FRACGP Safety and Compliance 2

Question 1

A patient is prescribed warfarin and also takes ibuprofen for knee pain. What is the primary safety concern?

Accepted Answer

Increased bleeding risk due to anticoagulant potentiation and gastric irritation

Answer

NSAIDs like ibuprofen potentiate warfarin's anticoagulant effect and cause gastric mucosal damage, significantly increasing bleeding risk.

Question 2

Under Australian mandatory reporting obligations, a GP must report to AHPRA when they reasonably believe a registered health practitioner has engaged in:

Accepted Answer

Sexual misconduct with a patient

Answer

Sexual misconduct is a notifiable conduct requiring mandatory reporting to AHPRA under the Health Practitioner Regulation National Law.

Question 3

A GP prescribes Schedule 8 medications for a patient with chronic pain. What is the recommended monitoring practice in most Australian states?

Accepted Answer

Regular review with state/territory real-time prescription monitoring and urine drug screening as appropriate

Answer

Schedule 8 prescribing requires regular clinical review and use of real-time prescription monitoring systems (e.g., SafeScript in Victoria) to detect misuse.

Question 4

What is the correct approach when a GP discovers a medication error made by a colleague that did not cause patient harm?

Accepted Answer

Report through the practice's incident reporting system and discuss with the colleague

Answer

Near-miss and no-harm incidents should be reported through practice safety systems to enable learning and prevent future errors.

Question 5

Which of the following best describes 'duty of candour' in Australian general practice?

Accepted Answer

The professional and ethical duty to be open and honest with patients when things go wrong

Answer

Duty of candour requires practitioners to be open, honest, and apologetic when patient care results in harm or unexpected outcomes.

(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 Safety and Compliance 2