Show Learning Points most relevant to Phase 1: |
Alcohol
Clinical Discipline(s)/Organ System(s) Population Health, Gastroenterology & Hepatology, Psychiatry/Health Psychology | Progress Test Topic(s) General duties |
Description
The government has established an inquiry into the damage to health caused by alcohol, and steps that can be taken to prevent harm. Your specialist college wishes to make a submission and you have been asked to prepare the first draft.
Progress Test-Type Questions: Question 1Applied Science for Medicine 
  - Pathophysiology of alcoholic cirrhosis, dementia and neuropathy
  - Anatomy of liver and portal circulation
  - Physiology of the coagulation cascade and reticulocyte cycle
  - Pathophysiology of cirrhosis and hepatocellular carcinoma
  - Toxicology of alcohol; tolerance, dependence and withdrawal mechanisms
  - Pathophysiology of alcoholic cirrhosis, dementia and neuropathy
  - Anatomy of liver and portal circulation
  - Physiology of the coagulation cascade and reticulocyte cycle
  - Pathophysiology of cirrhosis and hepatocellular carcinoma
  - Toxicology of alcohol; tolerance, dependence and withdrawal mechanisms
Clinical and Communication Skills 
  - Elicit a history from and examine a patient with, jaundice, alcohol withdrawal, haematemesis
  - Interpret routine blood investigations including full blood count, renal function and liver function tests
  - Interpret biochemistry results of an ascitic tap
  - Management of alcohol withdrawal, spontaneous bacterial peritonitis
  - Understand the role of the medical practitioner and public health physician
  - Complications of excess alcohol intake
  - Elicit a history from and examine a patient with, jaundice, alcohol withdrawal, haematemesis
  - Interpret routine blood investigations including full blood count, renal function and liver function tests
  - Interpret biochemistry results of an ascitic tap
  - Management of alcohol withdrawal, spontaneous bacterial peritonitis
  - Understand the role of the medical practitioner and public health physician
  - Complications of excess alcohol intake
Personal and Professional Skills 
  - Self care - understanding the effects of alcohol
  - Professional obligation and ethics involved when you suspect a colleague is drinking excessively
  - Self care - understanding the effects of alcohol
  - Professional obligation and ethics involved when you suspect a colleague is drinking excessively
Hauora Māori 
  - Culturally safe engagement with this patient, her Whānau and communities
  - Culturally safe engagement with this patient, her Whānau and communities
Population Health 
  - Advocacy role of medical professionals
  - Purpose of government enquiries and characteristics of effective submissions
  - Burden of disease attributable to alcohol
  - Social and ethnic distribution of harm caused by alcohol
  - Options for prevention of disease and injury caused by alcohol
  - Cost-effectiveness of interventions
  - Major obstacles to implementation
  - Advocacy role of medical professionals
  - Purpose of government enquiries and characteristics of effective submissions
  - Burden of disease attributable to alcohol
  - Social and ethnic distribution of harm caused by alcohol
  - Options for prevention of disease and injury caused by alcohol
  - Cost-effectiveness of interventions
  - Major obstacles to implementation
Conditions to be considered relating to this scenario
Common
alcohol abuse/dependence, alcoholic liver disease
alcohol abuse/dependence, alcoholic liver disease
Less common but 'important not to miss'
hepatocellular carcinoma
hepatocellular carcinoma