Addiction Medicine – KFP public report review 2016-2024 topics in exam

Key Medical Topics in Addiction Medicine Cases

Alcohol Consumption Reduction in a Truck Driver
- Key Topics:
  - History taking
  - Education on pharmacological management
  - Handling licence condition contraventions
- Improvement Areas:
  - Enhance strategies for alcohol reduction
  - Understand the medicolegal aspects of patient care
Acute Alcohol Intoxication and Cessation in a Young Adult Male
- Key Topics:
  - Examination findings
  - Initial investigations
  - Pharmacological management for alcohol cessation
- Improvement Areas:
  - Provide specific examination findings
  - Tailor pharmacological management to support alcohol cessation

Migraine and Drug Seeking
- Key Topics:
  - Assessing and managing migraine in the context of potential drug-seeking behavior
- Improvement Areas:
  - Be concise and avoid lists or justifications in management responses
  - Avoid prescribing inappropriate medications like pethidine
Opiate Prescription Management
- Key Topics:
  - Managing opiate prescriptions
  - Dealing with lost prescriptions
  - Medico-legal issues regarding stolen prescriptions
- Improvement Areas:
  - Develop strategies for safe opiate prescribing
  - Handle lost prescriptions securely
  - Respond appropriately to medico-legal concerns
Post-Surgery Pain and Opiate Reduction
- Key Topics:
  - Management of post-operative pain
  - Opiate prescription adjustment
- Improvement Areas:
  - Comprehensive pain management strategies
  - Appropriate medication adjustments post-surgery

Management of Scheduled Drug Use
- Key Topics:
  - History exploration for scheduled drug use
  - Management rationalization
- Improvement Areas:
  - Thorough history taking
  - Rationalizing scheduled drug management

Chronic Pain Management
- Key Topics:
  - Opiate prescription request
  - Chronic pain assessment
- Improvement Areas:
  - Differentiate between physical and psychological triggers
  - Consider non-opioid pain management strategies
  - Improve question comprehension

Substance Use Management
- Key Topics:
  - Identification of symptoms and signs of volatile substance use
  - Understanding the specific risk factors for volatile substance use in adolescents
  - Harm minimization approaches
  - Developing non-judgmental support strategies
  - Family and community involvement in the management plan
  - Emergency department management
- Improvement Areas:
  - Provide a comprehensive harm minimization plan
  - Tailor supportive approaches to the patient’s context
  - Adapt general harm minimization principles to specific cases