Practice Test Geeks(FACRRM) Fellowship of the Australian College of Rural and Remote Medicine Practice Test
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Assessment and Evaluation Flashcards

7 cards from real FACRRM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Assessment and Evaluation flashcards as text

  1. A quality use of medicines (QUM) audit in a rural aged-care facility reviews prescribing appropriateness. Which tool is specifically designed to identify potentially inappropriate prescribing in older adults?

    Answer: STOPP/START criteria

    STOPP (Screening Tool of Older Persons' Prescriptions) and START (Screening Tool to Alert to Right Treatment) are validated criteria widely used in Australian and international settings to identify inappropriate prescribing in elderly patients.

  2. A remote GP wants to assess health literacy levels in a community as part of a needs assessment. Which validated tool is most commonly used to screen for limited health literacy?

    Answer: REALM-SF (Rapid Estimate of Adult Literacy in Medicine-Short Form)

    The REALM-SF is a validated brief health literacy screening tool that assesses a patient's ability to read and understand common medical terms.

  3. In clinical assessment, a GP demonstrates anchoring bias when evaluating a patient with fever and confusion in a remote setting. This cognitive bias means the GP is:

    Answer: Over-relying on the first piece of diagnostic information received and failing to adjust

    Anchoring bias occurs when a clinician over-weights the initial piece of information (the anchor) and fails to adequately revise their assessment as new data emerges.

  4. A rural health service conducts a cost-effectiveness analysis comparing two wound management approaches. The incremental cost-effectiveness ratio (ICER) is calculated as:

    Answer: Difference in costs between interventions divided by difference in outcomes

    The ICER = (Cost B − Cost A) / (Effect B − Effect A), representing the additional cost per additional unit of health outcome gained by choosing the more expensive option.

  5. During a peer review of a colleague's radiograph interpretation in a remote hospital, a GP identifies a missed pneumothorax. This activity most directly supports which component of professional practice?

    Answer: Quality and safety through reflective clinical audit

    Peer review of clinical decisions is a form of reflective clinical audit that supports quality and safety by identifying errors and system improvements in practice.

  6. A remote area medical service uses the PDSA (Plan-Do-Study-Act) cycle for quality improvement. In the 'Study' phase, the team should:

    Answer: Analyse data collected during the 'Do' phase and compare results to predictions

    The Study phase involves analysing the data gathered during the test run and comparing actual results to the predictions made in the Plan phase to determine what was learned.

  7. A FACRRM candidate is critically appraising a diagnostic accuracy study. Which outcome measure expresses how much more likely a positive test result is in a person with the disease than without it?

    Answer: Positive likelihood ratio (LR+)

    The positive likelihood ratio (LR+) = Sensitivity / (1 − Specificity), representing how many times more likely a positive result is in diseased versus non-diseased individuals.