KFP MOCK EXAM 2022/1
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Please check out some of the mock KFP exam questions here. More All questions have been written and shared by various prior RACGP exam candidates who have passed their exams. More questions will be added on a regular basis. Answers will be provided at the end of the exam.
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Question 1 of 17
1. Question
4 pointsArthur Johnson, is a 64 year old smoker with chronic obstructive pulmonary disease. He presents with increased dyspnoea and sputum, and a change in sputum colour. You examined him, and the vital signs are as below:-
BP 146/92; HR 94; RR 28; T 37.1; O2sat 94%
Question 1.
What are the key steps in immediate treatment? List up to four (4) items below, single answer only.
- (inhaled corticosteroid, oxygen, bronchodilator, nebulised salbutamol, salbutamol, antibiotic, amoxicillin) (inhaled corticosteroid, oxygen, bronchodilator, nebulised salbutamol, salbutamol, antibiotic, amoxicillin) (inhaled corticosteroid, oxygen, bronchodilator, nebulised salbutamol, salbutamol, antibiotic, amoxicillin) (inhaled corticosteroid, oxygen, bronchodilator, nebulised salbutamol, salbutamol, antibiotic, amoxicillin)
Correct 4 / 4PointsYou will give Arthur:-
- oxygen
- a bronchodilator – eg nebulised salbutamol
- start on an inhaled corticosteroids – eg seretide
- start on an antibiotic – eg: amoxicillin
Incorrect / 4 PointsYou will give Arthur:-
- oxygen
- a bronchodilator – eg nebulised salbutamol
- start on an inhaled corticosteroids – eg seretide
- start on an antibiotic – eg: amoxicillin
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Question 2 of 17
2. Question
4 pointsQuestion 2.
Three days later Arthur has failed to respond. What is the appropriate management, including investigations if required? List up to four (4) item.
- (sputum m/c/s, sputum culture, cxr, chest x-ray, start oral prednisolone, oral prednisolone, refer hospital if unwell, refer ED, refer hospital) (sputum m/c/s, sputum culture, cxr, chest x-ray, start oral prednisolone, oral prednisolone, refer hospital if unwell, refer ED, refer hospital) (sputum m/c/s, sputum culture, cxr, chest x-ray, start oral prednisolone, oral prednisolone, refer hospital if unwell, refer ED, refer hospital) (sputum m/c/s, sputum culture, cxr, chest x-ray, start oral prednisolone, oral prednisolone, refer hospital if unwell, refer ED, refer hospital)
Correct 4 / 4PointsYou will order a:-
- chest xray
- sputum m/c/s
You will start him on :-
oral prednisolone
You will refer him to the nearest emergency department if he is continue be unwell.
Incorrect / 4 PointsYou will order a:-
- chest xray
- sputum m/c/s
You will start him on :-
oral prednisolone
You will refer him to the nearest emergency department if he is continue be unwell.
-
Question 3 of 17
3. Question
10 pointsQuestion 3.
Arthur eventually recovers. This is the worst episode he has experienced. You urge him to arrange an appointment to complete a comprehensive management plan. What management items should you consider for inclusion? List up to ten (10) items.
- (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen) (stop smoking, smoking cessation, regular exercise, regular physical activity, control blood pressure, control hypertension, pulmonary rehabilitation, avoid trigger factor, well balanced diet, improve diet, check inhaler techniques, education, regular follow up, home oxygen)
Correct 10 / 10PointsYou will include the below in his management care plan:-
- stop smoking/smoking cessation
- regular exercise/physical activities
- control hypertension
- pulmonary rehabilitation
- avoid trigger factors – eg cold air
- well balanced diet – eg improve nutrition
- check inhaler techniques – eg particularly his preventors
- education about acute exacerbation – eg red flags symptoms and signs
- regular follow up – with yourself
- home oxygen – required if symptoms worsened
Incorrect / 10 PointsYou will include the below in his management care plan:-
- stop smoking/smoking cessation
- regular exercise/physical activities
- control hypertension
- pulmonary rehabilitation
- avoid trigger factors – eg cold air
- well balanced diet – eg improve nutrition
- check inhaler techniques – eg particularly his preventors
- education about acute exacerbation – eg red flags symptoms and signs
- regular follow up – with yourself
- home oxygen – required if symptoms worsened
-
Question 4 of 17
4. Question
7 pointsMax Philips, age 28, has had type 1 diabetes for 12 years. He attends his endocrinologist regularly. He has never seen his GP for a while now.
