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