You are completing an ESA113 medical report that has been requested by the Department of Work and Pensions with regards a patient of yours who has applied for employment and support allowance.
Which of the following should you omit from such a medical report?
You receive a phone call from a 60-year-old man who reports a several hour history of acute onset chest pain. He has previously had a DVT and is known to have hypertension and smoke. You advise him to ring 999 but he refuses and wants to wait for a home visit. You are later informed he has passed away.
How should you proceed in terms of death certification?
A 35-year-old man with epilepsy visits your clinic. He had been seizure free for a few years and holds a Group 1 (car) licence. He expressed his desire to decrease his anti-epileptic medication dosage, and you had consented to monitor this. He had ceased driving while doing so. You concur that he should revert to his previous, lower, anti-epileptic medication dosage. If he doesn’t have any more seizures, when will he be permitted to drive again?
You are asked to complete a DS1500 form for a patient with advanced cancer who is in their 80s.
Which of the following applies to completion of the DS1500 form?
A patient who is well known to you and is a minor has applied for Disability Living Allowance (DLA). The Department of Work and Pensions (DWP) contact you requesting an associated medical report to be completed.
What would be the next most appropriate step?
One of the nurses at your hospital sustains a needlestick injury while administering medication to a patient.
What is the single, most appropriate, immediate management?
You have been seeing a teenage patient for their depression and providing fit notes to support their Employment and Support Allowance (ESA) claims. You receive a letter from the DWP stating that they no longer require Statements of Fitness for Work for your patient as they are fit to work.
Which of the following circumstances would allow you to issue further fit notes?
A 50-year-old man presents to the General Practitioner with a painful, persistent erection that has lasted for six hours and doesn’t subside. What is the most likely cause of his symptoms? Choose ONE answer.
A 68-year-old man has a diagnosis of carcinoma of the prostate confirmed by biopsy. His PSA is 25 ng/ml (normal range < 5 ng/ml in over 60s). The biopsy showed a Gleason score of 6 (range 2 - 10) and confirmed that the tumour is confined to the prostate. His general health is otherwise good, and he was asymptomatic at diagnosis. His father was also diagnosed with prostate cancer at a similar age.
Which of the following is most likely to signify a high-risk prostate cancer?
A 70-year-old man with prostatism has a serum prostate-specific antigen (PSA) concentration of 7.5 ng/ml (normal range 0 – 4 ng/ml).
What is the most appropriate conclusion to make from this information?