FACRRM Assessment and Evaluation 5

Question 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?

Accepted Answer

STOPP/START criteria

Answer

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.

Question 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?

Accepted Answer

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

Answer

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

Question 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:

Accepted Answer

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

Answer

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.

Question 4

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

Accepted Answer

Difference in costs between interventions divided by difference in outcomes

Answer

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.

Question 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?

Accepted Answer

Quality and safety through reflective clinical audit

Answer

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.

(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 5