Public health

Question 1

What are the current screening programmes in scotland?

Answer 1

AAA screening
Bowel cancer
Breast cancer

Question 2

What needs to be considered when creating a screening programme?

Answer 2

Important condition
Detectable latent or early symptomatic signs
Test with adequate sensitivity and specificity
Test acceptable to screening population
Available intervention that changes natural history of disease
Acceptable cost of screening programme
Benefits should outweigh harms

Question 3

Who is AAA screening available to?

Answer 3

All men over 65 years

USS aorta

Question 4

What happens if an aneurysm is found on USS?

Answer 4

2-4.4cm = yearly scans
4.5-5.4 = 3 monthly scans
>5.4 cm - refer for op assessment

Question 5

What vaccinations are available to the elderly population?

Answer 5

Influenza; >65 years annually
Pneumococcal; >65 years, one off
Shingles; 70 years, one off

Question 6

What interventions can promote healthy ageing at a population level?

Answer 6

Enhancing customary physical activity 
Promoting exercise
Smoking cessation 
Alcohol reduction 
Bolstering social networks
Nutrition - obesity and undernutrition 
Improving oral health
Tackling fuel poverty, poor housing and effects of cold weather
Vaccination

Question 7

What are the benefits of smoking cessation?

Answer 7

Improved lung function, CV function and wound healing

Question 8

What are common causes of malnutrition in the elderly?

Answer 8

Dementia
Social isolation
Reduced mobility