FRACGP Assessment and Evaluation 2 — Questions and Answers
Question 1: A GP uses the Calgary-Cambridge model during a consultation. Which phase specifically focuses on gathering information about the patient's ideas, concerns, and expectations?
- Initiating the session
- Gathering information (Correct answer)
- Physical examination
- Closing the session
Correct answer: Gathering information
The gathering information phase of the Calgary-Cambridge model explores both the biomedical perspective and the patient's ICE (ideas, concerns, expectations).
Question 2: When assessing a patient's functional status using the Barthel Index, which domain is NOT typically included?
- Feeding
- Mobility on stairs
- Cognitive function (Correct answer)
- Bladder continence
Correct answer: Cognitive function
The Barthel Index assesses physical ADLs such as feeding, mobility, and continence but does not include cognitive function.
Question 3: In the context of FRACGP assessment, which tool is most appropriate for screening adolescents for alcohol use disorder?
- CAGE questionnaire
- AUDIT-C
- CRAFFT questionnaire (Correct answer)
- FAST questionnaire
Correct answer: CRAFFT questionnaire
The CRAFFT questionnaire is validated for use in adolescents aged 12–21 years to screen for alcohol and substance use disorders.
Question 4: A 72-year-old patient scores 23/30 on the Mini-Mental State Examination (MMSE). How should this result be interpreted?
- Normal cognition
- Mild cognitive impairment (Correct answer)
- Moderate dementia
- Severe dementia
Correct answer: Mild cognitive impairment
An MMSE score of 21–24 suggests mild cognitive impairment; scores below 20 indicate moderate to severe dementia.
Question 5: Which validated tool is recommended in Australian general practice for assessing the severity of depression after a positive PHQ-2 screen?
- HAM-D
- PHQ-9 (Correct answer)
- DASS-21
- GDS
Correct answer: PHQ-9
The PHQ-9 is the recommended follow-up tool after a positive PHQ-2 screen to quantify depression severity in general practice.
Question 6: During a chronic disease management review, a GP evaluates a diabetic patient's self-monitoring blood glucose log. Which aspect of assessment best reflects 'process of care'?
- HbA1c result at last visit
- Frequency of GP visits in the past year
- Whether foot examination was performed (Correct answer)
- Patient's reported quality of life
Correct answer: Whether foot examination was performed
Process of care measures assess whether recommended clinical actions (e.g., foot examination) were actually performed, distinct from outcomes or structure.
Question 7: A GP applies the 'HEADSS' assessment framework to a 16-year-old patient. What does the second 'S' in HEADSS stand for?
- Sleep
- Sexuality
- Substance use
- Safety (Correct answer)
Correct answer: Safety
In the HEADSS psychosocial assessment tool, the letters stand for Home, Education/Employment, Activities, Drugs, Sexuality, and Safety/Suicide.
FRACGP Assessment and Evaluation 2
A GP uses the Calgary-Cambridge model during a consultation.
Which phase specifically focuses on gathering information about the patient's ideas, concerns, and expectations?