Station 4

Question 1

Key ethical issues?

Answer 1

Benevolence
Autonomy
Non-maleficence
Justice

Question 2

BRCA 1 & 2 risk of cancer?

Answer 2

BRCA 1 - 80% breast, 40% ovarian
BRCA2 - 40% breast

Question 3

Risks of genetic testing

Answer 3

• implications for patient’s children
• test could be inconclusive
• implications for life insurance

Question 4

Driving & diabetes

Answer 4

1: notify DVLA when start insulin and check BM every 2 hours of driving
2: notify DVLA of diagnosis + as above + BMs twice a day and recorded so checked by endocrinologist

Question 5

Driving & MIs

Answer 5

Group 1: 4 weeks unless successful PCA (1 week)
Group 2: 6 weeks and inform DVLA if angina/elective PCI

Question 6

Driving & seizures

Answer 6

1: 1st seizure is 6 months, epilepsy 12 months
2: 1st seizure is 5 years, epilepsy is 10 years

Question 7

Driving & TIA

Answer 7

1: 4 weeks
2: one year

Question 8

Mnemonic for consenting

Answer 8

Procedure
Benefits
Risks
Alternatives
Nothing
Summarise

Question 9

Disagreement mnemonic

Answer 9

Basic understanding
List & hierarchy of concerns
Address concerns from easiest to hardest
Consensus on goal
Know (discuss) the risks & benefits
Summarise

Question 10

Definition of Clinical Gouvernance

Answer 10

Framework by which an NHS institution is held accountable for the Continuous Improvement of the Quality of Service

Question 11

Pillars of Clinical Gouvernance

Answer 11

Audit
Research
Effectivement
Communication
Risk management
And
Continuous professional development

Question 12

Medical error mnemonic

Answer 12

Basic understanding
Basic explanation
News
Mistake
Apologise
Remedy
Short & longterm effects
Plan

Question 13

Brainstem testing

Answer 13

FACIES GAP:
Fixed pupils
Absent
Corneal reflex
Inner ear (cold water test)
Supraorbital pressure
Gag reflex
And
Pulmonary drive