GP

Question 1

Name 3 health impacts of alcohol

Answer 1

Liver Disease
Feral alcohol syndrome
Obesity

Question 2

Name 3 social impacts of alcohol

Answer 2

Domestic violence
Antisocial behaviour
Violent crime

Question 3

Name 3 economic impacts of alcohol

Answer 3

Time off work due to alcohol related disease
Unemployment due to alcoholism
NHS cost to treat

Question 4

What is the WHO definition of health

Answer 4

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

Question 5

What is the definition of obesity

Answer 5

BMI greater than 30kg/m2

When every intake > energy expenditure

Question 6

What is the NHS health check ?

Answer 6

Free health check up of overall health. Aged 40 to 74 check up every five years. Checks your risk of heart disease
Kidney disease
Diabetes
Stoke

Question 7

What questionnaires do you use to measure cognitive impairment?

Answer 7

Mini mental state examination.

Score <10 is severe impairment

Question 8

Name five types of dementia

Answer 8

Alzheimer's 
Vascular
Lewy Body 
Mixed 
Parkinson's dementia

Question 9

What are three impacts for dementia carers?

Answer 9

Often become socially isolated
Coping with behavioural change
Income inequalities

Question 10

Name 3 of the criteria on the mental capacity act?

Answer 10

Every adult has the right to make the decision for themselves.
If a person lacks capacity, any decisions taken on their behalf must be of best interest.
Decisions taken on behalf must be the least restrictive option to their rights and freedom.

Question 11

What is the ABCD2 score ?

Answer 11

Estimates risk of stroke after suspected TIA

Question 12

What factors are taken into consideration when calculating ABCD2 score?

Answer 12

Age > 60 
BP > 140/99
Clinical features of TIA 
Duration of symptoms
Diabetes

Question 13

What are 3 primary prevention strategies for a stroke?

Answer 13

Calculate ABCD2 score
Hypertension medication
Lifestyle modifications

Question 14

What are five triggers of atopic eczema?

Answer 14

Irritants 
Food or animal allergies
Environmental factors e.g. Pollen 
Hormonal changes 
Certain materials e.g. Wool

Question 15

Name three psychosocial impacts of skin conditions?

Answer 15

Loss of self esteem
Sleep problems
Anxiety

Question 16

Define chronic kidney disease ?

Answer 16

Progressive loss of kidney function over a period of months. Doesn’t usually carry symptoms until it reaches advanced stage

Question 17

At what stage of CKD is renal failure ?

Answer 17

Stage 5, GFR <15 or dialysis

Question 18

Name three causes of CKD?

Answer 18

Hypertension
Diabetes
Long term use of NSAIDS
Kidney disease

Question 19

What is patient activation?

Answer 19

Measure of a person’s confidence and knowledge to manage their own health

Question 20

What food should you avoid during pregnancy ?

Answer 20

Alcohol
Raw eggs
Soft cheese
Liver and pate

Question 21

Which 2 vitamins should you take pre and during pregnancy ?

Answer 21

Folic acid

Vitamin D

Question 22

At which week is the anomaly scan ?

Answer 22

18-20 weeks

Question 23

Which weeks are the dating scan ?

Answer 23

8-14 weeks

Question 24

Name 2 methods to screen for Down’s syndrome ?

Answer 24

Chronic villous sampling

Amniocentesis

Question 25

What is the definition of polypharmacy?

Answer 25

The use of four or more medications by a patient, generally age 65 and over

Question 26

What is the definition of multi morbidity ?

Answer 26

The cooccurrence of two or more chronic medical conditions in one person

Question 27

Name for problems of an ageing population

Answer 27

Increased pressure on NHS. Increased health gap. Increased number of people who live with the disabilities. Funding decreased.

Question 28

How many minutes of physical aerobic activity should you do per week

Answer 28

150 minutes

Question 29

How is an airflow obstruction defined

Answer 29

FEV1/FVC ratio is less than 0.7

Question 30

What is the definition of one pack year ?

Answer 30

20 cigarettes a day for one year.

Question 31

What are 8 of the Wilson and Jugner criteria for screening ?

Answer 31

Condition screen for should be an important health problem. Natural history of condition should be well understood. There should be a detectable early stage. Suitable test devised for early stage. Test should be acceptable. Intervals for repeating test determined. Risk outweighs benefits. There is sufficient healthcare provision for increased clinical workload.

Question 32

What does TNM stand for in the cancer staging system?

Answer 32

Tumour Node Metastasis

Question 33

List five red flag symptoms for Bowel cancer

Answer 33

Abdominal pain. Rectal bleeding. Changes in bowel habit. Abdominal rectal mass. Unexplained weight loss

Question 34

In the complaints procedure name the seven stages of the significant to event audit?

Answer 34

One awareness and prioritisation of significant event Information gathering. Facilitated team based meeting. Analysis of significant event. Agree, implement and monitor change. Write it up. Report share and review