PassMed & PasTest Flashcards
Is it better to have:
7 year old son translate
Book a translator
Book a translator
Can you treat an highly intoxicated patient in their best interests without consent?
Yes
They are highly unlikely to have capacity
Rate the appropriateness of running after a patient escaping from the psych ward
Inappropriate
(As you cannot restrain him)
Sectioned patient is running away from a psych ward:
Call Hospital Security
Call Police
Call Police
Rate the appropriateness of accepting a friend request from a patient and messaging to say you cannot keep in contact?
Somewhat inappropriate
Mixed messages - do not accept
On Christmas day is it better to:
Outright refuse to turn up to your shift
Call in sick
Call in sick
What should you document after a road traffic accident if someone is wanting to make a claim
Estimated speed of both cars
(As a combined speed above a certain threshold can be an indication for CT imaging)
What is more important to do first:
Attend consultant ward round
Complete a discharge summary
Attend consultant ward round
What is a social admission?
If a patient is unable to cope at home but does not need any medical treatment, this is known as a social admission. This is better than sending an elderly frail patient away.
Should an F1 be declining referals
No
A patient’s spouse asks you to fill in a holiday insurance form as they had to miss a holiday due to an admission:
A. Inform the patient an F1 cannot do it
B. Fill out the form yourself
C. Ask the consultant to do it
D. Inform the patient there is a fee payable for this form
E. Ask the Ward Clerk
ADCEB
2 of your colleagues keep bickering:
Do nothing
Request to swap allocations
Do Nothing
What should you not do if a child comes in saying they have been sexually assaulted?
DO NOT EXAMINE
You are not trained to do so
Child says they’ve been sexually assaulted:
Refer the child to the duty social worker
Ask safeguarding lead to see child
Refer the child to the local centre which deals with cases of sexual assault/abuse
- Safeguarding lead
- Duty social worker
- Local Centre
Someone has bad hearing:
A. Write down results and explain them
B. Ask nurse to find a hearing aid
C. Ask slowly if they can lip read
CAB
Hearing aid is time consuming
Where must Group&Save labelling be done
At the bedside
What to do first if you suspect NAI
Take a full history
Then examine
Colleague is pushed up against a wall by a patient
A. Call the Police
B. Call hospital Security
Hospital Security
If you accept a caution do you need to inform the GMC
You must tell us without delay if, anywhere in the world, you:
* Are found guilty of a criminal offence
* Are charged with a criminal offence
* Formally admit to committing a criminal offence (for example, by accepting a caution, a community resolution order
Do you disclose to the GMC if you are given a warning for possession of cannabis?
Yes
This means the first-ranked option will either be Disclose the warning to the GMC immediately or Disclose to the GMC immediately and contact your defence union
What to do if a patient with active multi-drug resistant TB attempts self-discharge
Detain under the public health act
This is a major threat to public health. Patients with TB can be discharged early, if they are able to take their treatment correctly, and have their treatment monitored. However, in this case, the patient is homeless and has issues with compliance with medications
What does a fast bleep mean?
It represents an emergency situation which you should attend immediately regardless of what you are currently doing
What act cannot be used to treat a physical health condition?
MHA
Better to not have a chaperone or let a family member be a chaperone
Not have a chaperone
Family member cannot act as a chaperone
Should you fill out a clinical incident form if you cannulate a patient who doesn’t need one then remove it?
Yes
Patient subject to unnecessary procedure
You are unsure of a procedure and you are asked to consent for it do you:
Refuse to do it
Read about it in a textbook and then obtain consent
Refuse
Rate the appropriateness of giving someone an anonymous list of patients with heart problems on statins to a company promoting and selling statins
4 - Inappropriate
When can MHA be used to treat a physical condition?
Never
Except for feeding anorexics (Mental Health Related)
Name a notifiable disease for which you would have to inform the consultant in public health?
Malaria
Needle stick injury
A. Ask for the patient’s consent to take a blood sample
B. Stop the procedure
C. Complete a Datix
D. Ask a colleague to insert the cannula for you
E. Inform the ward sister of the incident
BEDAC
Needle stick injury
A. Ask for the patient’s consent to take a blood sample
B. Stop the procedure
C. Complete a Datix
D. Ask a colleague to insert the cannula for you
E. Inform the ward sister of the incident
BEDAC
Needle stick injury
A. Ask for the patient’s consent to take a blood sample
B. Stop the procedure
C. Complete a Datix
D. Ask a colleague to insert the cannula for you
E. Inform the ward sister of the incident
BEDAC
A patient submits a complaint against you the day after he leaves hospital:
Contact your Medical defence union
Contact the patient to discuss this with them
Medical defence union
Patient has already left the ward and submitted complaint
Who to discuss a complaint letter against you with first:
Consultant
PALS
Registrar
Consultant > Reg > PALS
Your F1 colleague is always late. Who do you discuss this with first:
Consultant
Ward Manager
Consultant
Sleeves not tolled up:
Inform infection control
Reprimand your colleague
Inform infection control
