FRACGP Chronic Disease Management 2

Question 1

Which screening interval is recommended for colorectal cancer using the faecal occult blood test (FOBT) in average-risk adults in Australia?

Accepted Answer

Every 2 years

Answer

Annually

Answer

Every 3 years

Answer

Every 5 years

Question 2

A patient with type 2 diabetes is started on metformin. At what eGFR threshold should metformin be discontinued due to risk of lactic acidosis?

Accepted Answer

eGFR below 30 mL/min/1.73m²

Answer

eGFR below 60 mL/min/1.73m²

Answer

eGFR below 45 mL/min/1.73m²

Answer

eGFR below 15 mL/min/1.73m²

Question 3

In chronic heart failure with reduced ejection fraction (HFrEF), which combination of medications forms the cornerstone of evidence-based therapy?

Accepted Answer

ACE inhibitor/ARB, beta-blocker, and MRA

Answer

Digoxin, diuretic, and calcium channel blocker

Answer

Nitrates, hydralazine, and aspirin

Answer

Amiodarone, warfarin, and diuretic

Question 4

A patient with rheumatoid arthritis is started on methotrexate. Which supplement should be co-prescribed to reduce the risk of adverse effects?

Accepted Answer

Folic acid

Answer

Vitamin D

Answer

Vitamin B12

Answer

Calcium

Question 5

Which spirometry result pattern is most consistent with COPD?

Accepted Answer

FEV1/FVC ratio < 0.70 post-bronchodilator with reduced FEV1

Answer

FEV1/FVC ratio > 0.70 with reduced FVC

Answer

Normal FEV1/FVC with reduced DLCO

Answer

FEV1/FVC ratio > 0.70 with normal FEV1 and FVC

Question 6

A GP performs an AUDIT-C screening on a patient. Which total score threshold indicates hazardous or harmful alcohol use requiring further assessment?

Accepted Answer

Score ≥ 3 for women, ≥ 4 for men

Answer

Score ≥ 5 for all patients

Answer

Score ≥ 7 for all patients

Answer

Score ≥ 2 for women, ≥ 3 for men

Question 7

What is the recommended first-line treatment for gout during an acute attack in a patient with no contraindications?

Accepted Answer

NSAIDs or colchicine

Answer

Allopurinol

Answer

Probenecid

Answer

Febuxostat