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1
Q

Schedule 1 controlled drugs

A

Cannabis

Lysergide (LSD)

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2
Q

Schedule 2 controlled drugs

A

Diamorphine

Morphine

Pethidine

Amphetamine

Cocaine

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3
Q

Schedule 3 controlled drugs

A

Barbiturates

Buprenorphine

Midazolam

Temazepam

Tramadol

Gabapentin

Pregabalin

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4
Q

Schedule 4 controlled drugs part 1

A

Benzodiazepines (except midazolam and temazepam)

Zolpidem

Zopiclone

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5
Q

Schedule 4 controlled drugs part 2

A

Androgenic and anabolic steroids

hCG

Somatropin

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6
Q

Schedule 5 controlled drugs

A

Codeine

Pholcodine

Oramorph

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7
Q

Which schedule drugs are marked CD in the BNF?

A

2 and 3

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8
Q

How long are prescriptions for controlled drugs 2, 3 and 4 valid?

A

28 days

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9
Q

How often is universal credit paid?

A

Once a month

Twice a month in scotland

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10
Q

Requirements for universal credit

A

The person and their partner:

  • live in the UK
  • age over 18
  • earn a low income or out of work
  • less than £16,000 collectively in savings
  • below state pension age
  • 16 and 17 year olds can rarely claim if a carer, estranged from parents, have a child
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11
Q

What are extra payments given for when on universal credit?

A

up to 2 children
disability
caring for a severely disabled person
housing costs

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12
Q

How long do people have to wait for the first universal credit payment?

A

5 weeks

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13
Q

Data protection act - who does the practice have to register with?

A

Information Commissioner’s Office

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14
Q

Fitness to fly - unstable angina, uncontrolled HTN, uncontrolled arrhythmia

A

Should not fly

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15
Q

Fitness to fly - uncomplicated MI

A

Fly after 7-10 days

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16
Q

Fitness to fly - complicated MI

A

Fly after 4-6 weeks

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17
Q

Fitness to fly - coronary artery bypass graft

A

Fly after 10-14 days

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18
Q

Fitness to fly - percutaneous coronary intervention

A

Fly after 3 days

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19
Q

Fitness to fly - stroke

A

Advised to wait 10 days to fly

If stable may be carried within 3 days

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20
Q

Fitness to fly - pneumonia

A

Fly when clinically improved with no residual infection

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21
Q

Fitness to fly - pneumothorax

A

Absolute contraindication to flying

May fly 1 week post check cxr

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22
Q

Fitness to fly - pregnancy

A

Do not fly after 36 weeks for single pregnancy or 32 weeks for multiple pregnancy

