Practice and Application 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 Practice and Application flashcards as text
A 58-year-old male with type 2 diabetes presents with a foot ulcer. Which feature most indicates the need for urgent hospital referral?
Answer: Signs of systemic sepsis with fever and rigors
Systemic sepsis from a diabetic foot infection requires urgent hospitalisation for IV antibiotics and surgical assessment.
A GP is prescribing opioids for chronic non-cancer pain. Which practice best aligns with Australian prescribing guidelines?
Answer: Set clear functional goals and review regularly for efficacy and harms
Australian guidelines recommend setting functional goals, using the lowest effective dose, and regularly reviewing for benefit and harm.
During a cervical screening consultation, a 35-year-old woman asks about the new Australian cervical screening program. What is the recommended primary test?
Answer: HPV DNA test every 5 years
Since 2017, Australia replaced the 2-yearly Pap smear with a 5-yearly HPV DNA test as the primary cervical screening method.
A 4-year-old child is brought in with a 2-day history of barking cough and mild stridor at rest. What is the most appropriate initial management?
Answer: Single dose of oral dexamethasone
Mild to moderate croup (stridor at rest without severe distress) is treated with a single oral dose of dexamethasone.
A GP suspects elder abuse in a 78-year-old patient whose adult son accompanies all appointments. What is the most appropriate immediate action?
Answer: Arrange to see the patient alone to assess safety and preferences
The first step is to see the patient privately to assess their safety, capacity, and wishes while maintaining a therapeutic relationship.
A 42-year-old woman presents with a 3-month history of fatigue, weight gain, and cold intolerance. TSH is 12 mIU/L and free T4 is low. What is the most appropriate management?
Answer: Commence levothyroxine and titrate to normalise TSH
Overt hypothyroidism with elevated TSH and low free T4 warrants levothyroxine replacement, titrated to achieve a normal TSH.
When applying the RACGP 'red flags' framework during a consultation, what is the primary purpose of identifying red flags?
Answer: To identify features that raise concern for serious underlying pathology requiring urgent action
Red flags are clinical features that suggest serious or life-threatening pathology, prompting timely investigation or referral.