RACGP EXAM
STUDYING | 190
QUESTIONS | WITH
CORRECT SOLUTIONS!!
RACGP
Evatee 9/8/24 RACGP
,RACGP EXAM STUDYING | 190 QUESTIONS |
WITH CORRECT SOLUTIONS!!
Chlamydia treatment & alternative
A. Uncomplicated genital or pharyngeal
B. Ano-rectal Answer - CAD - Chlamydia = Azithromycin & Doxycycline
A. Azithromycin [1g; PO; STAT]; Doxycycline [100mg; PO; BD] - for 7 days
B. Azithromycin [1g; PO; STAT & Q7days]; Doxycycline [100mg; PO; BD] - for 7
days (21 days if symptomatic)
Gonorrhoea treatment
A. Uncomplicated genital and anorectal Answer - CAG(s) - Ceftriaxone &
Azithromycin for Gonorrhoea
Ceftriaxone [500mg, i.m. STAT] - in 2mL of 1% lignocaine
+
Azithromycin [1g, PO, STAT]
Age groups for routine chlamydia screening Answer - •RACGP: Routine
chlamydia screening to all women <25yrs and offering to women <30yrs who
live in areas of high prevalence
•RANZCOG: all women <30yrs old if they are at risk due to local prevalence
•RACGP Australian guidelines recommend against routine population based
screening for gonorrhoea, only in circumstances of high-risk.
,Surprising Fact re undescended testes Answer - Corrected via orchidopexy
This doesn't eliminate the increased chance of reduced fertility and ^testicular
cancer
DDx: 1st trimester bleeding
GA9, single episode of vaginal spotting overnight. No abdominal pain. On
examination, Anastacia looks well. Her temperature is 36.9 °C, BP 118/70
mmHg, HR 70/min regular. Examination of her abdomen reveals no tenderness,
masses or guarding. The remainder of her examination is normal. Answer -
Inevitable (complete) miscarriage
Ectopic pregnancy
Threatened (incomplete) miscarriage
Peri-gestational haemorrhage (including chorionic and subchorionic
haemorrhage)
Anembryonic pregnancy (Group:1)
Missed miscarriage (Group:1)
Half-marks for:
Blighted ovum (Group:1)
Hydatidiform mole (Group:2)
Molar pregnancy; trophoblastic disease (Group:2)
Miscarriage
Vaginal trauma
Nil marks for: Cervical polyp, Cervical erosion; ectropion
Endometritis, Implantation bleed
a). In which trimester are iron needs highest?
, b). How much iron is required in total? Answer - a) Third trimester
b) 1000-1200mg
What timepoint is anti-D given? Answer - 28 & 34wks & within 72hrs of
delivery
(& if problems along the way. 250IU 1st tri, 625IU 2nd & 3rd tri)
Ejection Fraction
i). Normal
ii). Borderline HF
iii). Severe HF Answer - i). Normal = 50-75%
ii). Borderline = 41-50%
iii). Severe <30%
Heart Sounds
i). Where/how is an S3 gallop best heard?
ii). What can it indicate?
iii). Can it be normal? Answer - i). Patient in L) lateral decubitus. Listening with
bell of stethoscope at the cardiac apex
ii). HF, cardiomyopathy, severe AV (mitral or tricuspid) regurgitation
iii). Yes - youth, pregnancy, athletes
https://youtu.be/_i2D1KZkN1w
Heart Sounds
i). Describe an aortic stenosis murmur
ii). Where is it best auscultated? Rx?
iii). What can it be caused by?
STUDYING | 190
QUESTIONS | WITH
CORRECT SOLUTIONS!!
RACGP
Evatee 9/8/24 RACGP
,RACGP EXAM STUDYING | 190 QUESTIONS |
WITH CORRECT SOLUTIONS!!
Chlamydia treatment & alternative
A. Uncomplicated genital or pharyngeal
B. Ano-rectal Answer - CAD - Chlamydia = Azithromycin & Doxycycline
A. Azithromycin [1g; PO; STAT]; Doxycycline [100mg; PO; BD] - for 7 days
B. Azithromycin [1g; PO; STAT & Q7days]; Doxycycline [100mg; PO; BD] - for 7
days (21 days if symptomatic)
Gonorrhoea treatment
A. Uncomplicated genital and anorectal Answer - CAG(s) - Ceftriaxone &
Azithromycin for Gonorrhoea
Ceftriaxone [500mg, i.m. STAT] - in 2mL of 1% lignocaine
+
Azithromycin [1g, PO, STAT]
Age groups for routine chlamydia screening Answer - •RACGP: Routine
chlamydia screening to all women <25yrs and offering to women <30yrs who
live in areas of high prevalence
•RANZCOG: all women <30yrs old if they are at risk due to local prevalence
•RACGP Australian guidelines recommend against routine population based
screening for gonorrhoea, only in circumstances of high-risk.
,Surprising Fact re undescended testes Answer - Corrected via orchidopexy
This doesn't eliminate the increased chance of reduced fertility and ^testicular
cancer
DDx: 1st trimester bleeding
GA9, single episode of vaginal spotting overnight. No abdominal pain. On
examination, Anastacia looks well. Her temperature is 36.9 °C, BP 118/70
mmHg, HR 70/min regular. Examination of her abdomen reveals no tenderness,
masses or guarding. The remainder of her examination is normal. Answer -
Inevitable (complete) miscarriage
Ectopic pregnancy
Threatened (incomplete) miscarriage
Peri-gestational haemorrhage (including chorionic and subchorionic
haemorrhage)
Anembryonic pregnancy (Group:1)
Missed miscarriage (Group:1)
Half-marks for:
Blighted ovum (Group:1)
Hydatidiform mole (Group:2)
Molar pregnancy; trophoblastic disease (Group:2)
Miscarriage
Vaginal trauma
Nil marks for: Cervical polyp, Cervical erosion; ectropion
Endometritis, Implantation bleed
a). In which trimester are iron needs highest?
, b). How much iron is required in total? Answer - a) Third trimester
b) 1000-1200mg
What timepoint is anti-D given? Answer - 28 & 34wks & within 72hrs of
delivery
(& if problems along the way. 250IU 1st tri, 625IU 2nd & 3rd tri)
Ejection Fraction
i). Normal
ii). Borderline HF
iii). Severe HF Answer - i). Normal = 50-75%
ii). Borderline = 41-50%
iii). Severe <30%
Heart Sounds
i). Where/how is an S3 gallop best heard?
ii). What can it indicate?
iii). Can it be normal? Answer - i). Patient in L) lateral decubitus. Listening with
bell of stethoscope at the cardiac apex
ii). HF, cardiomyopathy, severe AV (mitral or tricuspid) regurgitation
iii). Yes - youth, pregnancy, athletes
https://youtu.be/_i2D1KZkN1w
Heart Sounds
i). Describe an aortic stenosis murmur
ii). Where is it best auscultated? Rx?
iii). What can it be caused by?
