Healthcare Guidelines Quiz
48 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What does the abbreviation 'N' stand for in the context of the guidelines?

  • NICE guideline (correct)
  • Nursing Insight guideline
  • Newborn Care guideline
  • National Interventional guideline

Which topic appears first in the content list?

  • Consulting with patients
  • Practice management
  • Social aspects of primary care
  • What is general practice? (correct)

What type of referral does the abbreviation 'E' represent?

  • Early referral
  • Expected referral
  • Emergent referral
  • Emergency admission (correct)

In which section would you find information on chronic disease and elderly care?

<p>Section 8 (D)</p> Signup and view all the answers

What does the abbreviation 'R' indicate in terms of referral times?

<p>Routine referral (A)</p> Signup and view all the answers

Which of the following topics covers issues related to women's health and reproductive services?

<p>Gynaecology (B)</p> Signup and view all the answers

What is covered in the section titled 'Practicing Healthy Living'?

<p>Nutrition and physical activity (B)</p> Signup and view all the answers

In which chapters would renal conditions be discussed?

<p>Chapters 13 and 14 (C)</p> Signup and view all the answers

Which scenario would warrant a repeat DXA scan?

<p>Fragility fracture occurs while on treatment (D)</p> Signup and view all the answers

What kind of referral is required when another cause for a fragility fracture is suspected?

<p>Urgent referral (C)</p> Signup and view all the answers

Which of the following is a risk factor for osteoarthritis?

<p>Genetic predisposition (B), Low physical activity levels (D)</p> Signup and view all the answers

What is the primary reason patients seek medical attention for osteoarthritis?

<p>Pain (A)</p> Signup and view all the answers

Which joints are most commonly affected by osteoarthritis?

<p>Hip, knee, and base of thumb (B)</p> Signup and view all the answers

Which factor does NOT influence the level of pain and disability in osteoarthritis patients?

<p>Level of physical therapy (B)</p> Signup and view all the answers

What is Nodal OA characterized by?

<p>Swelling of the distal interphalangeal joints (C)</p> Signup and view all the answers

Which of the following correctly identifies a misconception about osteoarthritis?

<p>It is only due to the wear and tear of joints (B)</p> Signup and view all the answers

What should be avoided when treating patients to prevent dependence?

<p>Codeine phosphate (D)</p> Signup and view all the answers

What is a recommended duration for a trial of probiotics?

<p>4 weeks (A)</p> Signup and view all the answers

Which treatment option is considered for patients with diarrhoea-predominant disease?

<p>Antidiarrhoeal preparations (C)</p> Signup and view all the answers

What might be considered if a patient has failed to respond to first-line treatment for over one year?

<p>Psychotherapy and hypnosis (A)</p> Signup and view all the answers

What significant change in renal function should be assumed in patients over 75 years old?

<p>A degree of renal impairment (B)</p> Signup and view all the answers

What factor is typically used for estimating renal function in practice?

<p>eGFR based on serum creatinine (D)</p> Signup and view all the answers

What type of diet may show effectiveness in managing irritable bowel syndrome symptoms?

<p>FODMAPs diet (D)</p> Signup and view all the answers

What should be considered if a patient does not respond to treatment and symptoms persist after 5 years?

<p>Consultation for further investigations (C)</p> Signup and view all the answers

What is essential to consider when performing investigations for drug misuse?

<p>Blood tests including FBC and LFTs, with consent for HIV testing (D)</p> Signup and view all the answers

Which medications are increasingly abused, particularly in prison settings?

<p>Gabapentin and pregabalin (A)</p> Signup and view all the answers

What is a key principle when prescribing controlled drugs to substance misusers?

<p>Specify the number of instalments and intervals between them (C)</p> Signup and view all the answers

What should be included in the prescription for controlled drugs for drug misusers?

<p>Total quantity for a maximum treatment period of 14 days (C)</p> Signup and view all the answers

What additional supplies may be provided to drug misusers for harm reduction?

<p>Alcohol swabs, sterile water, and mixing utensils (D)</p> Signup and view all the answers

What happens to the details of patients receiving drug misuse treatment in specialized centers?

<p>They are reported to national drug monitoring services anonymously (C)</p> Signup and view all the answers

What is a major concern when prescribing benzodiazepines and opioids?

