Practice Test Geeks(FACRRM) Fellowship of the Australian College of Rural and Remote Medicine Practice Test
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Practice and Application 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 Practice and Application flashcards as text

  1. A rural GP is the only doctor within 200 km when a patient presents with acute ST-elevation MI. The nearest PCI-capable hospital is 3 hours away. What is the most appropriate initial management?

    Answer: Administer thrombolysis immediately if no contraindications

    In STEMI with >2-hour expected transfer time to PCI, thrombolysis is the preferred reperfusion strategy if no contraindications exist.

  2. During an outreach clinic in a remote Aboriginal community, you identify a child with rheumatic heart disease. Which ongoing prophylaxis is most strongly recommended?

    Answer: Monthly benzathine penicillin G injections

    Benzathine penicillin G given every 28 days is the gold-standard secondary prophylaxis for rheumatic fever/rheumatic heart disease.

  3. A farmer presents with confusion, excessive salivation, miosis, and bradycardia after working with pesticides. Which antidote should be administered first?

    Answer: Atropine

    Organophosphate poisoning causes cholinergic toxidrome; atropine competitively blocks muscarinic receptors and is the primary antidote.

  4. You are conducting a telehealth consultation for a patient 400 km away who describes symptoms consistent with appendicitis. What is the most appropriate next step?

    Answer: Arrange urgent retrieval to a surgical facility

    Suspected appendicitis requires urgent surgical evaluation; delay risks perforation, and telehealth cannot replace physical examination and definitive surgery.

  5. A 60-year-old male in a rural community is found to have a blood pressure of 170/105 mmHg on three separate readings. He has no other comorbidities. Which agent is most appropriate as first-line pharmacotherapy?

    Answer: Amlodipine

    Calcium channel blockers such as amlodipine are recommended first-line antihypertensives for uncomplicated hypertension in most guidelines including Australian guidelines.

  6. A woman in a remote area at 34 weeks gestation presents with severe headache, visual disturbances, and BP 160/110 mmHg. What is the priority intervention before transfer?

    Answer: Administer magnesium sulfate and IV labetalol

    Severe preeclampsia/eclampsia requires magnesium sulfate for seizure prophylaxis and IV antihypertensives to reduce maternal stroke risk before transfer.

  7. Which ethical framework is most relevant when a rural doctor must decide whether to perform a procedure outside their usual scope due to the absence of specialist services?

    Answer: Expanded scope of practice justified by patient need and competence

    FACRRM principles recognize that rural doctors may ethically expand scope of practice when patient need is urgent and the doctor has adequate competence.