Referrals

Question 1

What does SBAR stand for?

Answer 1

Situation (e.g. I am a GP…), Background (been seeing 65 year old gentleman…), Assessment (obs etc), Recommendation (I think he should be admitted for…)

Question 2

What does an annual check involve (in this case = hypertension)?

Answer 2

Disease - BP
Medications - adherence, interactions, monitoring
Complications - Urine, U&Es

Question 3

How can you assess risk of cardiovascular events?

Answer 3

Q RISK

Question 4

What is considered a high Q risk?

Answer 4

> 20%

Question 5

What is VITAMINDDD and what does it stand for?

Answer 5

Vascular:
Infection:
Trauma:
Autoimmune/inflammatory
Metabolic
Idiopathic
Neoplastic
Neurological
Degenerative
Doctors (iatrogenic)
Drugs/toxins

Question 6

What are the three main clinical signs of meningitis?

Answer 6

Nuchal rigidity, Kernig’s sign, Brudzinski’s sign.

Question 7

What is Kernig’s sign?

Answer 7

When the thigh is bent at the hip and knee at 90 degree angles, and subsequent extension in the knee is painful. Sign of meningitis.

Question 8

What is nuchal rigidity?

Answer 8

Inability to flex neck forward due to rigidity of neck muscles.

Question 9

What is Brudzinski’s sign?

Answer 9

Forced flexion of the neck elicits flexion of the hips. Appears as involuntary lifting of the legs when lifting a patient’s head off the examining couch, with the patient lying supine. Sign of meningitis or subarachnoid haemorrhage.

Question 10

Which occupation has the highest risk of depression?

Answer 10

Carer

Question 11

Which occupations have the highest risk of suicide?

Answer 11

Those with access to suicide means - eg. farmers (guns), medics (drugs), vets