Screening QI1. A PCN proposes screening every adult for a rare, untreatable enzyme variant using an expensive blood test. Which Wilson and Jungner concern is greatest? The most appropriate action is: There is no agreed effective treatment at a recognisable stage that would justify population case-findingTRUE. TrueFALSE. FalseCheck
Screening QI2. Which Wilson and Jungner idea best explains why a one-off Saturday ‘heart MOT’ stall is not equivalent to a national screening programme? The most appropriate action is: Any stall that uses a BP cuff meets UK NSC standardsTRUE. TrueFALSE. FalseCheck
Screening QI3. A 62-year-old man asks what the English bowel screening programme currently uses as the home test.A. Immediate colonoscopy for every inviteeB. Guaiac faecal occult blood testing as the only first-line kitC. Serum CEA posted from homeD. A faecal immunochemical test (FIT) kitCheck
Screening QI4. A 53-year-old woman feels a new hard breast lump. She is due routine mammographic screening in 4 months. What should the GP do?A. Refer on the suspected-breast-cancer pathway nowB. Advise waiting for the screening mammogram because it is more accurate than clinical examinationC. Discharge because screening invitation implies she is low riskD. Start tamoxifen in primary care while awaiting screeningCheck
Screening QI5. What test does the English NHS abdominal aortic aneurysm screening programme use in invited men?A. Contrast CT aortogram as the invitation testB. Abdominal ultrasound measurement of aortic diameterC. D-dimerD. Abdominal plain radiographCheck
Screening QI6. NICE says do not routinely offer a test that a well 40-year-old requests after a magazine article. Which response best matches NICE language? Select TWO correct statements.Select all that apply.A. Most appropriate: Explain why it is not offered routinely and do not arrange it without a clinical indicationB. The following is not the most appropriate next step: Offer it because patient request always overrides ‘do not routinely offer’C. Most appropriate: ‘Do not offer’ means the GP will be struck off if they discuss itD. Most appropriate: Order it privately on an NHS form to avoid the wordingCheck
Screening QI7. After shortening appointments to raise same-day access, emergency admissions rise. Those admissions are best labelled as what?A. A structural measure of bricksB. A forest-plot interceptC. A balancing measure of unintended harmD. Proof that process measures are illegalCheck
Screening QI8. After a delayed cancer referral is recognised, which statement about duty of candour is most accurate? Select TWO correct statements.Select all that apply.A. Most appropriate: The patient should be informed, given an apology and a factual explanation; this is not the same as admitting civil liabilityB. The following is not the most appropriate next step: Candour forbids any apology until the NHS Resolution lawyer attendsC. Most appropriate: Candour only applies if the patient asks a direct questionD. Most appropriate: A significant event meeting replaces speaking to the patientCheck
Screening QI9. A family complains about a missed diagnosis. The practice also holds a significant event meeting. How do these relate?A. Complaint handling and SEA can run in parallel; SEA is for learning, not a replacement for a complaint responseB. SEA legally extinguishes the complaintC. Complaints forbid any internal learning meetingD. SEA is the same as a NICE technology appraisalCheck
Screening QI10. A 61-year-old man declines bowel screening after a full discussion of FIT, colonoscopy, and false positives. What is the most appropriate GP stance? The most appropriate action is: Respect the informed decision, record it, and safety-net bowel symptomsTRUE. TrueFALSE. FalseCheck