A 62-year-old patient attends for a routine blood pressure check. He is fit and well with good blood pressure control. He says he has heard that he will have to re-apply for his motor car driving licence at some stage.
To what age is a Group 1 licence (motorcars and motorcycles) valid provided there is no medical disqualification from driving?
You have a patient who is a 50-year-old heavy goods vehicle driver for a haulage company. A few weeks ago, he was involved in an accident that caused a severe eye injury, and he has now been informed that he will never regain any vision in his left eye. He is curious about his eligibility to hold a Group 2 drivers licence. What is the DVLA’s advice on holding a Group 2 licence after experiencing permanent vision loss in one eye?
A 58-year-old factory worker comes to see you for a fit note after a recent bout of pneumonia. His asthma has been poorly managed in the weeks leading up to his illness and he expresses concern about his ability to return to full-time work in the near future. He mentions that his finances are tight and that friends have suggested he apply for Employment Support Allowance (ESA). He also mentions that he is hesitant to attend any Department of Work and Pensions (DWP) assessments and asks if you could provide a letter of support. What advice would you give him regarding ESA?
A 30-year-old man has been diagnosed with schizophrenia and requires an antipsychotic medication. You want to choose a drug that is least likely to cause extrapyramidal symptoms. Your clinic has recently implemented an electronic clinical decision support tool, so you decide to utilize it to determine the best medication option. You enter the query Antipsychotic/least extrapyramidal side effects into the tool, and it recommends either olanzapine or risperidone. What course of action should you take?
A 48-year-old teacher presents to you with a history of recurrent depression. She informs you that she has an upcoming appointment with the mental health team in a few weeks and requests a sick note as she believes she will be unable to work for the remainder of the year. What is the maximum duration for which you can provide a statement of fitness for work, regardless of eligibility?
What is the appropriate way to complete a medical certificate for a patient with low back pain who wishes to return to work but needs workplace alterations to avoid prolonged periods of sitting?
John, a 16-year-old boy, needs to undergo a medical procedure. He wants to make the decision himself without involving his parents. What is the age of consent in the UK for a young person to make their own medical decisions?
You visit a 78-year-old woman at home and she has difficulty understanding the treatment that she takes for her asthma. You think that this is largely because she has impaired hearing.
In general terms, which of the following strategies is most likely to help?
Under what conditions would you be authorized to reveal information without the patient’s consent?
Your practice has just adopted a new computer system. You have a meeting to discuss any problems and there are many questions from all members of staff.
Which one of the following statements about confidentiality is correct?
Your practice has just adopted a new computer system. You have a meeting to discuss any problems and there are many questions from all members of staff.
Which one of the following statements about confidentiality is correct?