Max presents to you today with a VicRoads form which he requests you fill in to certify him fit to drive.
Question 1.
What information regarding his diabetes should you seek from Max? List up to seven (7) items.
- (recent hospital admission, hypoglycaemic events, insulin compliance, blood sugar monitoring compliance, know how to manage hypoglycaemia, prior driving license cancellation, specialist endocrinology review) (recent hospital admission, hypoglycaemic events, insulin compliance, blood sugar monitoring compliance, know how to manage hypoglycaemia, prior driving license cancellation, specialist endocrinology review) (recent hospital admission, hypoglycaemic events, insulin compliance, blood sugar monitoring compliance, know how to manage hypoglycaemia, prior driving license cancellation, specialist endocrinology review) (recent hospital admission, hypoglycaemic events, insulin compliance, blood sugar monitoring compliance, know how to manage hypoglycaemia, prior driving license cancellation, specialist endocrinology review) (recent hospital admission, hypoglycaemic events, insulin compliance, blood sugar monitoring compliance, know how to manage hypoglycaemia, prior driving license cancellation, specialist endocrinology review) (recent hospital admission, hypoglycaemic events, insulin compliance, blood sugar monitoring compliance, know how to manage hypoglycaemia, prior driving license cancellation, specialist endocrinology review) (recent hospital admission, hypoglycaemic events, insulin compliance, blood sugar monitoring compliance, know how to manage hypoglycaemia, prior driving license cancellation, specialist endocrinology review)
Correct 7 / 7PointsYou will ask Max:-
- Any history of recent hospital admission – for eg diabetic ketoacidosis
- Frequency of hypoglycaemic events
- Patient compliance to insulin therapy
- Patient compliance to BSL
- Knowledge on managing hypoglycaemic event
- Previous history of driver license cancellation
- Recent review with any specialist endocrinologist
Incorrect / 7 PointsYou will ask Max:-
- Any history of recent hospital admission – for eg diabetic ketoacidosis
- Frequency of hypoglycaemic events
- Patient compliance to insulin therapy
- Patient compliance to BSL
- Knowledge on managing hypoglycaemic event
- Previous history of driver license cancellation
- Recent review with any specialist endocrinologist
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Question 5 of 17
5. Question
5 pointsMax mentioned that his diabetes control is fairly stable apart from occasional “hypos” which he treats himself by taking chocolate bar. This usually occurs when he hasn’t eaten regularly or engages in unaccustomed exercise and he gets lightheaded, weak and shaky.
Question 2.
What steps should Max follow if he develops mild hypoglycaemia while driving? List up to five (5) steps.
