Learning Disability1. Learning disability is best described as: Select TWO correct statements.Select all that apply.A. Most appropriate: A significant impairment of intellectual functioning and adaptive behaviour beginning in developmentB. The following is not the most appropriate next step: A synonym for schizophreniaC. Most appropriate: The same as dyslexia onlyD. Most appropriate: A synonym for autism in all casesCheck
Learning Disability2. NHS England LD annual health checks are generally commissioned from what age?A. Only after age 65B. Only inpatientsC. 14 years and over for people on the LD register (DES)D. Age 2 as a legal maximum ageCheck
Learning Disability3. What should an annual LD check produce besides opportunistic QOF codes?A. A DNAR as a default because of LDB. Automatic stopping of all cancer screeningC. A risperidone start for shouting without assessmentD. A health action plan the person can use (easy-read as needed)Check
Learning Disability4. A man with LD is on long-term risperidone for 'behaviour' with no psychosis. What is the STOMP-aligned GP role?A. Review the indication with specialists; do not let antipsychotics drift lifelong without a diagnosis of mental illnessB. Increase the dose at every annual check automaticallyC. Never review psychotropics in LDD. Add a second antipsychotic in GPCheck
Learning Disability5. New agitation in a non-verbal person with LD. What error must you avoid? The most appropriate action is: Examining for physical causesTRUE. TrueFALSE. FalseCheck
Learning Disability6. A 58-year-old with LD has new constipation, weight loss and iron-deficiency anaemia. Staff say 'he always holds on'. What is the most appropriate action?A. No investigation because LD explains weight lossB. Start risperidone for the constipationC. Investigate along NG12 lines — do not let known constipation cancel cancer red flagsD. Cancel bowel screening permanently without discussionCheck
Learning Disability7. Cervical screening in a woman with LD who is anxious. What is the Equality Act-aligned approach? The most appropriate action is: Mark as 'unsuitable' without offering adjustmentsTRUE. TrueFALSE. FalseCheck
Learning Disability8. A man with moderate LD wants a flu jab and can explain the basics after easy-read. What is true?A. Any LD diagnosis means no capacity for any decisionB. Only consultants can assess capacityC. Capacity is decision-specific — he may have capacity for this even if he lacks it for a complex financial decisionD. Flu vaccine cannot be given with capacityCheck
Learning Disability9. Before concluding someone lacks capacity, what must you do? The most appropriate action is: Decide in the corridor in 30 seconds as best practiceTRUE. TrueFALSE. FalseCheck
Learning Disability10. If they lack capacity for a blood test that is in their interests, what principle applies? Select TWO correct statements.Select all that apply.A. Most appropriate: Best interests and least restrictive option (consider IMCA when required)B. The following is not the most appropriate next step: The nearest relative may demand anything including researchC. Most appropriate: Do the most invasive option firstD. Most appropriate: Sedate without any best-interests recordCheck