Management

Question 1

What does RAPRIOP model represent?

Answer 1

• Reassure
• Advice / education
• Prescription / procedure
• Refer
• Investigate
• Observe
• Prevention

Question 2

What is the ABCDEF system of management?

Answer 2

• Acute problem
• Behaviour change
• Continuing care
• Disease prevention
• Environment
• Functional (ADLs)

Question 3

What is the 9 step consultation system?

Answer 3

1) Tell them diagnosis
2) What does the pt know about it?
3) What are the pt attitudes?
4) Educate
5) Negotiate a management plan
6) Long term plan
7) Reiterate
8) Follow up / safety net
9) Questions / handouts

Question 4

What does ICE stand for?

Answer 4

• Ideas
• Concerns
• Expectations

Question 5

Which stage of the 9 step consultation does ICE correlate to?

Answer 5

2 = attitudes

Question 6

What are the requirements of a screening test?

Answer 6

1 - Good test (sensitivity and specificity)
2 - Cost effective
3 - Treatable
4 - Convenient and acceptable
5 - Latent phase i.e. before detectable otherwise
6 - Natural history of disease
7 - Distribution to inform reference range
p3 Red Book

Question 7

Prevention types

Answer 7

• Primary: avoid disease e.g. SNAP, immunisation, safe sex. Prevention before disease occurs.
• Secondary: avoiding damage irreversible damage via the early detection and prompt intervention to correct departures from good health or treat the early signs of disease e.g. cervical screening, blood monitoring
• Tertiary: some overlap with secondary. Avoid recurrence, complications, disability, dependence in an individual with a disease e.g. aspirin in stroke.