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 45-year-old Indigenous woman presents with a deep facial laceration sustained in a remote community. She refuses suturing for cultural reasons. What is the most appropriate response?

    Answer: Respect her decision, document it, and offer wound closure alternatives such as steri-strips

    Informed refusal must be respected in a competent adult; offering culturally acceptable alternatives demonstrates patient-centered care.

  2. A child is brought to a remote clinic with burns covering approximately 15% BSA. Using the Parkland formula, what IV fluid should be given in the first 8 hours?

    Answer: Half of the total 24-hour Ringer's lactate calculated as 4 mL × kg × %BSA

    The Parkland formula gives 4 mL × kg × %TBSA of Ringer's lactate over 24 hours, with 50% in the first 8 hours post-burn.

  3. A patient in a rural community presents with a snakebite and progressive coagulopathy. The nearest antivenom is 2 hours away. Which immediate action is most important?

    Answer: Immobilize the limb with a pressure immobilization bandage and arrange urgent transfer

    Pressure immobilization bandaging slows lymphatic spread of venom; tourniquet and incision are contraindicated in Australian snakebite management.

  4. A rural GP reviews a patient with poorly controlled type 2 diabetes (HbA1c 10.5%) who is reluctant to start insulin. What is the most appropriate approach?

    Answer: Explore barriers to insulin use, optimize oral agents, and set a shared glycemic goal with a clear review plan

    Shared decision-making that addresses patient concerns while optimizing available therapy is the cornerstone of chronic disease management in rural practice.

  5. You are the only clinician when a patient in a remote location goes into cardiac arrest. Your automated external defibrillator (AED) indicates a shockable rhythm. What is the correct sequence?

    Answer: Deliver shock immediately, then resume CPR for 2 minutes before re-analyzing

    Current ALS guidelines recommend immediate defibrillation for shockable rhythms followed by 2 minutes of CPR before rhythm re-analysis.

  6. A 70-year-old man in a remote community presents with acute urinary retention. You have a urinary catheter kit available. After a failed attempt, what is the safest next step?

    Answer: Perform suprapubic catheterization if trained, or arrange urgent transfer

    If urethral catheterization fails in acute retention, suprapubic catheterization is the appropriate rescue if the clinician is competent; otherwise urgent transfer is required.

  7. Which of the following best describes the role of the Rural Generalist in the Australian health system?

    Answer: A doctor with broad generalist skills plus an advanced skill set relevant to their community's needs

    The Rural Generalist model combines comprehensive general practice with community-specific advanced skills such as anaesthesia, obstetrics, or emergency medicine.