Return to Diagnosis ListShow Learning Points most relevant to Phase 1:


Clinical Discipline(s)/Organ System(s)
Population Health, Gastroenterology & Hepatology, Psychiatry/Health Psychology
Progress Test Topic(s)
General duties
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 1
Applied 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
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
Personal and Professional Skills 
   - 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
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
Conditions to be considered relating to this scenario
alcohol abuse/dependence, alcoholic liver disease
Less common but 'important not to miss'
hepatocellular carcinoma