Practice Test Geeks(FRACGP) Fellowship of the Royal Australian College of General Practitioners Practice Test
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Chronic Disease Management 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 Chronic Disease Management flashcards as text

  1. Which screening interval is recommended for colorectal cancer using the faecal occult blood test (FOBT) in average-risk adults in Australia?

    Answer: Every 2 years

    The National Bowel Cancer Screening Program in Australia recommends FOBT every 2 years for average-risk adults aged 50–74 years.

  2. A patient with type 2 diabetes is started on metformin. At what eGFR threshold should metformin be discontinued due to risk of lactic acidosis?

    Answer: eGFR below 30 mL/min/1.73m²

    Metformin is contraindicated when eGFR falls below 30 mL/min/1.73m² due to impaired renal clearance increasing the risk of metformin accumulation and lactic acidosis.

  3. In chronic heart failure with reduced ejection fraction (HFrEF), which combination of medications forms the cornerstone of evidence-based therapy?

    Answer: ACE inhibitor/ARB, beta-blocker, and MRA

    The evidence-based triad for HFrEF includes an ACE inhibitor or ARB (or ARNI), a beta-blocker, and a mineralocorticoid receptor antagonist (MRA), all proven to reduce mortality.

  4. A patient with rheumatoid arthritis is started on methotrexate. Which supplement should be co-prescribed to reduce the risk of adverse effects?

    Answer: Folic acid

    Folic acid supplementation (5 mg weekly or 1 mg daily) is co-prescribed with methotrexate to reduce folate-antagonist side effects such as mucositis, nausea, and hepatotoxicity.

  5. Which spirometry result pattern is most consistent with COPD?

    Answer: FEV1/FVC ratio < 0.70 post-bronchodilator with reduced FEV1

    COPD is defined by a post-bronchodilator FEV1/FVC ratio of less than 0.70, indicating fixed airflow obstruction with a reduced FEV1 reflecting the degree of severity.

  6. A GP performs an AUDIT-C screening on a patient. Which total score threshold indicates hazardous or harmful alcohol use requiring further assessment?

    Answer: Score ≥ 3 for women, ≥ 4 for men

    An AUDIT-C score of ≥3 for women and ≥4 for men indicates hazardous drinking and warrants further assessment and brief intervention.

  7. What is the recommended first-line treatment for gout during an acute attack in a patient with no contraindications?

    Answer: NSAIDs or colchicine

    NSAIDs (e.g., indomethacin, naproxen) or colchicine are the first-line treatments for acute gout flares; allopurinol and febuxostat are urate-lowering therapies used for prevention, not acute treatment.