FRACGP Practice and Application 3

Question 1

A 22-year-old university student presents requesting a medical certificate for exam deferral due to anxiety. The GP has only seen them once before. What is the most appropriate approach?

Accepted Answer

Assess the clinical situation thoroughly before deciding whether a certificate is appropriate

Answer

GPs must clinically assess the patient before issuing a certificate, as certifying without adequate assessment is unprofessional conduct.

Question 2

A 65-year-old man with atrial fibrillation has a CHA₂DS₂-VASc score of 3. Which management is most appropriate?

Accepted Answer

Oral anticoagulation with a DOAC or warfarin

Answer

A CHA₂DS₂-VASc score ≥2 in males warrants anticoagulation; DOACs are preferred over aspirin for stroke prevention in AF.

Question 3

A breastfeeding mother asks whether she can take ibuprofen for post-partum perineal pain. What is the most accurate advice?

Accepted Answer

Ibuprofen is compatible with breastfeeding at standard doses due to low milk transfer

Answer

Ibuprofen has very low transfer into breast milk and is considered compatible with breastfeeding at standard doses.

Question 4

A GP is reviewing a 70-year-old woman's medications and identifies potential prescribing cascade. Which scenario best illustrates this concept?

Accepted Answer

Prescribing a proton pump inhibitor to treat NSAID-induced dyspepsia

Answer

A prescribing cascade occurs when a side effect of one drug is misidentified as a new condition and treated with another drug.

Question 5

During a home visit, a GP discovers a patient's advance care directive refuses blood transfusions. The patient is now unconscious following trauma. What should the GP do?

Accepted Answer

Respect the directive as a valid expression of the patient's autonomous wishes

Answer

A valid advance care directive representing a capacitated decision must be respected, even if this leads to the patient's death.

(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 3