Random

Question 1

BP targets
<80
>80
CKD
T1DM
T1DM with albuminuria or >=2 features of metabolic syndrome
T2DM

Answer 1

<80 with or without T2DM 140/90
>80 150/90
CKD 140/90
T1DM 135/85
T1DM with albuminuria or 2>= metabolic syndrome features = 130/80
T2DM 140/90

Question 2

initiating the session
gathering information
building the relationship
giving information, explaining and planning
closing the session

Answer 2

Calgary-Cambridge

Question 3

exploring both the disease and the illness experience
understanding the whole person
finding common ground
incorporating prevention and health promotion
enhancing the doctor-patient relationship
being realistic (with time and resources)

Answer 3

Stewart - patient-centred clinical method - 1995, 2003

Question 4

define the reason for the patient’s attendance (ideas, concerns and expectations)
consider other problems
with the patient, choose an appropriate action for each problem
achieve a shared understanding of the problems with the patient
involve the patient in the management and encourage him/her to accept appropriate responsibility
use time and resources appropriately
establish or maintain a relationship with the patient which helps to achieve the other tasks

Answer 4

Pendleton - The Consultation: an Approach to Learning and Teaching - 1984, 2003

Question 5

interviewing and history-taking
physical examination
diagnosis and problem-solving
patient management
relating to patients
anticipatory care
record keeping

Answer 5

Fraser - Areas of competence - 1992

Question 6

connecting
summarising
handing over
safety netting
housekeeping

Answer 6

Neighbour - The Inner Consultation - five checkpoint model - 1987

Question 7

the consultation is a meeting between two experts
doctors are experts in medicine
patients are experts in their own illnesses
shared understanding is the aim
doctors should seek to understand the patient’s beliefs
doctors should address explanations in terms of the patient’s belief system

Answer 7

Tuckett - meeting of two experts - 1985

Question 8

management of presenting problems
management of continuing problems
modification of help-seeking behaviour
opportunistic health promotion

Answer 8

Stott and Davis - Exceptional potential of the consultation - 1979