General Practice – KFP public report review 2016-2024 topics in exam

Immunization and Preventive Care

1. Immunization in Aboriginal Children

• Insight:
  • Understanding specific healthcare needs and barriers in Aboriginal and Torres Strait Islander communities, especially in immunization practices.
• Strengths:
  • Recognition of the importance of prophylactic paracetamol in certain immunizations.
• Improvements:
  • Improve awareness of cultural and logistical factors influencing vaccination rates in remote communities.

2.Vaccine Cold Chain Breach

• Key Topics:
  • Management of vaccination reactions, handling cold chain breaches
• Candidate Performance:
  • Lack of knowledge regarding actions following a cold chain breach
• Improvement Areas:
  • Understanding vaccine storage and handling protocols, emergency response plans

Health Assessment

1. Health Assessment and Cancer Screening

• Key Topics Discussed:
  • Cancer screening recommendations
  • Lifestyle change strategies
• Candidate Performance:
  • Failure to align recommendations with current guidelines.
• Improvement Areas:
  • Knowledge of current cancer screening guidelines
  • Effective lifestyle modification counseling.

2. Annual Health Assessment in an Elderly Male (Multiple Entries)

• Key Topics Discussed:
  • Interpretation of abnormal results
  • Pharmacological actions
  • Non-pharmacological advice
  • Further investigations
  • Dietary advice
• Candidate Performance:
  • Inadequate consideration of pharmacological interactions and contraindications.
• Improvement Areas:
  • Careful review of current medications, focusing on de-prescribing where appropriate
  • Offering specific non-pharmacological advice
  • Consideration of medication interactions
  • Evidence-based dietary advice.

Chronic Disease Management

1. Providing Clear Instructions for Self-Administration of Insulin

• Key Topics Discussed:
  • Proper technique for insulin injection
  • Timing and dosage adjustments
• Candidate Performance:
  • Effective communication of instructions.
• Improvement Areas:
  • Tailoring advice to individual patient needs and capabilities.

2. Advising on Medication Adjustments Related to Procedures and Chronic Conditions

• Key Topics Discussed:
  • Adjustments for diabetes, hypertension, and other chronic conditions during procedures.
• Candidate Performance:
  • Understanding of specific medication adjustments.
• Improvement Areas:
  • Ensuring comprehensive pre-procedure plans.

3. Health Assessment in a Correctional Facility

• Key Topics Discussed:
  • Predisposing factors and social determinants of incarceration
  • Trauma-informed care principles
  • Management of flashbacks
• Candidate Performance:
  • Insufficient holistic and culturally appropriate care.
• Improvement Areas:
  • Integrate knowledge of social determinants of health
  • Apply trauma-informed care principles
  • Provide culturally sensitive management for mental health symptoms.

4. Assistance with Quitting Smoking, E-Cigarette Advice

• Key Topics Discussed:
  • Pharmacological options for smoking cessation
  • Advice on e-cigarettes
  • Management of ptosis
• Candidate Performance:
  • Non-specific management suggestions, repetitive answers.
• Improvement Areas:
  • Tailored smoking cessation strategies
  • Evidence-based advice on e-cigarettes
  • Specific diagnosis for ptosis.

5. Management of Weight Loss, Vomiting, and Abdominal Pain in a Disabled Patient

• Key Topics Discussed:
  • Diagnosis
  • Holistic care considerations
  • Advice on disability support
• Candidate Performance:
  • Failure to consider holistic patient care and broader social support needs.
• Improvement Areas:
  • Integrate medical management with broader social support systems
  • Including disability support services.

6. Nutrition

• Subject Area:
  • Fatigue and tongue soreness from nutritional deficiency.
• Key Topics Discussed:
  • Differential diagnosis
  • Risk factors
  • Initial investigations
  • Management
• Candidate Performance:
  • General responses not tailored to specific clinical presentation.
• Improvement Areas:
  • Targeted management actions for nutritional deficiencies
  • Focusing on dietary interventions and supplementation.

Acute and Emergency Care

1. Management of a Patient Reporting Sexual Assault

• Key Topics Discussed:
  • History taking for diagnosis determination
  • Immediate holistic management considering the assault
• Candidate Performance:
  • Overlooking provided case information
  • Failing to consider the patient holistically.
• Improvement Areas:
  • Sensitive, comprehensive approach to history taking and immediate management in cases of sexual assault
  • Considering both physical and psychological aspects.