Formative assessment 1st year

Question 1

What aspects of health and lifestyle could you talk about during normal consultations?

Answer 1

Diet
Exercise
Alcohol
Smoking
Illegal drug use
Sexual health

Question 2

Why is an individuals GP the most appropriate professional to guide them about their health?

Answer 2

Aware of their current and past MH
Aware of their social circumstances
Broad range of knowledge on illnesses and health
Trust
They have a role in diagnosing as well as treating (holistic approach)
Likely to be local, so more accessible

Question 3

Describe a direct question

Answer 3

Asks about a specific item

Question 4

Describe a closed question

Answer 4

Can only be answered yes or no

Question 5

Describe a leading question

Answer 5

Presumes the answer (should be avoided)

Question 6

Describe a reflected question

Answer 6

Doctor does not answer the question but asks the question to think about it themselves

Question 7

Describe the WHO definition of health

Answer 7

Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity

Question 8

List four factors which influence Lays beliefs

Answer 8

Age
Social class
Gender
Culture

Question 9

What is meant by cultural competence?

Answer 9

Cultural competence is the ongoing capacity of healthcare systems, organisations and professionals to provide for diverse patient populations high quality care that is safe, patient- and family- centred, evidence based and equitable

Question 10

List some potential difficulties which may arise when consulting a patient from a different culture

Answer 10

Lack of knowledge about our healthcare system
Lack of knowledge about common health issues/beliefs
Fear and distrust
Racism
Bias and ethnocentrism
Stereotyping
Language barriers
Presence of a third party
Differences in perceptions/expectations
Examination taboos
Gender difference between doctor and patient
Religious beliefs
Patient may not be entitled to NHS care

Question 11

What is a “gatekeeper”?

Answer 11

Person who controls patients access to specialist or secondary care

Question 12

List some advantages of GPs acting as gatekeepers

Answer 12

Can identify those who need it
Personal advocacy
Patient doesn’t know what specialty to go to
Increases likelihood of appropriate referral
Limits exposure to certain investigations
GP acts as a coordinator of care
Puts in GP in position to provide patient education

Question 13

Approximately what % of illnesses occurring in the community are referred to secondary care?

Answer 13

1% (they accept 1-5%)