<p>They have a high potential for addiction and dependence (A)</p> Signup and view all the answers

What information does the RCGP Substance Misuse Unit provide?

<p>Certificate courses in management of drug and alcohol misuse (A)</p> Signup and view all the answers

What is the recommended co-prescribing medication with NSAIDs when taken for more than one week?

<p>Proton pump inhibitors (C)</p> Signup and view all the answers

Which of the following adjunct treatments is most suitable for pain related to sleep disturbance?

<p>Low-dose antidepressants like amitriptyline (D)</p> Signup and view all the answers

Which treatment option is NOT recommended by NICE for knee osteoarthritis?

<p>Hyaluronic acid injections (B)</p> Signup and view all the answers

In the management of osteoarthritis, what should be emphasized to patients regarding the disease's progression?

<p>It is not progressive in most people (B)</p> Signup and view all the answers

What psychological factors should be screened in patients with osteoarthritis?

<p>Depression and anxiety (C)</p> Signup and view all the answers

For what reason might a patient with osteoarthritis need to be referred to rheumatology?

<p>To rule out secondary causes of osteoarthritis (D)</p> Signup and view all the answers

What percentage of osteoarthritis sufferers are thought to use complementary and alternative medicine (CAM)?

<p>80% (D)</p> Signup and view all the answers

What treatment is controversial as to whether it modifies the progression of osteoarthritis?

<p>Glucosamine (A)</p> Signup and view all the answers

What lifestyle change is recommended for patients with hypertension?

<p>Engage in regular dynamic exercise (B)</p> Signup and view all the answers

Which of the following is NOT a recommended action for patients diagnosed with hypertension?

<p>Increase body mass index for optimal height (C)</p> Signup and view all the answers

What is a common presentation of upper limb deep vein thrombosis (DVT)?

<p>Pitting oedema of the affected leg (A)</p> Signup and view all the answers

For patients with stage 1 hypertension, when should drug treatment be offered?

<p>If they are older than 40 years (A)</p> Signup and view all the answers

What differentiates chronic dyspnea from acute dyspnea in cardiac disease?

<p>Chronic heart failure can lead to chronic dyspnea (D)</p> Signup and view all the answers

What is a suggested limit for alcohol consumption in patients with hypertension?

<p>Limit alcohol to 10 units per week if CVD risk is ≥10% (C)</p> Signup and view all the answers

What differentiates DVT from other conditions such as cellulitis or lymphoedema in terms of symptom presentation?

<p>DVT typically shows unilateral swelling (B)</p> Signup and view all the answers

Which factor is NOT associated with an increased risk of stage 1 hypertension?

<p>Regular physical activity (D)</p> Signup and view all the answers

Flashcards

What is general practice?

The practice of general medicine is focused on providing comprehensive health care for individuals of all ages and genders, addressing a wide range of health issues and conditions.

Practice Management

Practice management encompasses the administrative, financial, and operational aspects of running a general practice, including tasks like scheduling appointments, managing staff, and ensuring the smooth functioning of the clinic.

Consulting with Patients

Consulting with patients involves the process of gathering information about a patient's health concerns, conducting a physical examination, and establishing a diagnosis in order to formulate a treatment plan.

Social Factors in Primary Care

Social aspects of primary care refer to the ways in which social factors like poverty, education, and access to resources can impact a patient's health and influence the doctor's approach to care.

Signup and view all the flashcards

Medicines and Prescribing

Medicines and prescribing involve the knowledge of different medications, their uses, dosages, and potential side effects, and the ability to make informed decisions about prescribing appropriate treatment.

Signup and view all the flashcards

Minor Surgery

Minor surgery, performed in a general practice setting, includes procedures like removing moles, stitching cuts, and draining abscesses.

Signup and view all the flashcards

Healthy Living

Healthy living encompasses promoting healthy lifestyle choices and providing advice and education on topics like nutrition, exercise, and stress management to prevent illness.

Signup and view all the flashcards

Chronic Disease and Elderly Care

Chronic disease and elderly care focuses on managing long-term conditions like diabetes, heart disease, and arthritis, as well as providing specialized care for the health needs of older adults.

Signup and view all the flashcards

Urine toxicology

Urine toxicology can help confirm drug misuse in patients. It's a common investigation for suspected drug users.

