Clinical

Question 1

How are weight states defined in adults and children?

Answer 1

BMI in adults, and percentile charts in children

Question 2

What is battery (in a legal sense)?

Answer 2

Is unlawful touching - Could apply if you act without a valid patient’s consent

Question 3

What is the difference between consent and contract?

Answer 3

Consent can be withdrawn at any time which much be respected and isn’t binding, while contacts are binding and withdrawn can have consequences

Question 4

How is capacity assessed?

Answer 4

1) Understand the treatment options and weight up potential benefits, risks, burdens and side effects of the options
and
2) Retain the information provided
and
3) Weigh up and communicate their decision

Question 5

What are the requirements for valid consent?

Answer 5

1) Capacity (competence): ability to give or withdraw consent
2) Information: patient received enough information and understands the information
3) Voluntariness: not coerced

Question 6

What are meant by dynamic function tests?

Answer 6

Dynamic function tests (DFT’s) involve either stimulating or suppressing a particular hormonal axis and observing the appropriate hormonal response.

In general, if a deficiency is suspected a stimulation test should be used whilst if excess is considered likely, a suppression test is required.

Question 7

If a hormone is thought to be in excess, what kind of dynamic function test should be used?

Answer 7

Suppression test

Question 8

If a hormone is thought to be in deficiency, what kind of dynamic function test should be used?

Answer 8

Stimulation test

Question 9

What should be carried out first in endocrinology: biochemical testing or imaging

Answer 9

Biochemical testing