Long case

Question 1

Guarded prognosis

Answer 1

Refers to a prognosis given by a physician when the outcome of a patient’s illness is in doubt

Question 2

What word refers to a prognosis given by a physician when the outcome of a patient’s illness is in doubt

Answer 2

Guarded prognosis

Question 3

ammenable

Answer 3

open and responsive to suggestion; easily persuaded or controlled

Question 4

open and responsive to suggestion; easily persuaded or controlled

Answer 4

ammenable

Question 5

elucidate

Answer 5

to make something clear / explain

think: luc = light

‘to shed light on’

Question 6

another way to say:

“I would like to get more information”

Answer 6

“I would like to elucidate further detail…”

“I would first elucidate his allergy history…”

Question 7

Better way to say

“I’ve already talked about this”

Answer 7

“Which I have previously detailed”

Question 8

How would you describe when a patient has good insight into some aspects of their health, and poor insight into others?

Answer 8

Variable insight

Question 9

What is a good sentence to link problems

eg. OM due to foot ulcers & T2DM

Answer 9

It is therefore very relevant to disucss his T2DM

Question 10

how to describe someone to is losing independence

Answer 10

Threat to independence

Question 11

How could you describe someone who is NOT depressed

Answer 11

She has a ‘positive outlook’

She is ‘well adjusted to her disabilities’

Question 12

How do you describe complete reduced sensation of the feet

Answer 12

insensate feet

Question 13

a general phrase for ‘lots of things for to do’?

Answer 13

There are many opportunities for optimisation

Question 14

Word to summarise issues which don’t ‘help’ each other / are opposiing

Answer 14

Competing issues

Question 15

How would you describe discussing with another specialist?

Answer 15

I would confer with my urology colleagues

have discussions; exchange opinions.

“the officials were conferring with allies”

Question 16

What is a word to describe “have discussions; exchange opinions”.

Answer 16

Confer

I would confer with my surgical colleagues

Question 17

A set of symptoms

Answer 17

Symptmatology

His sympotamtology is in keeping with fluid overload

Question 18

How to quantify orthopnea?

Answer 18

3 pillow orthopnea

Question 19

Right now

Answer 19

At present

Question 20

How to link a problem of CV risk factors if they haven’t had IHD

Answer 20

Although X had never need diagnosed with cardiovascular disease, she does have a number of significant risk factors.

Non-modifiable risk factors include…

Modifiable risk factors…

Question 21

The next problem to discuss…

In regard to…

Answer 21

The next problem is that of…

Regarding…

In regards to…

In terms of…

Concerning…

With respect to…

To elaborate on…

To his first / next problem, which is that of…

Question 22

Um

Question 23

Someone who lives rural as a noun

Answer 23

Their rurailty

Question 24

This could be representative of

Answer 24

This could be emblematic of

Question 25

Overarching term for group of immunosupression Overarching term if on one immunosupressive agent

Answer 25

multimodal immunosupression therapy single-agent immunsupression immunosupression monotherapy

Question 26

Myxomatous

Answer 26

Myxomatous degeneration of the cardiac valves is the non-inflammatory progressiveremodelling of the valve structure. It can be primary degeneration or related to underlying CTD.

Question 27

in the summary, a way to summarise that a number of the issues are problems are inter-related

Answer 27

intersecting medical issues intersecting medical problems i.e. this word indicates you're synthesizing

Question 28

Low mood

Answer 28

Pervasively low mood Anhedonia (i.e. loss of pleasure)

Question 29

Don't forget about this issue...

Answer 29

... maintaining independence and QoL

Question 30

When there are a group of problems but there is one main issue eg obesity to discuss The main issue

Answer 30

The overarching problem

Question 31

When you want to refer to something as an acronym from now on

Answer 31

Human immunodeficiency virus which I will **herein** or **hereafter** refer to as HIV

Question 32

Michelle Leech immunosupression and Infection speil?

Answer 32

Question 33

NOT blood sugar level but..

Answer 33

blood glucose level

Question 34

Medications not accounted for

Answer 34

Medications for which I have not accounted include

Question 35

Pap smear

Answer 35

Cervical screening

Question 36

When a patient doesn't check they're BGL prior to driving... When a patient hasn't had their denosumab injection in \> 6 months...

Answer 36

"Of concern she does not check her BGL prior to driving" "Of concern, she is overdue for her denosumab with her last dose \> 6 months ago"

Question 37

Sentence for educating a patient with poor insight

Answer 37

I need to have an open, frank discussion with Latoya with honest and clear communication. I would involve those closest to her including her sister and her GP.

Question 38

Good term for diabetes post transplant or steroid induced diabetes?

Answer 38

New onset diabetes after transplantation (NODAT) Glucocorticoid-induced diabetes

Question 39

Names for MTX and other conventional, biological, and targetted synthetic DMARDs...

Answer 39

Steroid Sparing Agents

Question 40

Adverbs to give your opinion that this is important

Answer 40

Importantly Interestingly Of note Notably

Question 41

Adverbs to give your opinion that this is concerning

Answer 41

Concerningly Notably Worryingly **Alarmingly**

Question 42

Adverbs to give your opinion this is good information

Answer 42

Pleasingly Reassuringly I am pleased to note

Question 43

Regimen or regime?

Answer 43

Drug regimen (Regime is for Kings and Queens)

Question 44

When you're answering a question and you are aware you might not 100% know

Answer 44

"To my knowledge" then state what you know

Question 45

Hepatitis C complicated by cirrhosis Diabetes complicated by peripheral neuropathy

Answer 45

consequent Hepatitis C and consequent cirrhosis Diabetes and consequent peripheral neuropathy

Question 46

Complications of both the disease itself and its treatment

Answer 46

Treatment and disease-related complications

Question 47

Grades of financial stress

Answer 47

* Comfortable without financial stressors * Low income, without current, active financial stressors * Surviving financially on a low income * Current financial stressors

Question 48

When a patient says something

Answer 48

citing He reports current life stressors citing unfair dismissal at work

Question 49

Pressure ulcer

Answer 49

Decubitis ulcer

Question 50

Assess risk

Answer 50

Risk stratify

Question 51

Stroke of unclear origin

Answer 51

Cryptogenic stroke