Signup and view all the flashcards

Blood tests for drug misuse evaluation

Blood tests for FBC (full blood count), LFTs (liver function tests), hepatitis B/C, and HIV serology are important for assessing a patient's overall health status and identifying potential risks related to drug misuse.

Signup and view all the flashcards

Gabapentin/pregabalin abuse

Gabapentin and pregabalin are increasingly being abused, particularly in prisons.

Signup and view all the flashcards

Prescription drug dependence

Benzodiazepines and Z-drugs are commonly prescribed for anxiety and sleep disorders, but they can lead to dependence. Prescribing these medications requires careful consideration.

Signup and view all the flashcards

Prescribing controlled drugs to drug misusers

Controlled drugs can be dispensed in instalments to substance misusers, but only with special prescription forms and under strict guidelines.

Signup and view all the flashcards

Harm reduction supplies for drug misusers

Doctors, pharmacists, and drug workers can provide supplies like alcohol swabs, sterile water, and mixing utensils to drug misusers to reduce harm.

Signup and view all the flashcards

Drug misuse data reporting

In the UK, patients starting drug treatment have their details anonymously reported to national databases for monitoring purposes.

Signup and view all the flashcards

Drug Overdose

Overdose on drugs can be life-threatening and requires immediate medical attention.

Signup and view all the flashcards

Lifestyle advice for hypertension

Lifestyle advice for patients with hypertension includes smoking cessation, weight management, regular exercise, and limiting alcohol intake. This helps manage blood pressure and prevent complications.

Signup and view all the flashcards

When to initiate antihypertensive drug treatment

Initiating antihypertensive drug treatment depends on factors like age, risk factors, and presence of other health conditions. For example, drug treatment is typically offered for stage 1 hypertension in patients over 40 years old.

Signup and view all the flashcards

What is Deep Vein Thrombosis (DVT)?

Deep vein thrombosis (DVT) is a blood clot that forms in a deep vein, typically in the legs. It can be caused by factors like prolonged immobility, recent surgery, or pregnancy.

Signup and view all the flashcards

What are the symptoms of DVT?

DVT symptoms include unilateral leg pain, swelling, tenderness, and possibly fever, pitting oedema, warmth, and distended superficial veins. It's important to differentiate DVT from other conditions.

Signup and view all the flashcards

What is a DVT score?

A DVT score helps assess the likelihood of a DVT based on clinical signs and symptoms. It considers factors like leg swelling, presence of collateral veins, and previous history of DVT.

Signup and view all the flashcards

What is dyspnoea?

Dyspnoea refers to shortness of breath and can be caused by various factors, including cardiac conditions, respiratory conditions, and other medical issues.

Signup and view all the flashcards

How is dyspnoea categorized?

Acute dyspnoea is sudden onset, subacute is gradual, and chronic is persistent. Understanding the time course helps determine the potential cause.

Signup and view all the flashcards

What are the causes of dyspnoea?

Dyspnoea can be caused by a wide range of underlying conditions, including cardiac diseases, respiratory diseases, and other medical issues.

Signup and view all the flashcards

Estimated Glomerular Filtration Rate (eGFR)

A calculation of kidney function based on serum creatinine levels.

Signup and view all the flashcards

Glomerular Filtration Rate (GFR)

A direct measure of how well your kidneys are filtering waste using a 24-hour urine collection.

Signup and view all the flashcards

Serum Creatinine

A protein found in the blood that is filtered by the kidneys. Higher levels indicate potential kidney damage.

Signup and view all the flashcards

Urine Albumin-to-Creatinine Ratio (ACR)

A measure of the amount of albumin in the urine. Higher levels can indicate kidney damage.

Signup and view all the flashcards

Urine Protein-to-Creatinine Ratio (PCR)

A measure of the amount of protein in the urine. Higher levels can indicate kidney damage.

Signup and view all the flashcards

When are repeat DXA scans needed?

Repeated DXA scans are recommended in certain circumstances, including after fractures during treatment, when considering treatment changes, or when restarting therapy after a drug holiday.

Signup and view all the flashcards

What to do about a fragility fracture on treatment?

A fragility fracture during treatment requires a routine referral to a specialist. This could be due to factors like an ineffective treatment plan.

