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 34-year-old woman with suspected irritable bowel syndrome (IBS) asks about dietary management. Which dietary approach has the strongest evidence for symptom reduction?
Answer: Low FODMAP diet implemented with dietitian guidance
The low FODMAP diet has the strongest evidence for symptom reduction in IBS and should be implemented with dietitian support.
A GP is completing a pre-employment medical for a commercial vehicle driver. The applicant discloses well-controlled type 2 diabetes managed with metformin alone. What is the most appropriate action?
Answer: Assess fitness for duty against Austroads guidelines, which may permit driving with conditions
Austroads guidelines require individual fitness assessment; metformin alone carries minimal hypoglycaemia risk, and conditional licensing may be appropriate.
A 28-year-old man presents after a high-risk sexual exposure 60 hours ago requesting HIV post-exposure prophylaxis (PEP). What should the GP advise?
Answer: PEP can be initiated up to 72 hours post-exposure and should be started as soon as possible
PEP is recommended up to 72 hours post-exposure; earlier initiation improves efficacy and GPs can prescribe it in community settings.
A GP uses a trauma-informed care approach with a patient who has a history of domestic violence. Which behaviour best reflects this approach?
Answer: Creating a safe environment, explaining procedures, and offering choice and control
Trauma-informed care prioritises safety, trust, choice, collaboration, and empowerment rather than systematic trauma inquiry.
A 6-week-old infant is brought in with projectile vomiting after every feed. The infant is hungry after vomiting. What is the most likely diagnosis?
Answer: Pyloric stenosis
Pyloric stenosis typically presents at 3–6 weeks with forceful projectile vomiting and a hungry infant, requiring surgical pyloromyotomy.
A 55-year-old woman presents with a 6-week history of right shoulder pain worse at night and with overhead activity. Examination reveals a painful arc between 60–120 degrees of abduction. What is the most likely diagnosis?
Answer: Rotator cuff impingement syndrome
A painful arc between 60–120 degrees of abduction is classic for subacromial impingement of the rotator cuff tendons.
A GP is participating in a significant event analysis (SEA) following a near-miss medication error. What is the primary goal of this process?
Answer: To understand contributing system factors and implement improvements to prevent recurrence
SEA is a blame-free quality improvement process aimed at identifying system failures and implementing changes to prevent future harm.