FACRRM Population Health and Indigenous Health 3

Question 1

The FACRRM curriculum emphasises understanding the 'social determinants of health'. Which of the following is NOT typically classified as a social determinant of health?

Accepted Answer

Genetic predisposition to disease

Answer

Genetic predisposition is a biological determinant, not a social one; social determinants include structural conditions such as education, income, employment, and access to services.

Question 2

A community health worker in a remote town notes a cluster of skin sores (impetigo) in school-age children. Which downstream complication most justifies urgent public health action beyond treating individual cases?

Accepted Answer

Risk of post-streptococcal glomerulonephritis and acute rheumatic fever

Answer

Group A Streptococcus skin infections (impetigo) in remote Aboriginal communities are a major cause of post-streptococcal glomerulonephritis and acute rheumatic fever, with long-term consequences including chronic kidney disease and rheumatic heart disease.

Question 3

In rural and remote public health practice, the term 'health equity' differs from 'health equality' in that health equity:

Accepted Answer

Focuses on distributing resources according to need to achieve equal health outcomes

Answer

Health equity involves allocating resources based on need — giving more where need is greater — to achieve fair and equal outcomes, whereas equality means giving the same to everyone regardless of need.

Question 4

Which of the following best describes the 'Ottawa Charter' approach to health promotion in a rural community setting?

Accepted Answer

Creating supportive environments, strengthening community action, and building healthy public policy alongside individual skills

Answer

The Ottawa Charter (1986) outlines five action areas for health promotion: build healthy public policy, create supportive environments, strengthen community action, develop personal skills, and reorient health services.

Question 5

A rural doctor is reviewing rates of end-stage renal disease (ESRD) in a remote Aboriginal community. Compared to non-Indigenous Australians, Aboriginal and Torres Strait Islander peoples develop ESRD at what relative rate?

Accepted Answer

Approximately 10 times the rate

Answer

Aboriginal and Torres Strait Islander peoples experience end-stage renal disease at approximately 10 times the rate of non-Indigenous Australians, reflecting the cumulative impact of diabetes, hypertension, and recurrent infections.

(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 Population Health and Indigenous Health 3