- (stop his vehicle immediately, stop his car, check his blood sugar level, sweet snacks, sweets, recheck blood sugar level after snack, recheck blood sugar level, call for an ambulance if still unwell, call ambulance) (stop his vehicle immediately, stop his car, check his blood sugar level, sweet snacks, sweets, recheck blood sugar level after snack, recheck blood sugar level, call for an ambulance if still unwell, call ambulance) (stop his vehicle immediately, stop his car, check his blood sugar level, sweet snacks, sweets, recheck blood sugar level after snack, recheck blood sugar level, call for an ambulance if still unwell, call ambulance) (stop his vehicle immediately, stop his car, check his blood sugar level, sweet snacks, sweets, recheck blood sugar level after snack, recheck blood sugar level, call for an ambulance if still unwell, call ambulance) (stop his vehicle immediately, stop his car, check his blood sugar level, sweet snacks, sweets, recheck blood sugar level after snack, recheck blood sugar level, call for an ambulance if still unwell, call ambulance)
Correct 5 / 5PointsHe should follow the below steps if he develops hypoglyacemia symptoms while driving:-
- Stop his car/vehicle immediately
- Check his BSL immediately
- Take a sweet snack – eg jelly beans, chocolate bar
- Recheck his BSL again after taking the sweet snack
- Call for an ambulance if still unwell
Incorrect / 5 PointsHe should follow the below steps if he develops hypoglyacemia symptoms while driving:-
- Stop his car/vehicle immediately
- Check his BSL immediately
- Take a sweet snack – eg jelly beans, chocolate bar
- Recheck his BSL again after taking the sweet snack
- Call for an ambulance if still unwell
-
Question 6 of 17
6. Question
5 pointsZahid John is a 78 year old patient of yours. His past medical history include mild type 2 diabetes and controlled hypertension. His medication history include metformin, coversyl, atorvastatin and aspirin. His wife passed away a few years ago. He is living independently and likes music and going out for a walk.
Zahid presented to you today for routine diabetes review about 5 months ago. At that time his HbA1c was 6.1% and his cholesterol was in target range.
On routine examination, he is found to have an irregular pulse and BP 100/50. ECG shows atrial fibrillation with a ventricular rate of 110/min. He stated he has been experiencing some heart palpitations and occasional dizziness over the last 3 months or so.
Question 1
What investigations are appropriate to investigate the underlying cause? List up to five (5) tests.
- (ECG, holter monitor, blood test, thyroid function tests, chest xray, cxr, echocardiogram) (ECG, holter monitor, blood test, thyroid function tests, chest xray, cxr, echocardiogram) (ECG, holter monitor, blood test, thyroid function tests, chest xray, cxr, echocardiogram) (ECG, holter monitor, blood test, thyroid function tests, chest xray, cxr, echocardiogram) (ECG, holter monitor, blood test, thyroid function tests, chest xray, cxr, echocardiogram)
Correct 5 / 5PointsYou will organized some investigations for Zahid. This will include:-
1. ECG
2. Holter monitor
3. Blood test – eg thyroid function test
4. CXR
5 Echocardiogram
Incorrect / 5 PointsYou will organized some investigations for Zahid. This will include:-
1. ECG
2. Holter monitor
3. Blood test – eg thyroid function test
4. CXR
5 Echocardiogram
-
Question 7 of 17
7. Question
5 pointsYou found out that there were no reversible causes of AF were identified on these investigations.
Question 2
What are the aims of management of his heart condition? List up to five (5) items.
- (control heart rate, control heart rhythm, prevent stroke, start anticoagulation, control blood pressure, control hypertension, control blood sugar level) (control heart rate, control heart rhythm, prevent stroke, start anticoagulation, control blood pressure, control hypertension, control blood sugar level) (control heart rate, control heart rhythm, prevent stroke, start anticoagulation, control blood pressure, control hypertension, control blood sugar level) (control heart rate, control heart rhythm, prevent stroke, start anticoagulation, control blood pressure, control hypertension, control blood sugar level) (control heart rate, control heart rhythm, prevent stroke, start anticoagulation, control blood pressure, control hypertension, control blood sugar level)
Correct 5 / 5PointsThe aims of managing his heart conditions include:-
1. Control his heart rate
2 Control his heart rhythm
3. Prevent stroke – eg start on an anticoagulant
4. Control his blood pressure/hypertension
5. Control his blood sugar level (BSL)
Incorrect / 5 PointsThe aims of managing his heart conditions include:-
1. Control his heart rate
2 Control his heart rhythm
3. Prevent stroke – eg start on an anticoagulant
4. Control his blood pressure/hypertension
5. Control his blood sugar level (BSL)
-
Question 8 of 17
8. Question
3 pointsQuestion 3.
