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Topics

1.      Introduction to the principles of family medicine and the focus on ‘family’ in family
practice

2.      The process of care in general practice and hospital settings

3.      Clinical decision-making in family practice

4.      Approach to a patient presenting with abdominal pain

Questions

1.

1.1. List nine principles of family medicine

1.2. Describe the Roles and Functions of the family physician

1.3. Discuss the advantages of Hypothetico-deductive reasoning in the Diagnostic process in


primary care over other methods of clinical reasoning

2. Write short notes on following

2.1. The open-ended commitment to patients.

2.2. Comprehensive care.

3.

3. A 24-year-old married female presents with right iliac fossa pain.

3.1. List five probable causes for her presentation.

3.2. Outline the nature of the pain and associated clinical features of the two most probable
conditions that demand urgent attention and management.

4. Please complete the following table:


No Causes Character of pain Examination Investigations
finding (Basic & Specific)
  & Features
 
 
1. Gastroenteritis      
2. Peptic ulcer disease      

Perforated peptic ulcer


3. Appendicitis      
4. Acute cholecystitis      
5. Biliary colic      
6. Acute pancreatitis      
7. Intestinal perforation      
8. Intestinal obstruction      
9. Ureteric calculi      
10. Pyelonephritis      
11. Ruptured /twisted      
Ovarian cyst
12. Ectopic pregnancy      

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