Signup and view all the flashcards

When to refer urgently for a fragility fracture?

Suspecting another cause for a fragility fracture, such as a metastatic tumor, necessitates an urgent referral to a specialist for immediate investigation.

Signup and view all the flashcards

What is Osteoarthritis?

Osteoarthritis (OA) is a complex condition that primarily affects the joints. It involves a breakdown of cartilage, bone, synovium, capsule, and muscle.

Signup and view all the flashcards

What are the signs and symptoms of OA?

The most common symptom of OA is pain, often accompanied by stiffness, swelling, and bone deformities. It primarily affects the hips, knees, and thumbs.

Signup and view all the flashcards

What are some risk factors for OA?

Age, genetics, obesity, abnormal mechanical loading of joints, and poor muscle function are some risk factors for developing OA.

Signup and view all the flashcards

How does OA affect mobility?

OA can significantly impact a person's ability to move and perform daily tasks. It can lead to disability, particularly in severe cases.

Signup and view all the flashcards

How is OA treated?

There are several medications available to manage OA, including pain relievers, anti-inflammatory drugs, and joint-protecting medications.

Signup and view all the flashcards

Lowest Effective Dose

This strategy involves using the lowest possible dose of medication for the shortest amount of time needed to effectively treat the condition.

Signup and view all the flashcards

Co-prescribe PPI with NSAIDs

Proton pump inhibitors, like omeprazole, are often prescribed with NSAIDs to protect the stomach lining from irritation and potential ulcers, especially if the NSAID is needed for longer than a week.

Signup and view all the flashcards

Antidepressants for Pain Management

Low-dose antidepressants, such as amitriptyline, can be helpful in managing pain, especially when it causes sleep disturbances. This is an off-label use.

Signup and view all the flashcards

Capsaicin Cream for OA

Capsaicin cream can be applied to the affected areas to reduce pain and inflammation in osteoarthritis of the knee or hands.

Signup and view all the flashcards

Joint Aspiration and Injections

Aspirating joint fluid and injecting it with medication can help alleviate pain and inflammation in flare-ups of osteoarthritis.

Signup and view all the flashcards

Glucosamine for OA

Glucosamine is a supplement found in cartilage, but its effectiveness in modifying the progression of osteoarthritis is still debated. It is available over-the-counter but not recommended by NICE.

Signup and view all the flashcards

Strontium Ranelate for OA

Strontium ranelate is another medication that has shown potential in slowing the progression of osteoarthritis, reducing pain, and improving mobility. Its place in OA management is still being investigated.

Signup and view all the flashcards

Psychological Impact of OA

Mental health plays a significant role in how osteoarthritis affects daily life. Educating patients about the disease, emphasizing that it usually doesn't worsen over time, and addressing any underlying depression or anxiety are important.

Signup and view all the flashcards

Study Notes

Oxford Handbook of General Practice

  • Fifth Edition, authored by Chantal Simon, Hazel Everitt, Francoise van Dorp, Nazia Hussain, Emma Nash, and Danielle Peet.
  • Provides comprehensive coverage of general practice, updated with the latest guidelines and best practice.
  • Includes full-color diagrams and color-coded sections for quick reference.
  • Contains sections on various topics, including:
    • What is general practice?
    • Practice management
    • Consulting with patients
    • Social aspects of primary care
    • Medicines and prescribing
    • Minor surgery
    • Healthy living
    • Chronic disease and elderly care
    • Cardiology and vascular disease
    • Respiratory medicine
    • Endocrinology
    • Gastrointestinal medicine
    • Renal medicine and urology
    • Neurology
    • Dermatology
    • Infectious disease,
    • Haematology and immunology
    • Breast disease
    • Gynaecology
    • Sexual health and contraception
    • Pregnancy
    • Child health
    • Ear, nose, and throat
    • Mental health
    • Cancer care
    • Palliative care
    • Emergencies

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Oxford GP (Extract) PDF

Description

Test your knowledge on healthcare guidelines with this quiz. Covering various topics including referrals, chronic disease care, and women's health, this quiz will enhance your understanding of essential healthcare concepts. Perfect for students in health-related fields.

More Like This

Use Quizgecko on...
Browser
Browser