FACRRM Assessment and Evaluation 5

Question 1

A quality use of medicines (QUM) audit in a rural aged-care facility reviews prescribing appropriateness.
Which tool is specifically designed to identify potentially inappropriate prescribing in older adults?

Accepted Answer

STOPP/START criteria

Answer

WHO AWaRe classification

Answer

Beers Criteria for the United States

Answer

GRADE evidence framework

Question 2

A remote GP wants to assess health literacy levels in a community as part of a needs assessment. Which validated tool is most commonly used to screen for limited health literacy?

Accepted Answer

REALM-SF (Rapid Estimate of Adult Literacy in Medicine-Short Form)

Answer

PHQ-9 (Patient Health Questionnaire)

Answer

AUDIT-C (Alcohol Use Disorders Identification Test)

Answer

CAGE questionnaire

Question 3

In clinical assessment, a GP demonstrates anchoring bias when evaluating a patient with fever and confusion in a remote setting. This cognitive bias means the GP is:

Accepted Answer

Over-relying on the first piece of diagnostic information received and failing to adjust

Answer

Systematically favouring diagnoses that confirm their initial impression by seeking supporting evidence

Answer

Attributing symptoms to a psychiatric cause without adequate physical workup

Answer

Selecting the most available diagnosis based on recent clinical experience

Question 4

A rural health service conducts a cost-effectiveness analysis comparing two wound management approaches. The incremental cost-effectiveness ratio (ICER) is calculated as:

Accepted Answer

Difference in costs between interventions divided by difference in outcomes

Answer

Total cost of intervention A divided by total outcomes of intervention A

Answer

Cost of intervention B minus cost savings from avoided complications

Answer

Ratio of quality-adjusted life years to direct program costs

Question 5

During a peer review of a colleague's radiograph interpretation in a remote hospital, a GP identifies a missed pneumothorax. This activity most directly supports which component of professional practice?

Accepted Answer

Quality and safety through reflective clinical audit

Answer

Continuing professional development through didactic learning

Answer

Medical indemnity risk management documentation

Answer

Competency-based progression assessment

Question 6

A remote area medical service uses the PDSA (Plan-Do-Study-Act) cycle for quality improvement. In the 'Study' phase, the team should:

Accepted Answer

Analyse data collected during the 'Do' phase and compare results to predictions

Answer

Define the problem and set improvement targets

Answer

Implement the planned change on a small scale

Answer

Decide whether to adopt, adapt, or abandon the change

Question 7

A FACRRM candidate is critically appraising a diagnostic accuracy study. Which outcome measure expresses how much more likely a positive test result is in a person with the disease than without it?

Accepted Answer

Positive likelihood ratio (LR+)

Answer

Negative predictive value

Answer

Specificity

Answer

Number needed to diagnose