Test yourself on chronic fatigue syndrome (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is there any evidence that anti-virals are useful in post-viral fatigue syndrome/ ME?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on CFS.

Test yourself on chronic fatigue syndrome (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Does methylphenidate reduce the symptoms of chronic fatigue syndrome?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the RCT click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the RCT?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on CFS.

Test yourself on chronic fatigue syndrome (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is cognitive behaviour therapy useful in chronic fatigue syndrome?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NCCHTA review click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NCCHTA review?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on CFS.

Test yourself on schizophrenia (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is depot fluspirilene effective for schizophrenia?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Cochrane review click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the Cochrane review?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on schizophrenia.

Test yourself on schizophrenia (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Are benzodiazepines useful in schizophrenia?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Cochrane review click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the Cochrane review?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on schizophrenia.

Test yourself on schizophrenia (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What are the risk factors associated with suicide in schizophrenics?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Bandolier article click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the Bandolier article?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on schizophrenia.

Test yourself on depression (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Are psychosocial interventions by primary care physicians as effective as antidepressants for symptom relief in patients with major depression?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the FPIN answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the FPIN answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on depression.

Test yourself on depression (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is there any evidence for the use of EPA in the treatment of depression, especially chronic depression?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on depression.

Test yourself on depression (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Do ultra-short screening instruments accurately detect depression in primary care?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the BJGP article click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the BJGP article?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on depression.

Test Yourself on alcohol abuse (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Can opportunistic screening for alcohol use disorders in primary care be worthwhile?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the BMJ article click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the BMJ article?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on alcohol abuse.

Test Yourself on alcohol abuse (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: How useful is carbohydrate deficient transferrin (CDT) as a marker for alcohol abuse? what are its limitations?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patient?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on alcohol abuse.

Test Yourself on alcohol abuse (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.
Step 1 Question: In patients with a probable physical dependance on alcohol what is the recommended rate reducing alcohol consumption in the community?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the FPIN answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on alcohol abuse.

Test yourself on knee osteoarthritis (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Does glucosamine or chondroitin reduce pain, improve functional status, or improve prognosis in patients with osteoarthritis?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the FPIN answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the FPIN answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on knee osteoarthritis.

Test yourself on knee osteoarthritis (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What are the prognostic factors of knee osteoarthritis (OA) progression?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the article click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the research?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on knee osteoarthritis.

Test yourself on knee osteoarthritis (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What is the evidence for the effectiveness of hyaluronic acid injection for osteoarthritis (OA) of the knee?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the ATTRACT answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the ATTRACT answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on knee osteoarthritis.

Test Yourself on falls (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Does vitamin D supplementation reduce the risk of falls in elderly nursing home residents?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the RCT abstract click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the research?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on falls.

Test Yourself on falls (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What is the most effective intervention to reduce fear of falling in older people who have fallen?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on falls.

Test Yourself on falls (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What is the evidence that hip protectors prevent falls in elderly people?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on falls.

Test Yourself on chronic low back pain (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Are psychological interventions useful for chronic low back pain?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Health Psychology meta-analysis click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the meta-analysis?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on chronic low back pain.

Test Yourself on chronic low back pain (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Exercise and chronic low back pain: what works?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the DARE systematic review click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on DARE review?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on chronic low back pain.

Test Yourself on chronic low back pain (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.
Step 1 Question: Is transcutaneous electrical nerve stimulation (TENS) effective for chronic low-back pain?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Cochrane systematic review click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on Cochrane review?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on chronic low back pain.

Test Yourself on childhood immunisations (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: In the new child immunisation schedule to be commenced this summer, what are the recommended sites for injection when the baby attends for 3 shots at the same time?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on childhood immunisations.

Test Yourself on childhood immunisations (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: A baby age 18 months has arrived in England from Eritrea. Mother says she has had all the baby injections in that country but can't find out what exactly were the injections. What immunisation should this baby have?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on childhood immunisations.

Test Yourself on childhood immunisations (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Following baby immunisations, is there any evidence that we should be recommending parents give a dose of paracetamol as standard practice?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on childhood immunisations.

Test Yourself on acute low back pain (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is the addition of complementary and alternative medicine therapies for acute LBP worthwhile?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the research results click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the Spine article?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on acute low back pain.

Test Yourself on acute low back pain (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: How does acupuncture performed in a primary care setting for mechanical low back pain compare with outcomes from standard physiotherapy treatment?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on acute low back pain.

Test Yourself on acute low back pain (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Does formal physiotherapy treatment improve either the long term outcomes or short term pain relief in the management of acute mechanical back pain, compared with simple advice and analgesia and NSAIDs?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on acute low back pain.

Test Yourself on Statins (4)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Can statins be taken in the morning rather than at night as patients often forget night time medication?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on statins.

Test Yourself on Statins (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What is the upper age limit for the use of statins?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on statins.

Test Yourself on Statins (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What monitoring is necessary for a patient on a statin?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on statins.

Test Yourself on Statins (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: A patient develops painful muscles on a statin. It settles on stopping the meds. Is it worth retrying the same statin, switching to another statin, or avoiding all statins?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on statins.

Test Yourself on Nocturnal Enuresis (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is Desmopressin effective in nocturnal enuresis?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Cochrane conclusion click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the Cochrane review?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on nocturnal enuresis.

Test Yourself on Nocturnal Enuresis (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Are alarm interventions effective in nocturnal enuresis?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Cochrane conclusion click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the Cochrane review?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on nocturnal enuresis.