What drug classes would be useful for rate control for Zahid? List up to three (3).
- (beta blocker, cardiac glycosides, calcium channel blocker) (beta blocker, cardiac glycosides, calcium channel blocker) (beta blocker, cardiac glycosides, calcium channel blocker)
Correct 3 / 3PointsThe three drug classes are :-
- Beta blocker – eg metoprolol
- Cardiac glycoside – eg digoxin
- Calcium channel blocker – eg verapamil
Incorrect / 3 PointsThe three drug classes are :-
- Beta blocker – eg metoprolol
- Cardiac glycoside – eg digoxin
- Calcium channel blocker – eg verapamil
-
Question 9 of 17
9. Question
7 pointsNatalie is an 18 year old who have a consulted you on a few occasions. She came to you today asking for a termination of pregnancy.
Natalie seems resistant to discuss her current circumstances with you.
Question
Considering Natalie’s age, what specific strategies will you employ to build rapport with her and to encourage her to share her information. List up to seven (7).
- (maintain confidentiality, confidentiality, encourage gradual discussion, regular reassurance, emphasize importance of sharing information, be patience, do not blame, improved her self esteem, improve self esteem) (maintain confidentiality, confidentiality, encourage gradual discussion, regular reassurance, emphasize importance of sharing information, be patience, do not blame, improved her self esteem, improve self esteem) (maintain confidentiality, confidentiality, encourage gradual discussion, regular reassurance, emphasize importance of sharing information, be patience, do not blame, improved her self esteem, improve self esteem) (maintain confidentiality, confidentiality, encourage gradual discussion, regular reassurance, emphasize importance of sharing information, be patience, do not blame, improved her self esteem, improve self esteem) (maintain confidentiality, confidentiality, encourage gradual discussion, regular reassurance, emphasize importance of sharing information, be patience, do not blame, improved her self esteem, improve self esteem) (maintain confidentiality, confidentiality, encourage gradual discussion, regular reassurance, emphasize importance of sharing information, be patience, do not blame, improved her self esteem, improve self esteem) (maintain confidentiality, confidentiality, encourage gradual discussion, regular reassurance, emphasize importance of sharing information, be patience, do not blame, improved her self esteem, improve self esteem)
Correct 7 / 7PointsThe specific strategies that you would employ with Natalie are:-
- Explained confidentiality will be maintained at all time
- Encourage her to open discussion gradually
- Regular reassurance
- Emphasized the importance of sharing information
- Be patience
- Do not blame
- Improving her self esteem
Incorrect / 7 PointsThe specific strategies that you would employ with Natalie are:-
- Explained confidentiality will be maintained at all time
- Encourage her to open discussion gradually
- Regular reassurance
- Emphasized the importance of sharing information
- Be patience
- Do not blame
- Improving her self esteem
-
Question 10 of 17
10. Question
5 pointsJohn is 8 years old. Mum brought him in today to see you with concerns of his ongoing bed wetting symptoms. He does this frequently at night. Otherwise, he has been a well child with no other significant past history. Mum denies any other recent history of lower urinary tract symptoms or bowel habits changes.
Question 1
What are the common causes of this condition? List up to five (5).
