FOPC

Question 1

Skills needed for successful medical interviewing

Answer 1

Content Skills - the substance of their questions and responses

Perceptual Skills - to understand what the patient is thinking and feeling

Process skills - they way they structure and organise communication

Question 2

Role of General Practice

Answer 2

To care for the whole person.

Promotion of healthy lifestyles, to act as first point of contact for secondary care.

Question 3

Personal Qualities required by general practitioners

Answer 3

-Ability to care about their patients.
- A commitment to high quality care.
-An awareness of one’s limitations
- Organisational ability
- Clinical competence.
-Good communication skills
-Ability to work well within a team
Ability to deal with uncertanity

Question 4

How does a GP prepare for appraisal

Answer 4

Reading literature, attending courses and performing audits.

Question 5

When are GP’s appraised

Answer 5

Every five years by a colleague .

Question 6

Why is effective conversation important in general practice

Answer 6

essential to high quality care.

Improves patient satisfaction, recall, understanding, concordance, and outcomes of care

Question 7

Components of clinical competence

Answer 7

Good Knowledge
Examination
Communication
Problem solving

Question 8

Physical factors affecting consultation

Answer 8

Site environment
Adequacy of medical records
Time Constraints
Patient Status

Question 9

Personal Factors affecting consultation

Answer 9

Age
Sex
Backgrounds and Origins
Knowledge and Skills
The Illness

Question 10

Patient Doctor relationships

Answer 10

Authoritarian
Guidance/Co-operation
Mutual Participation

Question 11

Three components of interviewing in the consultation

Answer 11

Talking
Examination
Procedures.

Question 12

Types of Questions

Answer 12

Open-ended - allows the patient to tell their story
Direct- ask about a specific item
Closed- yes/no
Leading presumes the answer
Reflective - allows the doctor to avoid answering a direct question

Question 13

Type of Non-Verbal Commuinication

Answer 13

Instinctive - crying, laughing and expressions of pain.

Learned - from training and life experiences.

Question 14

Points of Body Language

Answer 14

Culture
Context
Gesture Clusters
Congruence

Question 15

Factors that influence the degree of risk

Answer 15

How amount of exposure
How the person is exposed
Conditions of exposure.

Question 16

factors that govern the perception of risk

Answer 16

Feeling in control (involuntary vs voluntary)
Size of possible harm
Familiarity of risk

Question 17

Individual Variables in risk receptions

Answer 17

Previous experience, attitudes towards risk, values and beliefs, socio-economic factors, personality, demographic factors

Question 18

Environment Hazards

Answer 18

Physical- radiation, noise and vibration
Chemical - pesticides
Biological - infectious agents

Question 19

Definition of Hazard, Risk, Risk Factor, protective factor and susceptibilty

Answer 19

Hazard - something with potential to cause right.
Risk - the likelihood of harm occuring.
Risk Factor - increases the risk of harm
Protective factor - decreases the risk of harm
Susceptibility - influences the liklihood that something will cause harm

Question 20

Hazards

Answer 20

Physical 
Chemical
Mechanical
Biological
Psycho-social

Question 21

Route of Exposure

Answer 21

Skin
Blood
Sexual Contact
Inhalation
Ingestion

Question 22

Psychological Factors influences health

Answer 22

Psychological factors can directly have impact on physical health

Or psychological factors can impact health indirectly through health behaviours

Question 23

Health Behaviour

Answer 23

Behavior that may have implication for health

Question 24

Poor Health Behaviours

Answer 24

Smoking
Poor Diet and Exercise
Alcohol consumption

Question 25

Factors of Health Behaviour

Answer 25

Stable Background Social Situational

Question 26

Stable Factors

Answer 26

Individual Differences. 1. Emotional dispositions (present) 2. Generalised Expectancies (future 3. Explanatory Styles (past)

Question 27

Emotional Dispositions

Answer 27

Negative affect - tendency towards negative affective states - depression Emotional expression - low expression of negative emotional experience through repression

Question 28

Generalised Expectancies

Answer 28

Locus of control. Future depends on self. Self-efficacy - belief in one's own ability to organise and execute a course of action. Belief in ability to change

Question 29

Explanatory Styles

Answer 29

Optimism/Pessimism. Better health behaviour with positive outlook Attribution Style - casual explanation of negative events. May be external or internal.

Question 30

Background Factors of Health Behaviours

Answer 30

Cultural Norms, Gender, race, chronic health status

Question 31

Social Factors

Answer 31

Perceived social support

Question 32

Situational Factors

Answer 32

``` Situation-specific self efficacy. Perceived risk. Emotional response. Motivation Outcome evaluation ```

Question 33

Reasons for socio-economic gradient of health

Answer 33

``` Social Inequities Institutional Power Living Conditions Risk Behaviours Disease and Injury Mortality ```

Question 34

Access to Health care is dependant on

Answer 34

Affordability Accessibility Acceptability

Question 35

Calgary and Cambridge Model

Answer 35

``` initiating the session gathering information providing structure building relationship explanation and planning closing the session ```

Question 36

Neighbours Model of Tasks to be completed in a consultation

Answer 36

To connect with the patient. To summarise and verbally check that the reasons for attendance are clear. To handover and bring the consulation to a close. To ensure a safety net is in place and that no serious possibilities have been missed to deal with housekeeping of recovery and reflection

Question 37

Uncertainity

Answer 37

The state of being not completely confident or sure of something.

Question 38

Risk

Answer 38

chance of consequences

Question 39

The two different types of normaility

Answer 39

Statistical-based on normal distribution Cultural-based on norms and values within a group or community.

Question 40

Definition of stress

Answer 40

pressure exceed's ability to cope.

Question 41

Safety Netting

Answer 41

Know the worsening symptoms, know who to contact and the duration.

Question 42

how to manage risk

Answer 42

developing good relationship. organisation, documentation of negative findings. Understanding of condition. Apply reflective pracitce

Question 43

Components of a consultation

Answer 43

Talking Examination Procedures

Question 44

David Seedhouse wanker definitions of health

Answer 44

``` Health is: An ideal state A commodity . Personal Strength or ability Basis for personal potential ```

Question 45

Laymans Definition of Health

Answer 45

Absense of Disease Physical fitness functional ability

Question 46

What bridges the Gap between primary and secondary care

Answer 46

Public Health Specialists. Occupational Medicine. Mental Health. Palliative care. Management of long term conditions Community hospitals

Question 47

Components of a typical GP day

Answer 47

``` Consultations Paperwork House Calls, Phone calls. Duty doctor emergencies. Specialist clinics Practice business ```

Question 48

Nicholas and Systke should

Answer 48

go the fuck to bed