phc
discuss the reasons for home visits in a community based care provided by the family physician.

mdm tan a 72 y o chin has been discharged from hosp after a stroke which left her aphasic. but able to walk with a quad stick. she is living with her unmarried daughter who works as a tchr in asecondary sch. her son is married na dlives with his family.
discuss the med and nursing care that she will need.
what community health services ar eavailable for her?
what are the health care needs of elderly people? 60 to 75 yo who are other wise well? what is the role of th eprimary care doctior in meeting the needs you haev described? give examoples to illustrate your ans.

discuess the health needs of older singaporeans. descruibe the barriers that mayu exist in their seeking of health care,.

mrs chong a 45 y o overweight pt with hhypertension comes to the clinic for her regular followup visit, she asks her doc for advice on the type of oil she shld use in her cooking as she has difficulty decding betwen the two brands. veg old nad soyabean oil.

discuss the health consequences of obesity and the measures thaqt can be taken to control obesity in the population.

mrs tan a 50 y o pt with htn comes to the clinic for her regular fu. her bp is 150/90 and her ldl c level is 3.6 mmol/l. 2.6 - 3.3 mmol/l desirable. she has not been complaint with her diet.
what further info would u obtain from her b4 advising her on her diet?

discuss the primary prevention of intellectual disabilities in children 12 yrs and below. what are the health and social needs of children with such disabilities>

discuss the health consequences of obesity and the measures that can be taken to control obesity in the population.

discuss the role of earlty intervention programmes for children with physical disabilities.
or intellectual disabilities.

why is the health of school children impt? discuss their health needs.

discuss the rol eof the the doctor in the prevention of disabilitioes among pre school children.


in a survey of 30 clerical staff in a company, a qeustionaire was administered to assess the work stress scores and the depression scores. the work stres scale ranges from 0 to 20 with 20 indicating high stress. the depression scaleranges from 0 to 9 with 9 indicating severe depression. a strong positive relationship between the two scores was seen. the authors concluded thaty work stress among clerical staff in the company leads to depression.
what is the study design? draw a diagram to show the relationship btwn work stress and depression scores.
comment on the conclusion of th eauthors.

in a rct of antiviral therapy in reducing the risk of hcc in hep b virus carries, 651 asian pt with hbv related cirrhosis were randomized to receive lamivudine or placebo. development of hcc on followup was taken as an end point of study. after a median followup of 32 monhs, hcc was diagnosed in 3.9% of the lamivudine treated patients and in 7.4% of the controls. (p=0.047)
comment on the use of a placebo in this trial, making specific reference to the study hypothesis in your asnwer.
from the results given, is there any evidence that the anti viral drug lamivudine reduses subsequent development of hcc in HBV carriers?
what further information would you like to help you judge if such therapy should be instituted for similar patients outside the trial,. explain your answer.


om
discuss the occupational factors that yuou would consider in the mangement of a pt presenting with type 2 dm.
desribe the management of a needle stick injuries in a health care worker.

as a gp , how would you manage a 35 y o female worker who is exposedto inorganic lead and suffering from bleeding hemorrhiods? exclude therapeutic detials.

u r a doctor in the poly, your pt adrian is a 32 y o foreign construction worker who complainsof having high fever associated with generalized body aches for the past 4 days.
give 3 of the most likely differential diagnosee and the history yu wld take to differentiate betwn them
what phyiscal signs wld u look for to help u in your diagnossi?>
what are the indications for a referral to the hospt?

a secretary in an office uses a computer for most of tghe working day. what are some of the ehalty effcts associated with this type of work?
how can these effects be prevented?

write notes on occupational health problems of nurses, motor vehicle mechanics.

a healthy 26 y o technical officer who has been offered a postition in a uni sci lab comes to u for her preemployment examination. she plans to have her first child in the near future.
what questions would u ask her in the history taking?
wha8t advice would u give her?
]
\