Scenario 1


Suggested Objectives: a student should be able to:
  1. Discuss the concepts of health, illness and disease.
  2. Discuss the concept of the ‘sick role’.
  3. Discuss the physiological basis for phenomena such as stress and anxiety and briefly describe their effects on individuals.
  4. Outline the role of the General Practitioner in health provision.
  5. Describe the GP's role in managing complaints such as stress and anxiety

Scenario 2


Suggested Objectives: a student should be able to:
  1. Discuss the concept of “illness behaviour”.
  2. Discuss the variation in the response of different individuals to health and illness.
  3. Discuss the triggers that result in consultation.
  4. Outline strategies used to assess the health of populations and define incidence and prevalence.
  5. Discuss the concept of the “iceberg of illness”.
  6. Discuss how mental health problems illustrate the above.

Scenario 3


Suggested Objectives: a student should be able to:
  1. Describe the nutritional components of a healthy human diet.
  2. Describe in broad terms the processes of digestion and absorption.
  3. Describe the physiological, psychological and socio-cultural components of normal eating behaviour.
  4. Discuss the methods used to determine the adequacy of a diet in terms of nutrition and energy.
  5. Discuss recommendations for ensuring a healthy diet for individuals and society.
  6. Discuss the issues relevant to an adolescent consulting a doctor

Scenario 4


Suggested Objectives: a student should be able to:
  1. Define ‘energy’ and discuss the energy needs of the organism
  2. Outline the central role of Acetyl CoA in metabolism
  3. Review the general features of the mitochondrion
  4. Discuss the roles of ATP, cofactors and co-enzymes in energy metabolism.
  5. Outline the key features of the Krebs Cycle and Oxidative Phosphorylation
  6. Describe the range of possible reasons for the presentation of fatigue.
  7. Discuss the GP’s approach to symptoms like fatigue

Scenario 5


Suggested Objectives: a student should be able to:
  1. Define the term ‘drug’ and discuss therapeutic use of drugs.
  2. Discuss the concept of drug misuse/abuse.
  3. What are neurotransmitters, how do they work and how are they controlled?
  4. Identify and group the most commonly misused drugs; briefly discuss their mechanisms of action and their effects
  5. Describe the effect of drugs on society as a whole.
  6. Describe the role of a police surgeon/forensic physician

Scenario 6


Suggested Objectives: a student should be able to:
  1. Outline the consequences (physical, psychological and social) of alcohol consumption
  2. Summarise the natural history of addiction (experimentation, habituation, deterioration or cessation)
  3. Outline some of the reasons why some sections of society seem to be more vulnerable to addiction, and seem to be unable to help themselves
  4. Examine his or her own attitudes to addicts and addictions
  5. Appreciate the importance of audit in clinical practice, and how information technology can be used to support this (e.g. The NHS GPASS)

Scenario 7


Suggested objectives: a student should be able to:
  1. Review the structures and functions of the respiratory system.
  2. Outline the associations between cigarette smoking and lung disease and describe what happens to the lungs during the development of COPD
  3. Summarise the factors affecting smoking behaviour, habituation, cessation etc.
  4. Outline the consequences of smoking to the individual and society
  5. Discuss in broad terms the likely causes of cough
  6. Appreciate the difference between chronic bronchitis and emphysema
  7. Describe the pattern of these diseases in the community.
  8. Understand the appropriate investigations in the management of COPD

Scenario 8


Suggested objectives: a student should be able to:
  1. Discuss in broad terms the likely causes of asthma
  2. Speculate on a) the rise in incidence of asthma; b) its underdiagnosis
  3. Describe what happens to the lungs during the development of reversible obstructive lung disease (asthma)
  4. Compare and contrast chronic obstructive pulmonary disease and asthma in terms of morbidity and mortality, causes, clinical features, effects on respiratory physiology, potential approaches to management
  5. Discuss factors influencing patient adherence/compliance.