Will require certificate after 28 weeks pregnancy

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23
Q

Fitness to fly - abdominal surgery

A

Fly after 10 days

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24
Q

Fitness to fly - laparoscopic surgery

A

Fly after 24 hours

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25
Fitness to fly - colonoscopy
Fly after 24 hours
26
Fitness to fly - plaster cast
Fly after 24 hours for flights less than 2 hours Fly after 48 hours for longer flights
27
Fitness to fly - haematological disorders
Haemoglobin >8 may travel without problems
28
What is triangulation?
Using more than one method or approach to evaluate a process, individual or organisation
29
Benefits - funeral payment
One-off payment to the partner or parent of the deceased if they are on benefits to help pay for a funeral
30
Benefits - what is bereavement support payment?
Lump sum then up to 18 monthly payments if they are under the state pension age when their partner died
31
Benefits - what does bereavement support payment depend upon?
NI contributions | Different rates are paid according to whether the claimant gets child benefit
32
Benefits - what is Widow's parent's allowance?
Payable to a parent whose husband or wife has died
33
Benefits - eligibility for widow's parent's allowance
- Surviving partner bringing up a child <19 and receiving child benefit - Or women is expecting late husband's baby - Deceased partner made adequate NI contributions - Divorcees and those who remarry are not eligible to claim
34
What needs to be included on a controlled drug prescription?
Name and address of patient Form, strength and preparation of medication Total quantity in words and figures Dose Prescriber's name, signature, address and date
35
Benefits for chronic illness and cancer patients
Personal independence payment: for patients under 65 Attendance allowance: for patients over 65
36
Components of personal independence payment
Daily living component | Mobility component
37
Benefits for terminally ill - fast track form
DS1500
38
What formula is used to adjust the global sum total?
Carr-Hill formula
39
What factors are included in the Carr-Hill formula?
- age and sex patients - nursing home and residential home - list turnover - additional needs (mortality ratio, long standing illness) - staff market forces - rurality - london weighting
40
If a death occurs within X number of days of seeing a doctor the coroner does not have to be informed
14 days
41
If a death occurs within X number of hours of hospital admission the coroner does have to be informed
24 hours
42
How are LMCs funded?
Statutory levy on GPs
43
Who are LMC members?
Elected GP partners Salaried doctors GP registrars
44
Fit to fly - pneumothorax after drainage
2 weeks after drainage
45
What is a confidential enquiry?
Investigation into morbidity and mortality in order to identify shortcomings that can be improved
46
What is the principle behind the Delphi process?
A number of rounds of questionnaires
47
What are the three domains of QOF?
1) Clinical indicators = chronic disease 2) Public health 3) Public health including additional services sub domain
48
How is blindness generally defined?
vision < 3/60
49
Who applies to social services on behalf of blind patients?
Consultant ophthalmologist
50
Examples of 'blacklisted' drugs
Propecia - finasteride for male pattern alopecia Regaine - topical minoxidil for male pattern alopecia Calpol
51
Elements involved in clinical governance
Education and training Clinical audit Clinical effectiveness Research and development Risk management Openness
52
What is health protection?
Guards public against threats to health e.g. vaccination programmes, legislation on air pollution
53
Asbestos - which conditions patients can claim for compensation?
Mesothelioma Asbestosis Pleural thickening causing disability Lung cancer caused by asbestos
54
Recovery time for laparoscopic abdominal/groin hernia repair
1-2 weeks
55
Recovery time for open abdominal/groin hernia repair
2-3 weeks
56
Recovery time for laparoscopic appendicectomy
1-2 weeks
57
Recovery time for open appendicectomy
2-3 weeks
58
Recovery time for laparoscopic cholecystectomy
2-3 weeks
59
Recovery time for open cholecystectomy
3-5 weeks
60
Recovery time for laparoscopic hysterectomy
3 weeks
61
Recovery time for open hysterectomy
7 weeks
62
How many foster children per family as a maximum?
3
63
Medical care for foster children
6 monthly medical examination
64
Which form entitles a patient to free prescriptions?
FP92A called the medical exemption certificate
65
At what age can you write old age on a death certificate?
>80
66
What is an inquest into a death?
Public enquiry at coroner's court | does not apportion blame
67
Eligibility for statutory sick pay
``` Classed as an employee Ill for at least 4 days in a row Earn at least £112 per week Tell your employer you're sick before their deadline (or within 7 days if they don't have one) Agency workers are entitled ```
68
Who is eligible for primary care?
Resident in the UK for at least 6 months | Refugees
69
What medical care is always free?
Contraception A&E Compulsory psychiatric treatment Treatment for communicable diseases - TB, malaria, meningitis, HIV
70
What is carers credit?
National insurance contributions towards state pension for the carer
71
What is the criteria for carers credit?
Age 16 or over Under state pension age Looking after 1 or more people for at least 20 hours a week
72
Which classification of controlled drugs should be recorded on the register?
2
73
Calgary-Cambridge consultation model
structure of consultation
74
Fraser consultation model
Interview and history Physical exam Diagnosis and problem solving Patient management Relating to patients Anticipatory care Record keeping
75
Pendelton consultation model
ICE
76
Stewart consultation model
Understanding the whole person Finding common ground Enhance doctor-patient relationship
77
Neighbour consultation model
Summarising Safety netting Housekeeping
78
Tuckett consultation model
Doctors experts in medicine Patients experts in their illness Shared understanding of the aim
79
Scott and Davis consultation model
Modification of health-seeking behaviour Opportunistic health promotion
80
Phase 1 drug studies
Small studies on healthy volunteers Used to assess pharmacodynamics and pharmacokinetics
81
Phase 2 drug studies
Small studies on actual patients Examines efficacy, adverse effects
82
Phase 3 drug studies
Large studies Examines efficacy, adverse effects May compare drug with existing treatments Small studies of special groups - renal, elderly
83
Phase 4 drug studies
Post-marketing surveillance
84
Formula for number needed to treat
NNT = 1 / absolute risk reduction
85
Formula for experimental event rate
EER = number who had a particular outcome with the intervention / total who had the intervention
86
Formula for the control event rate
CER = number who had particular outcome with the control / total number who had the control
87
Absolute risk reduction
AAR if outcome of the study is desirable = EER - CER AAR if the outcome of the study is undesirable = CER - EER

AKT use (20 decks)

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