Assessment and Evaluation Flashcards
7 cards from real FRACGP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Assessment and Evaluation flashcards as text
A GP suspects domestic violence in a patient presenting with vague somatic complaints. Which validated screening tool is recommended in Australian general practice for intimate partner violence?
Answer: HITS (Hurt, Insult, Threaten, Scream)
The HITS tool is a brief, validated 4-item screen for intimate partner violence that is practical for use in general practice settings.
A GP evaluates a patient's health literacy. Which approach best assesses functional health literacy in a clinical encounter?
Answer: Using the Newest Vital Sign (NVS) tool with a nutrition label
The Newest Vital Sign is a validated health literacy screening tool that uses a nutrition label to assess a patient's ability to apply health information.
In the context of preventive health assessments, the USPSTF grades evidence and recommendations. A Grade 'B' recommendation means:
Answer: There is high certainty of moderate net benefit, or moderate certainty of moderate-to-substantial net benefit
USPSTF Grade B indicates high or moderate certainty of moderate-to-substantial net benefit, and clinicians should offer the service.
A 68-year-old man with COPD undergoes spirometry. His FEV1/FVC ratio is 0.65 post-bronchodilator and FEV1 is 55% predicted. According to GOLD classification, this represents:
Answer: GOLD 2 (moderate)
GOLD 2 (moderate COPD) is defined by FEV1/FVC < 0.7 and FEV1 50–79% predicted post-bronchodilator.
When evaluating the effectiveness of a new clinical intervention in a practice, which study design provides the highest level of evidence?
Answer: Randomised controlled trial
Randomised controlled trials minimise bias through random allocation and are considered the gold standard for evaluating the effectiveness of clinical interventions.
A GP completes a comprehensive medication review for a 75-year-old patient. Which tool is designed to detect potentially inappropriate prescribing in older adults?
Answer: All of the above are validated tools for this purpose
Beers Criteria, STOPP/START, and the Medication Appropriateness Index are all validated tools used to identify potentially inappropriate prescribing in older patients.
A practice conducts a patient experience survey and finds long wait times are the primary complaint. This finding is best classified under which domain of healthcare quality?
Answer: Timeliness
Timeliness is one of the six Institute of Medicine domains of healthcare quality, directly addressing delays and waiting times in care delivery.