Public Health Medicine
2002 Vol.4 No.2: 33-68
 
MCQ Questions Vol.4 No.2


(A Britton)

• Mark each of the following statements as true or false:
1. People who choose to drink a particular kind of beverage often have other associated behavioural characteristics.
2. The tendency for nationally representative beverages is increasing among the European Union countries.
3. Randomised controlled trials are valuable because they minimise the effects of confounding.
4. When conducting literature reviews it is important to be aware of possible publication biases.
5. It does not matter whether the weekly alcohol units are consumed in one drinking session or consumed over several drinking days.
 
• The following statements as true:
6. Wine was found to be associated with a healthier diet.
7. Wine drinking is more prevalent among smokers and the physically inactive.
8. Beverage choice is not associated with social class.
9. Wine drinkers are more likely to drink heavily.
10. Drinking without food may be associated with an increased prevalence of alcohol related liver disease.

 
(S S Bakhshi)
• Section 47 of the National Assistance Act:
11. Is the legal responsibility of NHS.
12. Does not allow for specific medical treatment.
13. Evidence shows that its use is not linked to social circumstances.
14. Annual reports must be published.
15. Any public health consultant is authorised to apply for it.
 
• The following statements are true:
16. The use of section 47 is on the increase as people are living longer.
17. Section 47 is perceived by some public health practitioners as an abuse of human right.
18. All the conditions neccessating a Section were due to brain disorders.
19. Between one-third and one-half of the "proper officers" did not use Section 47.
20. Removal to a place of safety is not in itself a better alternative.

 
(S S Bakhshi)
• The Emergency Order (1951 Amendment):
21. Extends the criteria for use of compulsion.
22. Does not allow appeal against an order.
23. Allows a 'proper officer' to act independently.
24. Is less often used than the main act itself.
25. Expects the 'proper officer' to take over the responsibility for care of the person under a compulsory order.
 
• The full order of Section 47:
26. Seven days notice must be served to the court.
27. No additional criterion to be met.
28. A joint certificate from the "proper officer" and a registered medical practitioner is needed.
29. Order lasts six months.
30. Order could be extended for up to another three months.

 
(D N Baxter, C Baxter, L Fincham, D Ball, J Watkeys, J Chapman & R Banarsee)
• The following is a true statement about Patient Group Directions (PGDs):
31. PGDs are mechanisms for delegating responsibility to nurses enabling them to administer medicines.
32. PGDs and Group Protocols are the same document but the former is used in England and the latter in Scotland.
33. PGDs enable a medical practitioner to transfer legal responsibility for vaccinating to the nurse who carries out the procedure.
34. PGDs cover administration of all drugs (including vaccines licensed or unlicensed).
35. PGDs require only the doctor's agreement for their implementation.
 
• The following have been raised by professionals regarding the use of Patient Group Directions:
36. Legal issues (including consent).
37. Role uncertainty.
38. Deskilling of doctors.
39. All of the above.
40. None of the above.

 
(D Cunningham, S Rawaf, M Collins & H Dodhia)
• The overall impression about health care in 8 prisons through the HNA include:
41. In general Primary Care is better than that provided within the wider NHS.
42. There were few real attempts to incorporate services within the NHS.
43. Mental Health is provided in fragmented ways.
44. Nom preventative programme to promote Mental Health.
45. Only two of the eight prisoner services provide detox services.
 
• Public Health Appraisal identified the following issues:
46. The top issues affecting health include Rigid prison regime & lack of modern Primary Care services.
47. High Mental Health care needs were not considered high presently.
48. There is widespread adoption of innovative approaches.
49. Sex offender programmes are available through the prison.
50. A common theme was the large lack of evidence-base.

Copyright© Rila Publications. All rights Reserved
Produced by Rila Publications Ltd. webmaster@rila.co.uk
CONTENTS:
Editorial
J Watson
ISSUES
ARTICLES
Does it matter what you drink?
Differential health effects by beverage type

A Britton
Review of theory and practice of Section 47 of the National Assistance act 1948 and National Assistance (Amendment) Act 1951 in England and Wales
S S Bakhshi
National Assistance Act 1948, Section 47 and National Assistance (Amendment) Act 1951 in England and Wales: Code of Practice
S S Bakhshi
Standardising Immunisation Practices: a preliminary survey of the role of Patient Group Directions
D N Baxter, C Baxter, L Fincham, D Ball, J Watkeys, J Chapman & R Banarsee
Prisoners health needs: Can the health needs assessment of London prisons influence the future health status of prisoners: a public health appraisal?
D Cunningham, S Rawaf, M Collins & H Dodhia
Public Health around the World
Public Health in Kuwait

K A Al-Saqabi
A day in the working life of...
Peter Dewhurst

P Dewhurst
REGULAR FEATURES
MCQ Answers Vol.4 No.1
MCQ Questions Vol.4 No.2