Other

Question 1

Breaking bad news - how do you deal with anger? (3)

Answer 1

recognise it
don’t dismiss it
remain calm and be professional

Question 2

Name three things that need to be proven in a negligence claim

Answer 2

1. causation
2. that duty of care existed between doctor and patient
3. that the doctor’s practice fell below the expected standard of care

Question 3

Describe 2 tests for proving causation in negligence claims

Answer 3

1. “but for” test - claimant needs to show that but for the defendence negligence, they would not have been injured
2. balance of probabilities - injury is more likely to have occured as a result of the doctors negligence than not

Question 4

1. What is a deductive argument?

2. What is an inductive argument?

Answer 4

1 intended to give logically conclusive support for a conclusion

2. intended to give a conclusion probable support

Question 5

1. What is technical efficiency?

2. What is allocative efficiency?

Answer 5

1. how best to achieve certain objectives

2. whether to do something/how much of it to do

Question 6

1. What is adverse selection?

2. what is moral hazard

Answer 6

1. People pay more than they use

2. insulating consumers from their actions increases demand

Question 7

name 3 examples of decision and diagnostic support systems

Answer 7

1. reminder systems
2. decision systems (e.g. Ottawa ankle rules)
3. drug dosage computer systems

Question 8

Name 4 barriers to computer based decision and diagnostic support systems

Answer 8

1. previous bad experience of IT
2. potential harm to doctor patient relationship
3. obscured responsibilities (e.g. loss of autonomy)
4. increased workload

Question 9

Name two things that patient decision aids do

Answer 9

1. help patient understand the probable outcomes of options

2. help patients consider the personal value they place on benefits v harms

Question 10

Name 3 potential adverse effects of vaccinations

Answer 10

1. risk from vaccine
2. will interfere with other vaccines
3. shifting age of susceptibility

Question 11

1. Name 2 arguments supporting age based rationing at the Macro level
2. name an argument rejecting age based rationing at the macro level

Answer 11

1. treatment and care of elderly is costly
   fair innings argument - already lived a full life
2. we live in a society that treats its members equally with care and compassion

Question 12

1. Name an argument supporting age based rationing at the Micro level
2. name an argument rejecting age based rationing at the micro level

Answer 12

1. older people are less likely to be responsive to treatment
2. age is a protected characteristic under the equality act

Question 13

Describe the steps of investigation into food poisoning outbreak

Answer 13

1. preliminary phase - is there an outbreak?
2. immediate steps - who is ill. how many people? what is the cause?
3. data collection - time, person, place, symptoms, common factors, food histories
4. environmental investigation - visit food place, take samples, speak to staff