FRACGP Practice and Application 2

Question 1

A 58-year-old male with type 2 diabetes presents with a foot ulcer. Which feature most indicates the need for urgent hospital referral?

Accepted Answer

Signs of systemic sepsis with fever and rigors

Answer

Systemic sepsis from a diabetic foot infection requires urgent hospitalisation for IV antibiotics and surgical assessment.

Question 2

A GP is prescribing opioids for chronic non-cancer pain. Which practice best aligns with Australian prescribing guidelines?

Accepted Answer

Set clear functional goals and review regularly for efficacy and harms

Answer

Australian guidelines recommend setting functional goals, using the lowest effective dose, and regularly reviewing for benefit and harm.

Question 3

During a cervical screening consultation, a 35-year-old woman asks about the new Australian cervical screening program. What is the recommended primary test?

Accepted Answer

HPV DNA test every 5 years

Answer

Since 2017, Australia replaced the 2-yearly Pap smear with a 5-yearly HPV DNA test as the primary cervical screening method.

Question 4

A 4-year-old child is brought in with a 2-day history of barking cough and mild stridor at rest. What is the most appropriate initial management?

Accepted Answer

Single dose of oral dexamethasone

Answer

Mild to moderate croup (stridor at rest without severe distress) is treated with a single oral dose of dexamethasone.

Question 5

A GP suspects elder abuse in a 78-year-old patient whose adult son accompanies all appointments. What is the most appropriate immediate action?

Accepted Answer

Arrange to see the patient alone to assess safety and preferences

Answer

The first step is to see the patient privately to assess their safety, capacity, and wishes while maintaining a therapeutic relationship.

(FRACGP) Fellowship of the Royal Australian College of General Practitioners Practice Test

(FRACGP) Fellowship of the Royal Australian College of General Practitioners Practice Test

FRACGP Practice and Application 2