- (psychological, anxiety, urinary tract infection, UTI, premature bladder, bladder overactivity, sensitive bladder, excessive water intake) (psychological, anxiety, urinary tract infection, UTI, premature bladder, bladder overactivity, sensitive bladder, excessive water intake) (psychological, anxiety, urinary tract infection, UTI, premature bladder, bladder overactivity, sensitive bladder, excessive water intake) (psychological, anxiety, urinary tract infection, UTI, premature bladder, bladder overactivity, sensitive bladder, excessive water intake) (psychological, anxiety, urinary tract infection, UTI, premature bladder, bladder overactivity, sensitive bladder, excessive water intake)
Correct 5 / 5PointsThe common causes of this condition are:-
- Psychological causes – anxiety
- Urinary tract infection (UTI)
- Premature bladder
- Bladder overactivity/sensitive bladder
- Excessive water intake prior to bed time
Incorrect / 5 PointsThe common causes of this condition are:-
- Psychological causes – anxiety
- Urinary tract infection (UTI)
- Premature bladder
- Bladder overactivity/sensitive bladder
- Excessive water intake prior to bed time
-
Question 11 of 17
11. Question
5 pointsOn further history, mum states that John has never been dry at night but was dry during the day from about 3 years old onwards. His dad did had something similar up till 9 years old.
You performed a clinical information and it was unremarkable.
Mum mentioned that John has been doing well at school, active and has lots of friends. Both mum and John are keen to get this problem under control as he was looking forward to go for this school camp soon. Mum have tried reward charts but this is not working.
Question 2
You discuss the use of a bed alarm with John and his mother. What other advice or information will you give John and his mother? List up to five (5)
- (do not stop him drinking water, wear nappy, absorbent mattress pad, do not scold, do not blame, praise and reward good behaviour, do not wake him up for toileting) (do not stop him drinking water, wear nappy, absorbent mattress pad, do not scold, do not blame, praise and reward good behaviour, do not wake him up for toileting) (do not stop him drinking water, wear nappy, absorbent mattress pad, do not scold, do not blame, praise and reward good behaviour, do not wake him up for toileting) (do not stop him drinking water, wear nappy, absorbent mattress pad, do not scold, do not blame, praise and reward good behaviour, do not wake him up for toileting) (do not stop him drinking water, wear nappy, absorbent mattress pad, do not scold, do not blame, praise and reward good behaviour, do not wake him up for toileting)
Correct 5 / 5PointsYou will let mum know:
- Do not stop him from drinking at night
- Wear nappy at night
- Absorbent pad under the mattress
- Do not scold or blame
- Praise and reward good behaviour
Alternate additional answers – do no wake him up for toileting
Incorrect / 5 PointsYou will let mum know:
- Do not stop him from drinking at night
- Wear nappy at night
- Absorbent pad under the mattress
- Do not scold or blame
- Praise and reward good behaviour
Alternate additional answers – do no wake him up for toileting
-
Question 12 of 17
12. Question
1 pointsQuestion 3
What investigation, if any, is appropriate? List one (1) only.
- (urine microscopy culture, urine m/c/s, urine MCS)
Correct 1 / 1PointsUrine M/C/S
Incorrect / 1 PointsUrine M/C/S
-
Question 13 of 17
13. Question
5 pointsYou are on call one night when you receive a telephone call from one of your patients, Gordon. He tells you that his 9 year old son, Lochie, has had a nose bleed. He has tried lying his son down and holding the bridge of the nose but it doesn’t seem to be working. The boy seems otherwise well.
Question 1
What is the most appropriate advice to give Gordon over the phone to help him control Lochie’s epistaxis? List up to five (5) steps.
