Y2 Summative PPH/PPD Revision

PPD

100

List 4 reasons for obtaining a second medical opinion: 

1. In patient's interest to hear opinion of expert in a specific field / increase dr confidence 
2. In patient's interest to have initial opinion affirmed by a second doctor
3. Doctor is concerned about patient's competence
4. Doctor feels it may be implicated on medicolegal ground 

200

5 Elements/characteristics of a good team

1) MDT 

2) Clear roles / goals 

3) strength based 

4) Closed loop / open communication 

5) Respectful 

6) debrief 

300

List 5 red flags for non-accidental injury (NAI) in children you might hear in the history.

Delayed presentation

Unexplained multiple injuries

Implausible mechanism of injury

Inconsistent story which changes

Caregiver history of drug, alcohol abuse or psychiatric disorders

Social stressors (separation, unemployment, single parent, domestic violence)

Children with behavioural or learning difficulties

400

List the elements necessary for involuntary admission

Authorised medical officer is of the opinion that: 

The person is mentally ill  or mentally disordered

and no less restrictive means would be safe / effective for the patient 

 

PPH

100

5 qualities of a good screening test

High sensitivity 

High specificity 

Easy to administer , 

acceptable to patients 

Cheap , widely accessible  

200

Identify 2 common causes of childhood injury in Australia, and what can be done to reduce impact 

MVA - Seatbelts , car seats 

Burns - Child resistant lighters , education of parents 

Poisoning - Child resistant med bottle / chemicals 

Drowning - Education , legislation re pool fencing 

300

Identify 3 public health campaigns to reduce the incidence / impact of skin cancer in Australia  

Campaigns eg: slip slop slap / sun safe jingle  

Environmental: Shade cloths over play grounds 

No hat no play policy 

Screening high risk popns (eg men >45 years for skin cancer ) 

Providing free sunscreen at beach 

400

A new blood test is trialled to detect pancreatic cancer in a population of 1,000 people.

• 100 participants actually have pancreatic cancer.
• The test correctly identifies 90 of these as positive.
• Among the 900 without cancer, 180 test positive.

Calculate the PPV and NPV, and interpret these in the context of a negative result.

Calculate the Positive Predictive Value (PPV) of the test.

33% true pos over all positives

Calculate the Negative Predictive Value (NPV) of the test.

99%