Practice Test Geeks(FRACGP) Fellowship of the Royal Australian College of General Practitioners Practice Test
← All FRACGP Flashcard Decks

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 45-year-old Aboriginal man presents for a health check under the 715 Medicare item. Which cardiovascular risk assessment tool is most appropriate for this population?

    Answer: Australian absolute cardiovascular risk calculator (with high-risk category for Aboriginal and Torres Strait Islander peoples)

    Aboriginal and Torres Strait Islander peoples are automatically classified as high cardiovascular risk under Australian guidelines regardless of calculated score.

  2. A GP is considering whether to breach patient confidentiality to warn a third party of potential harm. Which legal and ethical principle most directly supports disclosure in this scenario?

    Answer: The duty of care to identifiable third parties at serious and imminent risk

    Australian law and ethics recognise that confidentiality may be breached to protect identifiable third parties from serious, imminent, and unavoidable harm.

  3. A 30-year-old woman presents at 10 weeks gestation requesting genetic counselling for cystic fibrosis carrier testing. Her partner is a known CF carrier. What is the carrier frequency in the general Australian population?

    Answer: 1 in 25

    Cystic fibrosis carrier frequency is approximately 1 in 25 in Australians of European descent, making prenatal screening clinically relevant.

  4. A GP is managing a 68-year-old man with newly diagnosed heart failure with reduced ejection fraction (HFrEF). Which medication combination has the strongest mortality benefit?

    Answer: ACE inhibitor, beta-blocker, and mineralocorticoid receptor antagonist

    The evidence-based 'triple therapy' for HFrEF — ACE inhibitor (or ARNI), beta-blocker, and MRA — reduces mortality and hospitalisations.

  5. During a consultation, a patient with schizophrenia refuses their depot antipsychotic injection. They have capacity to decide. What is the most appropriate GP response?

    Answer: Respect the refusal, explore reasons, and engage collaboratively in shared decision-making

    A capacitated patient has the right to refuse treatment; the GP should explore barriers, address concerns, and maintain the therapeutic relationship.

  6. A 52-year-old woman presents with a 4-week history of intermittent rectal bleeding, altered bowel habit, and unintentional weight loss. What is the most appropriate initial investigation?

    Answer: Urgent colonoscopy referral

    Red-flag symptoms (rectal bleeding, altered bowel habit, weight loss) in a 52-year-old require urgent colonoscopy to exclude colorectal cancer.

  7. A GP is asked to complete a fitness-for-work certificate for a patient returning after 8 weeks of sick leave for a lumbar disc prolapse. What approach best supports successful return to work?

    Answer: Advocate for a graded return-to-work plan with modified duties and functional goal-setting

    Evidence shows that early graded return to work with modified duties improves outcomes in musculoskeletal conditions compared to extended full absence.