Mod 1

Question 1

Healthcare Governance

Answer 1

A system through which medical organisations are accountable for continuous improvement in the quality of their services and safe guarding high standards of care by creating an environment where clinical excellence will flourish

Question 2

Disclosure

Answer 2

Giving of information

Only lawful if individual consents or posed a risk

Question 3

Defence medical group

Answer 3

Responsible for ensuring That medical personnel are able to meet operational exercise and that they are placed into the nhs to maintain clinical skills.

RCDM QE Birmingham
DMRC HEADLEY COURT
DMG South West Deriford Plymouth
DMG South East Frimley Park Surrey

Question 4

Medical support (overseas)

Answer 4

Acute care teams
Minimal host nation support
Maximal host nation support

Question 5

Defence medical policy and operational capability

Answer 5

Responsible for the care outputs of DMS including research and development that are implemented accross the armed forces

3 pillars

Defence medical operational capability
Medical policy and personnel
Medical directorate

Question 6

Values

Answer 6

Excellence 
Respect
Integrity
Commitment
Teamwork and leadership

Question 7

3 parts of OP spectrum

Answer 7

Ops during peacetime
Ops other than war
War fighting

Question 8

Symbols for medics

Answer 8

Red Cross
Red cresecent
Red crystal

Question 9

4 pillars

Answer 9

Defence medical group
Defence primary healthcare defence health and education
Future health

Question 10

Common assurance framework

Answer 10

The CAF document updates regularly and provides a risk register of standards to be measured and achievement where by all areas will receive a colour coded grade

Question 11

Army medical services provides

Answer 11

Provides army medical and vetenary policy operational capability healthcare advice assurance in order to enhance and sustain the operational effectiveness of the army

Question 12

Defence primary healthcare

Answer 12

Primary healthcare in the Uk and overseas to UK services personnel and either dependants

Also responsible for Rehab
Mental Healthcare

Question 13

Director of Healthcare delivery and training

Answer 13

Responsible for all healthcare including primary HC which includes rehabilitation mental health the placement of secondary care assistants personnel in NHS facilities and medical education and training compromised of 4 pillars

Question 14

Clinical audit

Answer 14

CA is a way to find out if the services provided is upto standard and where can be improved 5 steps 
Identify 
Set criteria and standards 
Observe practice 
Compare performance with criteria 
Implement change

Question 15

Quality improvement

Answer 15

Risk management 
Near miss reporting 
Audits
Research 
Education

Question 16

Effective communication

Answer 16

Empathetic 
Encouragement 
Paraphrasing 
Open questions 
Summarising

Question 17

Composition of blood

Answer 17

45% cells
44% red
1% white

55% plasma

Question 18

4 functions of blood

Answer 18

Transport O2 and CO2
Transport nutrients
Transport heat
Protective suntanned antibodies

Question 19

Types of blood cell

Answer 19

Red erythrocytes
White leukocytes
Platelets thrombocytes

Question 20

5 blood vessels

Answer 20

Veins 
Arteries 
Capillaries 
Venuoles 
Arterioles

Question 21

3 layers of blood vessel

Answer 21

Intra
Media
External

Question 22

Contra indications for NPA

Answer 22

Nasal trauma 
Nasal polyps
Bleeding conditions 
Nose bleed
Nasal skull fracture

Question 23

Contra indications for OPA

Answer 23

Trismus
Facial trauma
Consciousness

Question 24

Inspiration

Answer 24

Medulla oblongata signals diaphragm to flatten and intercostal muscles to contract resulting in the thoracic cavity to expand and cause negative pressure

Question 25

Expiration

Answer 25

Nerve endings sensing stretch in the lung tell the pneumotoxic centre to stop inhaling to relax the intercostal muscles and diaphragm causing positive pressure

Question 26

Layers of pleural cavity

Answer 26

Parietal pleura
Plural cavity
Visceral pleura

Question 27

When to not perform CPR

Answer 27

Effective enemy fire
Massive cranial cerebral disruption 
Hemicorperoctemy
Decaptiation 
Incineration 95%^
Decomposition 
Right Mortis

Question 28

Parts of brain control breathing

Answer 28

Medical oblongata

Pins varolii

Question 29

Medulla oblongata

Answer 29

Controls

Respiratory centre involuntary respiration sets basic times rate for inspiration

Question 30

Pond varolii apneustic area

Answer 30

When PCo2 rises the apneustoc area will increase depth of inspiration therefor inspiration will be prolonged

Question 31

Pond varolii pneumotoxic area

Answer 31

Will stop kings from over inflating and bursting by starting expiration and relaxing thoracic muscles

Question 32

Lymph system

Answer 32

Tissue drainage

Small intestine absorption