Year 1- Health and GP

Question 1

What is health?

Answer 1

A state of complete physical, mental, and social wellbeing, not merely the absence of disease and infirmity

Question 2

What are 5 holistic views of health?

Answer 2

1. Health as an ideal state
2. Health as physical and mental well-being
3. Health as a commodity
4. Health as personal strength or ability
5. Health as a basis for personal potential

Question 3

What affects a persons view of health?

Answer 3

Age
Gender
Culture-
Social class 
Religion

Question 4

How does culture affect someone’s view on health?

Answer 4

Systems of shared ideas, systems on concepts, rules and meanings that underlie and are expressed in the way that human beings live

Question 5

What is the role of a GP?

Answer 5

Caring for the whole person, as well as their illness.
Promoting a healthy lifestyle.
Acting as the first point of care for a patient and acting as a ‘gate-keeper’

Question 6

Why is a GP referred to as a gate-keeper?

Answer 6

Control point for further specialist treatment for patient

Question 7

What are the 4 necessary characteristics of a GP?

Answer 7

1. Problem solving and risk management
2. Evidence based medicine
3. Wide ranging clinical skills
4. Holistic approach

Question 8

What are some advantages of a GP?

Answer 8

GP can act as Patient’s advocate
Specialist time not wasted
GP can identify those that need secondary care
Patient may not know what specialty is appropriate
Limits patient exposure to investigation- e.g. MRI

Question 9

What 4 ethical principles underlie medical care?

Answer 9

1. Beneficence
2. Non-maleficence
3. Justice
4. Autonomy

Question 10

What does beneficence mean?

Answer 10

Doing good

Question 11

What does non-maleficence mean?

Answer 11

Doing no harm

Question 12

What does justice mean?

Answer 12

Treat all patients with equality and equity

Question 13

What does Autonomy mean?

Answer 13

Patients right to self determination

Question 14

How often do GP’s need to be revalidated?

Answer 14

Every 5 years

Question 15

What 2 main technology systems are used in a GP’s?

Answer 15

Vision

EMIS

Question 16

What is hypothetic- deductive reasoning?

Answer 16

Formulating multiple hypothesis to answer a problem and then deducing the ones that are not useful until one single hypothesis is left.

Question 17

What other health professionals are used in primary care?

Answer 17

Physiotherapist
Dietician
Pharmacist
Practice nurse
Counsellor 
Occupational therapist

Question 18

What are the 6 aims of a GP consultation?

Answer 18

1. Initiate the consultation
2. Gather information
3. Provide structure
4. Build relationship/ rapport
5. Explanation and planning
6. Closure of the session

Question 19

What are the 3 types of doctor-patient relationship?

Answer 19

1. Authoritarian/ Paternalistic-
2. Guidance/ Co-operative
3. Mutual participation relationship

Question 20

What is an Authoritarian/Paternalistic relationship?

Answer 20

The doctor holds all the authority
The patient feels no autonomy.
They try hard to please the doctor and hold no control in their treatment.

Question 21

What is a guidance/cooperative relationship?

Answer 21

The doctor exercises much authority and the patient is obedient.
However, patient has a more active role in own treatment.

Question 22

What is a Mutual participation relationship?

Answer 22

Patient feels some responsibility for a positive outcome