 3 kHz frequencies (main speech frequencies)
Owing in the case of at least one ear to occupational noise
most serious complication of methotrexate therapy is ??? hence the need for regular blood monitoring with ???
marrow suppression, FBC
in methothrexate therapy the concomittant use of ???? Is contraindicated
trimethoprim
drugs included in medicine sick day rules
Diuretics can cause dehydration or make dehydration more likely in an ill patient
ACE inhibitors/ARBs and NSAIDs may impair renal function making acute kidney injury more likely
Dehydration increases the risk of lactic acidosis in patients taking metformin
Gabapentin is recommended to be reduced in increments, how?
300 mg increment reductions each one to two weeks
Opiates can be reduced by
10% per one to two weeks
in opiate and gabapentinoid reduction, if pain returns, what to do
should return to the last lowered dose, not the original dose as this may be an excessive escalation.
cyproterone acetate monitoring
Liver function tests
use of genomic testing to ‘prescribe the drug that is most likely to have a positive therapeutic effect, at the optimum dose and in the right combination with other medications to patients at the start of treatment
stratified medicine
MOST likely type of MONITORING error in prescribing
Failing to request appropriate routine monitoring tests
who regulates the promotion of prescription medicines by pharmaceutical companies
Association of the British Pharmaceutical Industry (ABPI)
Clinical features that suggest an increased risk of sensitivity to NSAIDs in asthmatics include
female sex, middle age, severe asthma accompanied by chronic nasal congestion and profuse rhinorrhoea, and a history of nasal polyps.
Prescriptions for Controlled Drugs are valid for
28 days
Prescriptions for all other items are valid for
6 months
Pharmacists can sell packs of how mnay paracetamol tablets. Retail shops can only sell pack sizes of how many paracetamol tablets.
32, 16
IVDU vaccines recommended
Hep A, B and tetanus
abdominal aortic aneurysm is defined as an aortic diameter of at least
30 mm,
Indication for elective surgery is defined as an aortic diameter of at least
55 mm with no contraindications
Screening for AAA is therefore offered to men over the age
64
following risk groups is the mortality rate from influenza HIGHEST
Chronic liver disease
Children should be encouraged to aim for ?? Of physical activity
60 mins every day of the week
PPV of qfit
0.07
contraindications to flying with regards to cardio
Complicated MI within 4-6 weeks, PCI with stent within 3 days, CABG within 10-14 days, stroke within 3 days
2 cancers significant if happened in the same side of family
endometrial and colorectal
Bariatric surgery is recommended as a treatment option for adults with a BMI of
more than 40 kg/m2 when other interventions have not been effective.
According to current public health guidance, what is the MINIMUM amount of VIGOROUS physical activity an adult should aim for per week?
75 mins
Neuropsychiatric adverse effects are a rare but recognised consequence of treatment of what
Mefloquine
Approximately whatpercentage of adults in the UK is classified as being obese?
0.3
Malaria prophylaxis with mefloquine should generally be started ??? before travel and Prophylaxis should be continued for ???? after leaving.
2-3 weeks before leaving and 4 weeks after leaving
