ORG Planetary QI1. A practice plans to ‘do QI’ by auditing once and giving a lecture. What is missing from the Model for Improvement? The most appropriate action is: Sequential PDSA cycles testing a change, not a one-off audit-then-lectureTRUE. TrueFALSE. FalseCheck
ORG Planetary QI2. Which aim statement is written in improvement style? Select TWO correct statements.Select all that apply.A. Most appropriate: Increase the proportion of asthma patients with a written action plan from 40% to 70% within 6 months in this practiceB. The following is not the most appropriate next step: ‘Do better’ with no number, time or populationC. Most appropriate: ‘Be the best practice in England’ with no measure in this NHS general-practice setting which is not the safest next step in NHS general practiceD. Most appropriate: ‘Audit something sometime’ in this NHS general-practice setting which is not the safest next step in NHS general practiceCheck
ORG Planetary QI3. You introduce a same-day deep-vein-thrombosis pathway. Which is a balancing measure? The most appropriate action is: Increase in emergency admissions that might represent over-referral or harm elsewhereTRUE. TrueFALSE. FalseCheck
ORG Planetary QI4. How can MART (ICS-formoterol) reduce inhaler carbon as a co-benefit? Select TWO correct statements.Select all that apply.A. Most appropriate: Fewer SABA pMDI canisters if control improves, alongside the NG245 clinical indicationB. The following is not the most appropriate next step: MART exists only as a carbon scheme with no clinical evidenceC. Most appropriate: SABA-only is greener and clinically preferred in NG245D. Most appropriate: Carbon benefit replaces the need for an action planCheck
ORG Planetary QI5. A significant event analysis of a delayed cancer diagnosis is being written. What is SEA for? Select TWO correct statements.Select all that apply.A. Most appropriate: Learning from a case to improve systems — it is not by itself a complaint response or a duty-of-candour disclosure, though they can coexistB. The following is not the most appropriate next step: SEA replaces duty of candour so no patient is toldC. Most appropriate: SEA is identical to a research protocol in this NHS general-practice setting which is not the safest next step in NHS general practiceD. Most appropriate: SEA is only for never events in operating theatres in this NHS general-practice setting which is not the safest next step in NHS general practiceCheck
ORG Planetary QI6. A delayed 2WW caused harm. What does professional/statutory candour require at core?A. Never tell the patient because lawyers said so as GMC defaultB. Candour is only for never events in hospital in this NHS general-practice settingC. An apology is forbidden in the NHS in this NHS general-practice settingD. Inform, apologise, explain what happened, and record — not the same as admitting legal liabilityCheck
ORG Planetary QI7. Which prescribing error is the memorable never-event cousin in GP?A. Methotrexate issued and taken daily instead of weeklyB. A single missed vitamin D tablet in this NHS general-practice settingC. Choosing a DPI instead of a pMDI in this NHS general-practice settingD. Documenting smoking status in this NHS general-practice settingCheck
ORG Planetary QI8. A new black-triangle medicine causes a suspected rash. What should you do?A. Never report suspected ADRsB. Report to MHRA Yellow Card even if the association is not provenC. Yellow Card is only for vaccines in hospitals in this NHS general-practice settingD. Wait 10 years before reporting in this NHS general-practice settingCheck
ORG Planetary QI9. A company sells a highly accurate blood test for a rare untreatable condition in well people. Why might this fail screening criteria?A. Accuracy alone always equals an NHS screening programmeB. Overdiagnosis is a benefit in all screeningC. Wilson and Jungner: a suitable test is not enough — there must be an accepted treatment that does more good than harm, and a programme not a one-off shop testD. UK NSC never considers harmCheck
ORG Planetary QI10. Survival from diagnosis looks longer after screening because the clock started earlier, but death date is unchanged. What bias is this?A. Lead-time bias in this NHS general-practice settingB. Length-time bias onlyC. Recall bias only in this NHS general-practice settingD. Hawthorne effect only in this NHS general-practice settingCheck