Test Yourself on Nocturnal Enuresis (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is there any evidence that nocturnal enuresis is linked to enlarged tonsils/adenoids or any evidence that nocturnal enuresis is cured by tonsillectomy?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the ATTRACT answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the ATTRACT answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on nocturnal enuresis.

Test Yourself on Autism (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What is the evidence for the effectiveness of behavioural and skill-based early intervention in young children with autism spectrum disorder (ASD)?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the HTA conclusion click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the HTA conclusions?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on autism.

Test Yourself on Autism (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is there a role for Risperidone in autism?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Cochrane conclusion click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the Cochrane conclusions?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on autism.

Test Yourself on Autism (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What benefit is there in eliminating gluten and casein from the diet of an autistic child?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on autism.

Test Yourself on Childhood Asthma (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Are overweight or obese children who wheeze more likely to be diagnosed with asthma than non-obese children?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on asthma and children.

Test Yourself on Childhood Asthma (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is it reasonable to advise short-term use of ibuprofen in feverish children with h/o of asthma?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on asthma and children.

Test Yourself on Childhood Asthma (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is there any evidence to suggest a link between paracetamol and asthma or wheezing in children or paracetamol taken in pregnancy and wheezing?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on asthma and children.

Test Yourself on Smoking Cessation (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Are antidepressants effective in smoking cessation?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the Cochrane answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the Cochrane answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on smoking cessation.

Test Yourself on Smoking Cessation (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What product and formulation related factors should be considered when selecting nicotine replacement therapy (NRT)?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the UK Medicines Information answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the UK Medicines Information answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on smoking cessation.

Test Yourself on Smoking Cessation (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is it safe to prescribe nicotine replacement therapy in pregnant women?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the ATTRACT answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the ATTRACT answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on smoking cessation.

Test Yourself on DVT (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: A man with a previous DVT and PE how long does he remain at increased risk of future dvt/PE?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on DVT.

Test Yourself on DVT (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: How useful is the D-dimer test in diagnosing DVT?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on DVT.

Test Yourself on DVT (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What is the most appropriate therapy for a patient with a calf deep venous thrombosis (DVT)?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the FPIN answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the FPIN answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on DVT.

Test Yourself on Anticoagulation (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: For women using anticoagulants what contraceptive options are safe?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the FFPRHC answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the FFPRHC answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on anticoagulation.

Test Yourself on Anticoagulation (2)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: In patients on warfarin does the presence of asymptomatic microscopic haematuria on routine dipstick testing warrant routine follow up?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on anticoagulation.

Test Yourself on Anticoagulation (1)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: How soon before and after surgery should prophylactic anticoagulation be stopped/restarted?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on anticoagulation.

Test Yourself on AAA (3)

You will find below a number of real life clinical questions. These are queries that have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: In patients suspected of having abdominal aortic aneurysms is ED bedside ultrasound performed by EM physicians as good as that performed by radiologists at accurately detecting AAA?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the BestBETs answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on AAA.

Test Yourself on AAA (2)

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What is the likely mortality/complication rate from an undiagnosed aneurysm versus the mortality/ complication rate from an elective repair?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on AAA.

Test Yourself on AAA (1)

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: In a patient with an established abdominal aortic aneurysm is there any evidence that statins prevent expansion +/or rupture?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on AAA.

Test Yourself on Atrial Fibrillation (3)

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: For women using anticoagulants what contraceptive options are safe?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?
  

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on Atrial Fibrillation.

Test Yourself on Atrial Fibrillation (2)

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is a loading dose of warfarin necassary in uncomplicated atrial fibrillation?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on Atrial Fibrillation.

Test Yourself on Atrial Fibrillation (1)

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.
Step 1 Question: How much of a risk is atrial flutter compared with atrial fibrillation for causing stroke. Is there evidence to show anticoagulation is still worthwhile in flutter?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

Was my answer correct?
Do you have any comments on the NLH Q&A Service answer?
What have I learned?
Are there any changes I need to make to my practice?
What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on Atrial Fibrillation.

Test Yourself on Heart Failure (3)

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: What exactly are the mechanisms through which low dose beta-blockers act to give benefit in heart failure?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on Heart Failure.

Test Yourself on Heart Failure (2)

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: When would you use oxygen in a patient diagnosed with heart failure? Are there any contraindications?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on Heart Failure.

Test Yourself on Heart Failure (1)

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective questions below.

Step 1 Question: Is a BNP blood test a good screening test for identifying heart failure and is it cost effective?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. If you have not already used the resource you may wish to explore further learning by visiting the TRIP Evidence Review on Heart Failure.

Test yourself on Restless Leg Syndrome

You will find below a number of real life clinical questions. These are queries that GPs have generated from patient encounters. To test yourself read the questions, jot down your answer and then link to the evidence based answer. To record your learning you may choose to complete the reflective document (link here)


Step 1 Question: A lady with terrible restless legs and a low ferritin of 7.5 (ref range 12-230) but a normal Hb. is it worth putting her on iron?

Step 2 Your Answer: Record what you think the answer is.

Step 3 To view the NLH Q&A Service answer click here.

Step 4 Reflection. Answer the following questions:

• Was my answer correct?
• Do you have any comments on the NLH Q&A Service answer?
• What have I learned?
• Are there any changes I need to make to my practice?
• What does this mean for my patients?

Step 5 Further Learning. For further learning visit the TRIP Evidence Review on Restless Leg Syndrome.