FRACGP Industry Regulations 4

Question 1

A GP in New South Wales wants to access a patient's medication history via the Real Time Prescription Monitoring (RTPM) system. What is the correct name of the NSW system and when must it be checked?

Accepted Answer

SafeScript NSW — when prescribing S8 drugs and recommended for high-risk S4 drugs

Answer

SafeScript NSW — only when prescribing S4 drugs

Answer

MedView — mandated for all prescriptions without exception

Answer

ScriptCheckAU — optional tool with no mandatory requirements

Question 2

The RACGP Standards for general practices (5th edition) require that practices have a written infection control policy. Which of the following elements is specifically mandated?

Accepted Answer

Protocols for standard precautions and management of sharps injuries

Answer

Annual review of all staff social media accounts

Answer

A mandatory annual influenza vaccination for all staff members

Answer

Quarterly environmental swabbing of all clinical surfaces

Question 3

A GP provides a medical certificate stating a patient was unfit for work on a day the GP did not examine the patient and for which there is no contemporaneous clinical record. This behaviour is best described as:

Accepted Answer

Professional misconduct and potentially fraudulent certification

Answer

Acceptable if the patient requested it verbally

Answer

A minor documentation error with no regulatory consequence

Answer

Permitted if the GP has a long-standing relationship with the patient

Question 4

Under the Pharmaceutical Benefits Scheme (PBS) legislation, which of the following is an 'authority required' prescribing situation for a GP?

Accepted Answer

Prescribing biologic agents for rheumatoid arthritis beyond streamlined authority quantities

Answer

Prescribing paracetamol 500mg tablets on PBS

Answer

Any prescription exceeding a 1-month supply

Answer

Prescribing antibiotics without culture sensitivity results

Question 5

Which principle of the Australian Privacy Principles (APPs) requires a GP practice to inform patients about how their personal health information will be used at the time of collection?

Accepted Answer

APP 5 — Notification of the collection of personal information

Answer

APP 3 — Collection of solicited personal information

Answer

APP 11 — Security of personal information

Answer

APP 1 — Open and transparent management of personal information

Question 6

A GP practice undergoes an RACGP accreditation visit. Surveyors find that clinical staff have not had documented basic life support (BLS) training in the past 3 years. Under which standard would this be a deficiency?

Accepted Answer

Standard 1 — Indicator 1.7 — Emergency and essential equipment

Answer

Standard 2 — Partnering with our patients

Answer

Standard 4 — Our practice environment, Criterion QI4.1

Answer

Standard 3 — Our team, Criterion C3.1 on training

Question 7

A GP employed by a corporate medical group is pressured by management to prescribe a branded drug with higher rebates rather than the clinically appropriate generic. The GP's primary obligation under the Medical Board of Australia's Good Medical Practice code is to:

Accepted Answer

Prioritise the patient's best interest and prescribe the clinically appropriate drug

Answer

Comply with employer directives to maintain employment

Answer

Refer the patient to a specialist to avoid the conflict

Answer

Report the employer to AHPRA before prescribing anything