FRACGP Chronic Disease Management

Question 1

Which HbA1c target is generally recommended for most adults with type 2 diabetes in Australian general practice?

Accepted Answer

Less than 7.0%

Answer

Less than 6.0%

Answer

Less than 8.0%

Answer

Less than 9.0%

Question 2

A 65-year-old patient with hypertension and chronic kidney disease (eGFR 45 mL/min/1.73m²) presents for medication review. Which antihypertensive class is most recommended as first-line in this scenario?

Accepted Answer

ACE inhibitor or ARB

Answer

Calcium channel blocker

Answer

Beta-blocker

Answer

Thiazide diuretic

Question 3

According to COPD management guidelines, which intervention has the greatest evidence for reducing mortality in patients with severe COPD and resting hypoxaemia?

Accepted Answer

Long-term oxygen therapy

Answer

Inhaled corticosteroids

Answer

Long-acting bronchodilators

Answer

Pulmonary rehabilitation

Question 4

A patient with established cardiovascular disease is commenced on a statin. What is the primary LDL-cholesterol target recommended in Australian guidelines?

Accepted Answer

Less than 1.8 mmol/L

Answer

Less than 3.0 mmol/L

Answer

Less than 2.5 mmol/L

Answer

Less than 2.0 mmol/L

Question 5

Which medication used in heart failure management has been shown to reduce both hospitalisation and mortality and belongs to the SGLT2 inhibitor class?

Accepted Answer

Empagliflozin

Answer

Metformin

Answer

Sitagliptin

Answer

Acarbose

Question 6

In managing a patient with asthma, when should a preventer inhaler (inhaled corticosteroid) be initiated?

Accepted Answer

When reliever use exceeds 2 days per week

Answer

Only when symptoms occur more than once daily

Answer

Only when FEV1 drops below 60% predicted

Answer

When a patient fails two courses of oral corticosteroids

Question 7

A patient with osteoarthritis of the knee has failed paracetamol therapy. Which is the most appropriate next pharmacological step according to evidence-based guidelines?

Accepted Answer

Topical or oral NSAIDs

Answer

Opioid analgesics

Answer

Intra-articular corticosteroid injection only

Answer

Tramadol