public health

Question 1

what is the equation for calculating units of alcohol drank?

Answer 1

[ABV(%) x volume(ml)] / 1000

Question 2

what vaccines does the 6in1 contain?

Answer 2

diphtheria, tetanus, pertussis, polio, Haemophilus influenza b and hep B

Question 3

what age is the 6in1 vaccine given?

Answer 3

8, 12 and 16 weeks

Question 4

when is the meningococcal group b vaccine given?

Answer 4

8 weeks but not as part of the 6in1

Question 5

is HIV a notifiable disease?

Answer 5

no

Question 6

what 3 things indicate Gillick competence?

Answer 6

• understand info given
• information is retained
• can communicate decision and reasons for it

Question 7

Give 5 of the Fraser guidelines in sexual health

Answer 7

• sufficient maturity and intelligence to understand nature / implications of treatment
• He/she cannot be persuaded to tell parents or to allow the doctor to tell them
• He/she is very likely to begin or continue having sexual intercourse with or without contraceptive treatment
• physical or mental health is likely to suffer unless receiving the advice or treatment
• The advice or treatment is in the person’s best interests.

Question 8

define co-morbidity

Answer 8

coexistence of 2 or more diseases

Question 9

What are the components of primary care brief advice you should give about smoking?

Answer 9

ask, advise, assist

Question 10

Give 3 of Wilson-Junger screening criteria

Answer 10

• condition is an important health problem
• natural history should be well understood
• should be a detectable early stage
• Treatment at an early stage should be of more benefit than at a later stage
• A suitable test should be devised for the early stage
• The test should be acceptable
• Intervals for repeating the test should be determined
• Adequate health service provision should be made for the extra clinical workload resulting from screening
• The risks, both physical and psychological, should be less than the benefits
• The costs should be balanced against the benefits

Question 11

what is dose-response?

Answer 11

the higher the exposure, the higher risk of the disease

Question 12

what is a cohort study?

Answer 12

type of epidemiological study in which a group of people with a common characteristic is followed over time to find how many reach a certain health outcome of interest

Question 13

define sensitivity

Answer 13

proportion of patients who have the disease and test positive

Question 14

define specificity

Answer 14

proportion of patients who don’t have the disease and test negative

Question 15

state 2 treatments for mild depression

Answer 15

watch and wait, exercise, CBT

Question 16

state 2 antidepressants that could be prescribed

Answer 16

• Selective Serotonin Reuptake Inhibitors;
• Tricyclic Antidepressants;

Question 17

What is the only antidepressant that can be prescribed for under 18 year olds?

Answer 17

fluoxetine (SSRI)

Question 18

Give an example of a withdrawal symptom that could onset when stopping antidepressant medication

Answer 18

upset stomach, flu-like symptoms, anxiety, dizziness

Question 19

state an example of an intentional reason for non-adherence?

Answer 19

patient preference

Question 20

what are the 5 moments for hand washing?

Answer 20

• before touching a patient
• before cleaning / septic procedure
• after body fluid exposure risk
• after touching patient
• after touching patient’s surrounding