- (sit up, bend forward slightly, bend forward, pinch nose, pinch onto soft area little's area for 10 minutes, apply ice pack at the nasal bridge, apply ice pack, repeat procedure, repeat the above if still ongoing) (sit up, bend forward slightly, bend forward, pinch nose, pinch onto soft area little's area for 10 minutes, apply ice pack at the nasal bridge, apply ice pack, repeat procedure, repeat the above if still ongoing) (sit up, bend forward slightly, bend forward, pinch nose, pinch onto soft area little's area for 10 minutes, apply ice pack at the nasal bridge, apply ice pack, repeat procedure, repeat the above if still ongoing) (sit up, bend forward slightly, bend forward, pinch nose, pinch onto soft area little's area for 10 minutes, apply ice pack at the nasal bridge, apply ice pack, repeat procedure, repeat the above if still ongoing) (sit up, bend forward slightly, bend forward, pinch nose, pinch onto soft area little's area for 10 minutes, apply ice pack at the nasal bridge, apply ice pack, repeat procedure, repeat the above if still ongoing)
Correct 5 / 5PointsYou will tell Gordon the do the below steps:-
1. Sit him up
2. Bend forward slightly
3. Pinch onto soft part of nose – Little’s area for at least 10 minutes
4. Apply ice pack at the nasal bridge
5. Repeat procedure if epistaxis still ongoing after 10 minutes
Incorrect / 5 PointsYou will tell Gordon the do the below steps:-
1. Sit him up
2. Bend forward slightly
3. Pinch onto soft part of nose – Little’s area for at least 10 minutes
4. Apply ice pack at the nasal bridge
5. Repeat procedure if epistaxis still ongoing after 10 minutes
-
Question 14 of 17
14. Question
4 pointsGordon follows your advice and Lochie’s nose stops bleeding. They came and see you two weeks later. Lochie still report intermittent nose bleed but less. Apart from mild hay fever, he is otherwise well.
Question 2
What advice or treatment can you suggest to dad to further reduce the risk of Lochie’s epistaxis? List up to four (4).
- (do not pick nose, no nose picking, gentle nose cleaning, gentle nose clean, nasal saline spray as required, FESS spray, Intranasal corticosteroids spray, nasonex junior spray) (do not pick nose, no nose picking, gentle nose cleaning, gentle nose clean, nasal saline spray as required, FESS spray, Intranasal corticosteroids spray, nasonex junior spray) (do not pick nose, no nose picking, gentle nose cleaning, gentle nose clean, nasal saline spray as required, FESS spray, Intranasal corticosteroids spray, nasonex junior spray) (do not pick nose, no nose picking, gentle nose cleaning, gentle nose clean, nasal saline spray as required, FESS spray, Intranasal corticosteroids spray, nasonex junior spray)
Correct 4 / 4PointsYou would suggest:-
- No nose picking
- Gentle cleaning of the nose only
- Trial of nasal saline spray eg FESS to help symptoms control
- Intranasal corticosteroids to control his hay fever symptoms eg nasonex jr
Incorrect / 4 PointsYou would suggest:-
- No nose picking
- Gentle cleaning of the nose only
- Trial of nasal saline spray eg FESS to help symptoms control
- Intranasal corticosteroids to control his hay fever symptoms eg nasonex jr
-
Question 15 of 17
15. Question
5 pointsMrs Honey Lemon, aged 80, is a long term patient of yours. Her husband passed away a few years ago and she is now living in a retirement village. Her past medical history includes hypertension, hypercholesterolaemia and type 2 diabetes mellitus. She is currently on rosuvastatin, olmesartan and metformin.
Over the past few years, you have noticed that she seems to be a little less organized and keeps forgetting her prescriptions and even has had missed a few scheduled appointments with you.
She came in today to see you for her recent blood tests that you organized recently. Her HbA1c, LFTs and lipid studies have showed some deterioration since last visit. Her FBE, UEC and urine microalbumin however have been normal.
You wonder about her compliance with her medication and she agrees that she has noticed her memory is not as good as it was and she often forgets to take her medication.
You decide to do a MMSE on her and she scored 23 out of 30. You concerned about dementia.
Question 1
What other further investigations are appropriate to follow up on your concerns? List up to five (5).
