Practitioner CPD exercise
When you have answered the questions below and overleaf, based on articlesin this issue, tear out the page and put it in your personal development plan
MYASTHENIA GRAVIS 5 List any changes to your clinical 8 Which of the following statements 1 Which of the following statements practice that you may make having are true? about myasthenia gravis (MG) are read this article. A Labyrinthitis may be caused by A Patients who have negative antibodies True ❑ False ❑
and normal neurophysiology may stillhave MG
B If Hallpike’s test is positive then an True ❑ False ❑
Epley manoeuvre should be performed True ❑ False ❑ B Most patients need treatment with prednisolone C With central causes of nystagmus, True ❑ False ❑
visual fixation makes diagnosis difficult True ❑ False ❑ C Acetylcholinesterase inhibitors reduce the breakdown of ACh in D Acute vestibular failure may be True ❑ False ❑ True ❑ False ❑ D Plasma exchange is sometimes 9 List any changes to your clinical practice that you may make having True ❑ False ❑ read this article. E A typical GP practice with 10,000 patients is likely to have four patients with MG True ❑ False ❑ 2 What are the two most common presenting features? 3 If the symptoms remain purely ocular for more than two years what is the likelihood of symptom progression? 6 List three red flag features warranting urgent referral and investigation 4 Match the treatments with the statements A Acetylcholinesterase inhibitor B Prednisolone 7 Complete the following sentences C Pyridostigmine concerning Ménières disease. D Azathioprine E Thymectomy
. and . The typical symptomcomplex consists of episodic . 1 Short half life 2 Liver toxicity 3 First-line treatment 4 Beneficial in younger patients 5 Immunomodulatory treatment thepractitioner.co.uk CHLAMYDIA B Women with PID who test positive 10 List five signs or symptoms that may suggest possible chlamydia infection in men. True ❑ False ❑ C Asymptomatic individuals with two or more sexual partners in the past two months should be offered screening True ❑ False ❑ D After treatment patients do not need follow up True ❑ False ❑ EDITORIAL 11 Jane is a 25-year-old dental nurse. 14 A GP sees several patients with She informs you that her previous E Test (NAAT) results may remain similar symptoms and suspects boyfriend has told her that he has a these are due to environmental chlamydia infection. She asks if she contamination. Which organisation can be tested for the condition. True ❑ False ❑ should suspicions be reported to? A Jane does not want you to perform a vaginal examination. What other 13 List any changes to your clinical practice that you may make having 15 If she fails to report the suspicions read this article. which sanctions may be applicable? A GMC True ❑ False ❑ B She tests positive for chlamydia, she B Civil courts True ❑ False ❑ C Criminal courts True ❑ False ❑ C What other advice would you give relating to treatment? 16 Which of the following statements are true? A Notification can be ‘undone’ if an alternative diagnosis is established True ❑ False ❑ D She has a current boyfriend whom she has not seen for five weeks, should B Currently the authorities are
informed of most cases of notifiable infectious disease True ❑ False ❑ 12 Which of the following C Notification must always be carried statements are true? A Partner notification should be done True ❑ False ❑
exclusively by the STI clinic True ❑ False ❑ thepractitioner.co.uk
ICC Commission on Customs and Trade Facilitation WCO 51st Harmonized System Committee Meeting March 6-15, 2013 Working Party: March 4-5, 2013 Brussels, Belgium Minutes provided by Ken Montgomery and Hans Driessen, ICC Committee on Customs and Trade Regulations [email protected][email protected] Presiding over the meeting: Mr. Favale Director of Tariff and
CAMP SMITH POLICIES AND PROCEDURES CHAPTER 6 – ENVIRONMENTAL CONSIDERATIONS JULY 2009 6-1 Camp Smith follows the principles of Integrated Training Area Management (ITAM). ITAM is a trainer run environmental protection program implemented to insure that our training areas will be usable for centuries to come and that our war fighting training will not negatively affect the training areas and th