Practice Test Geeks(FRACGP) Fellowship of the Royal Australian College of General Practitioners Practice Test
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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

  1. A 22-year-old university student presents requesting a medical certificate for exam deferral due to anxiety. The GP has only seen them once before. What is the most appropriate approach?

    Answer: Assess the clinical situation thoroughly before deciding whether a certificate is appropriate

    GPs must clinically assess the patient before issuing a certificate, as certifying without adequate assessment is unprofessional conduct.

  2. A 65-year-old man with atrial fibrillation has a CHA₂DS₂-VASc score of 3. Which management is most appropriate?

    Answer: Oral anticoagulation with a DOAC or warfarin

    A CHA₂DS₂-VASc score ≥2 in males warrants anticoagulation; DOACs are preferred over aspirin for stroke prevention in AF.

  3. A breastfeeding mother asks whether she can take ibuprofen for post-partum perineal pain. What is the most accurate advice?

    Answer: Ibuprofen is compatible with breastfeeding at standard doses due to low milk transfer

    Ibuprofen has very low transfer into breast milk and is considered compatible with breastfeeding at standard doses.

  4. A GP is reviewing a 70-year-old woman's medications and identifies potential prescribing cascade. Which scenario best illustrates this concept?

    Answer: Prescribing a proton pump inhibitor to treat NSAID-induced dyspepsia

    A prescribing cascade occurs when a side effect of one drug is misidentified as a new condition and treated with another drug.

  5. During a home visit, a GP discovers a patient's advance care directive refuses blood transfusions. The patient is now unconscious following trauma. What should the GP do?

    Answer: Respect the directive as a valid expression of the patient's autonomous wishes

    A valid advance care directive representing a capacitated decision must be respected, even if this leads to the patient's death.

  6. A 50-year-old male smoker with a 30 pack-year history presents for a health check. He has no respiratory symptoms. What lung cancer screening is currently recommended in Australia?

    Answer: No routine lung cancer screening is currently recommended in Australia

    Australia does not yet have a funded national lung cancer screening program, although evidence supports low-dose CT in high-risk individuals.

  7. A GP is managing a patient with major depressive disorder who has not responded to two adequate antidepressant trials. What is the most appropriate next step?

    Answer: Refer to a psychiatrist for assessment of treatment-resistant depression

    Failure to respond to two adequate antidepressant trials meets criteria for treatment-resistant depression, warranting psychiatric referral.