FACRRM Assessment and Evaluation 2

Question 1

A rural GP is evaluating whether a new triage protocol has improved patient outcomes. Which study design best establishes a causal relationship between the protocol and outcomes?

Accepted Answer

Before-and-after study with concurrent controls

Answer

A before-and-after study with concurrent controls provides a comparison group that accounts for temporal trends, strengthening causal inference over uncontrolled designs.

Question 2

In a remote community health assessment, the team identifies high rates of rheumatic heart disease. Which population-level measure best quantifies the burden of this disease over time?

Accepted Answer

Disability-adjusted life years (DALYs)

Answer

DALYs combine years of life lost to premature death and years lived with disability, providing a comprehensive measure of disease burden suitable for chronic conditions like RHD.

Question 3

A FACRRM candidate is reviewing a diagnostic study for point-of-care troponin in a rural ED. The test has sensitivity 90% and specificity 85%. Which statement about a positive result is correct?

Accepted Answer

PPV increases as disease prevalence increases

Answer

Positive predictive value (PPV) rises with increasing disease prevalence because more true positives exist relative to false positives in the tested population.

Question 4

A rural health service uses a needs assessment framework to plan services. Which approach incorporates community members' own perceptions of their health needs?

Accepted Answer

Felt needs assessment

Answer

Felt needs are those identified by community members themselves when asked what they consider to be their health problems or service gaps.

Question 5

During a clinical audit of diabetic foot care in a remote community, the team finds documentation compliance is 60%. Which audit cycle step should follow this finding?

Accepted Answer

Implement targeted change and re-audit after an agreed interval

Answer

The audit cycle requires implementing a specific improvement intervention after identifying a gap, then re-auditing to determine whether the change achieved the desired standard.

(FACRRM) Fellowship of the Australian College of Rural and Remote Medicine Practice Test

(FACRRM) Fellowship of the Australian College of Rural and Remote Medicine Practice Test

FACRRM Assessment and Evaluation 2