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2023.1 KFP – public report

Cardiology

Case 6: 67-Year-Old Man with Abnormal Lipid Profile and Cardiovascular Risk

  • Key Areas:
    • Lifestyle advice for lipid management
    • Pharmacological management of dyslipidemia
    • Discussing complications and side effects of statins
  • Common Errors:
    • Non-specific lifestyle advice
    • Generic side effect information

Case 14: 42-Year-Old Man with Paroxysmal Supraventricular Tachycardia

  • Key Areas:
    • Emergency management of PSVT
    • Long-term management to prevent recurrence
  • Common Errors:
    • Providing non-pharmacological treatments when pharmacological treatments were asked

Dermatology

Case 2: 45-Year-Old Man with Hand, Foot, and Mouth Disease and Pyogenic Granuloma

  • Key Areas:
    • Diagnosing hand, foot, and mouth disease
    • Non-pharmacological advice for management
    • Identifying pyogenic granuloma
  • Common Errors:
    • Providing pharmacological management instead of non-pharmacological
    • Inappropriate patient information

Case 3: 59-Year-Old Woman with Geographic Tongue and Psoriasis

  • Key Areas:
    • Diagnosing geographic tongue
    • Identifying psoriasis
    • Pharmacological management of psoriasis
  • Common Errors:
    • Recommending treatments already used by the patient
    • Providing non-pharmacological treatments when not asked

Case 16: 57-Year-Old Woman with Actinic Keratoses

  • Key Areas:
    • Identifying actinic keratoses
    • Topical management
    • Responding to adverse outcomes
  • Common Errors:
    • Incorrect identification of the rash
    • Inappropriate treatment recommendations

Case 22: 87-Year-Old Woman with a Large Skin Tear

  • Key Areas:
    • Appropriate management and subsequent dressings
    • Ongoing wound care advice
  • Common Errors:
    • Incorrect dressing identification
    • Inappropriate wound care advice

Endocrinology and Gynecology

Case 1: 17-Year-Old Girl with Symptoms Suggestive of PCOS

  • Key Areas:
    • Diagnosing PCOS
    • Appropriate investigations
    • Long-term conditions associated with PCOS
    • Medication strategies for menstrual cycle regulation
  • Common Errors:
    • Not considering the information in the scenario when providing medication
    • Prescribing contraindicated or unrelated medications

Geriatrics

Case 19: 91-Year-Old Man with Falls and Gait Change

  • Key Areas:
    • Further investigations and identifying underlying causes
    • Pharmacological and non-pharmacological interventions
  • Common Errors:
    • Inappropriate medication changes
    • Non-specific answers for non-pharmacological management

Case 22: 87-Year-Old Woman with a Large Skin Tear

  • Key Areas:
    • Appropriate management and subsequent dressings
    • Ongoing wound care advice
  • Common Errors:
    • Incorrect dressing identification
    • Inappropriate wound care advice

Gastroenterology and Oncology

Case 24: 74-Year-Old Man with Recurrent Abdominal Pain

  • Key Areas:
    • Further history and appropriate investigations
    • Screening advice for family members
  • Common Errors:
    • Inappropriate screening advice

Case 20: 48-Year-Old Woman with Symmetrical Swollen Joints

  • Key Areas:
    • Confirming diagnosis and initial management
    • Identifying complications from disease-modifying drugs
  • Common Errors:
    • Contraindicated medications
    • Incorrect diagnosis of complications

Infectious Disease and Public Health

Case 10: 21-Year-Old Aboriginal Woman with Trachoma

  • Key Areas:
    • Non-pharmacological management of trachoma
    • Preventative public health measures
    • Culturally safe communication
  • Common Errors:
    • Non-specific or irrelevant answers

Case 7: 42-Year-Old Woman with Ramsay Hunt Syndrome

  • Key Areas:
    • Diagnosing Ramsay Hunt Syndrome
    • Immediate and subsequent management
    • Managing post-herpetic neuralgia with different drug classes
  • Common Errors:
    • Incorrect diagnosis
    • Misclassification of drugs and their classes

Neurology

Case 12: 35-Year-Old Woman with Migraines

  • Key Areas:
    • Pharmacological and non-pharmacological management of migraines
    • Prophylaxis for ongoing migraines
  • Common Errors:
    • Recommending medications already in use
    • Providing non-specific lifestyle advice

Orthopedics

Case 18: 64-Year-Old Man with Ruptured Achilles Tendon

  • Key Areas:
    • Identifying Achilles tendon rupture
    • Appropriate management considering comorbidities
  • Common Errors:
    • Incorrect diagnosis
    • Inappropriate management

Case 17: New Mother with Wrist Pain and Postnatal Depression

  • Key Areas:
    • Managing wrist pain
    • Identifying and managing postnatal depression
  • Common Errors:
    • Non-specific management
    • Medication-based answers for non-pharmacological questions

Pediatrics

Case 9: 18-Month-Old Boy with Respiratory Tract Infection

  • Key Areas:
    • History taking to identify significant causes
    • Managing parental inquiries during consultations
  • Common Errors:
    • Non-specific or irrelevant answers

Case 15: Child with Severe Pneumonia

  • Key Areas:
    • Appropriate investigations and treatment
    • Recognizing severity of illness
  • Common Errors:
    • Not identifying severity
    • Inappropriate antibiotic prescription

Psychiatry

Case 11: Young Woman with Borderline Personality Disorder and Various Presentations

  • Key Areas:
    • Managing borderline personality disorder
    • Addressing acute postnatal mental health issues
  • Common Errors:
    • Irrelevant answers
    • Focusing on the baby instead of the mother

Pulmonology

Case 25: 21-Year-Old Woman with Exercise-Induced Asthma

  • Key Areas:
    • Confirming diagnosis and managing treatment
    • Non-pharmacological management for non-response
  • Common Errors:
    • Non-guideline management
    • Focusing on pharmacological rather than non-pharmacological management

Rheumatology

Case 20: 48-Year-Old Woman with Symmetrical Swollen Joints

  • Key Areas:
    • Confirming diagnosis and initial management
    • Identifying complications from disease-modifying drugs
  • Common Errors:
    • Contraindicated medications
    • Incorrect diagnosis of complications

Palliative Care

Case 26: 68-Year-Old Man with Mesothelioma

  • Key Areas:
    • Managing patient’s symptoms and pain
    • Supporting the patient’s carer
  • Common Errors:
    • Inappropriate strategies for carer support
    • Incorrect drug class identification and management

Dentistry and Emergency Medicine

Case 23: 61-Year-Old Woman with Acute Dental Infection

  • Key Areas:
    • Diagnosing and managing acute dental infections
    • Emergency management for airway compromise
  • Common Errors:
    • Contraindicated medications
    • Not identifying severity and managing airway

Urology

Case 13: 69-Year-Old Woman with Urge Incontinence

  • Key Areas:
    • Identifying factors exacerbating symptoms
    • Relevant examination findings
    • Non-pharmacological management
  • Common Errors:
    • Providing contributing factors not in the history
    • Non-specific referrals

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