- (blood test, thyroid function test, urine m/c/s, urine MCS, urine microscopy culture, ECG, CT brain , chest xray, cxr, CXR) (blood test, thyroid function test, urine m/c/s, urine MCS, urine microscopy culture, ECG, CT brain , chest xray, cxr, CXR) (blood test, thyroid function test, urine m/c/s, urine MCS, urine microscopy culture, ECG, CT brain , chest xray, cxr, CXR) (blood test, thyroid function test, urine m/c/s, urine MCS, urine microscopy culture, ECG, CT brain , chest xray, cxr, CXR) (blood test, thyroid function test, urine m/c/s, urine MCS, urine microscopy culture, ECG, CT brain , chest xray, cxr, CXR)
Correct 5 / 5PointsFurther investigations that are appropriate include:-
- Blood test – eg thyroid function test ( this has not been requested earlier), other relevant blood tests are acceptable
- Urine m/c/s
- ECG
- Chest XR
- CT brain
Incorrect / 5 PointsFurther investigations that are appropriate include:-
- Blood test – eg thyroid function test ( this has not been requested earlier), other relevant blood tests are acceptable
- Urine m/c/s
- ECG
- Chest XR
- CT brain
-
Question 16 of 17
16. Question
1 pointsAll the results that you organized above have been within normal limits.
Question 2
What other diagnosis needs to be checked for? One answer only
- (depression)
Correct 1 / 1PointsYou have to consider that she has depression.
Incorrect / 1 PointsYou have to consider that she has depression.
-
Question 17 of 17
17. Question
8 pointsYou decide to refer Honey to the local Cognitive Assessment and Dementia Management Service. You were informed that a diagnosis of Alzheimer’s Dementia has been made.
Question 3
You decided to perform a GP management care plan for her. What important issues need to be addressed in your care plan? List up to eight (8).
- (driving, mobility, medication compliance, home assessment, occupational therapy review, nursing home placement, ACAS assessment, Occupational therapy assessment, specialist care, specialist review, monitor underlying conditions, nutrition, well balanced diet) (driving, mobility, medication compliance, home assessment, occupational therapy review, nursing home placement, ACAS assessment, Occupational therapy assessment, specialist care, specialist review, monitor underlying conditions, nutrition, well balanced diet) (driving, mobility, medication compliance, home assessment, occupational therapy review, nursing home placement, ACAS assessment, Occupational therapy assessment, specialist care, specialist review, monitor underlying conditions, nutrition, well balanced diet) (driving, mobility, medication compliance, home assessment, occupational therapy review, nursing home placement, ACAS assessment, Occupational therapy assessment, specialist care, specialist review, monitor underlying conditions, nutrition, well balanced diet) (driving, mobility, medication compliance, home assessment, occupational therapy review, nursing home placement, ACAS assessment, Occupational therapy assessment, specialist care, specialist review, monitor underlying conditions, nutrition, well balanced diet) (driving, mobility, medication compliance, home assessment, occupational therapy review, nursing home placement, ACAS assessment, Occupational therapy assessment, specialist care, specialist review, monitor underlying conditions, nutrition, well balanced diet) (driving, mobility, medication compliance, home assessment, occupational therapy review, nursing home placement, ACAS assessment, Occupational therapy assessment, specialist care, specialist review, monitor underlying conditions, nutrition, well balanced diet) (driving, mobility, medication compliance, home assessment, occupational therapy review, nursing home placement, ACAS assessment, Occupational therapy assessment, specialist care, specialist review, monitor underlying conditions, nutrition, well balanced diet)
Correct 8 / 8PointsYou will include:
- Issues with driving – licensing
- Mobility aid – eg walking stick
- Medication compliance – eg webster pack
- Home OT review/assessment
- ACAS assessment – nursing home/aged care placements
- Specialist care involvement
- Monitor for any underlying secondary condition – eg UTI
- Well balance nutrition/diet
Incorrect / 8 PointsYou will include:
- Issues with driving – licensing
- Mobility aid – eg walking stick
- Medication compliance – eg webster pack
- Home OT review/assessment
- ACAS assessment – nursing home/aged care placements
- Specialist care involvement
- Monitor for any underlying secondary condition – eg UTI
- Well balance nutrition/diet