Science and Practice of Medicine

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Science and Practice of Medicine

• Written Exam

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Overview

• Written paper 40 of SPM mark
• 3 hours 180 marks
• Extended matching questions
• 100 q 100 marks
• Short answer questions
• 8 q 80 marks
• Disciplines represented according to curricular
  time
• Management focus

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Extended Matching Questions

• 4 questions per page
• Single theme, 8 possible choices
• A series of clinical scenarios presented
• Choose the best response

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In the general practice setting, and according to
RACGP guidelines, which screening tests should be
recommended in the following clinical scenarios.
Unless indicated, presume that all other items of
History and Examination are normal and there has
not been any screening done within the
recommended interval
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In the general practice setting, and according to
RACGP guidelines, which screening tests should be
recommended in the following clinical scenarios.
Unless indicated, presume that all other items of
History and Examination are normal and there has
not been any screening done within the
recommended interval
A 32 year old female school teacher in Albany
comes for a routine check-up.
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In the general practice setting, and according to
RACGP guidelines, which screening tests should be
recommended in the following clinical scenarios.
Unless indicated, presume that all other items of
History and Examination are normal and there has
not been any screening done within the
recommended interval
A 32 year old female school teacher in Albany
comes for a routine check-up.
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In the general practice setting, and according to
RACGP guidelines, which screening tests should be
recommended in the following clinical scenarios.
Unless indicated, presume that all other items of
History and Examination are normal and there has
not been any screening done within the
recommended interval
A 52 year old male farmer presents for a check-up.
8
In the general practice setting, and according to
RACGP guidelines, which screening tests should be
recommended in the following clinical scenarios.
Unless indicated, presume that all other items of
History and Examination are normal and there has
not been any screening done within the
recommended interval
A 52 year old male farmer presents for a check-up.
9
In the general practice setting, and according to
RACGP guidelines, which screening tests should be
recommended in the following clinical scenarios.
Unless indicated, presume that all other items of
History and Examination are normal and there has
not been any screening done within the
recommended interval
A 35 year old male Tongan chef in Darwin comes in
for removal of sutures.
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In the general practice setting, and according to
RACGP guidelines, which screening tests should be
recommended in the following clinical scenarios.
Unless indicated, presume that all other items of
History and Examination are normal and there has
not been any screening done within the
recommended interval
A 35 year old male Tongan chef in Darwin comes in
for removal of sutures.
11
Choose which option is most likely in the
following clinical scenarios
A 32 year old male prostitute presents in summer
with numerous asymptomatic hypopigmented macules
over the posterior shoulders and back. He claims
to have noticed the lesions only over the last
few weeks but on questioning describes
yellowish/brown macules with fine scale present
in the same area during the previous 6 months.
TPHA (TPPA) is negative.
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Choose which option is most likely in the
following clinical scenarios
A 32 year old male prostitute presents in summer
with numerous asymptomatic hypopigmented macules
over the posterior shoulders and back. He claims
to have noticed the lesions only over the last
few weeks but on questioning describes
yellowish/brown macules with fine scale present
in the same area during the previous 6 months.
TPHA (TPPA) is negative.
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Choose which option is most likely in the
following clinical scenarios
A 56 year old Italian housewife presents with a 2
year history of asymptomatic annular dermal
plaques on both elbows.
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Choose which option is most likely in the
following clinical scenarios
A 56 year old Italian housewife presents with a 2
year history of asymptomatic annular dermal
plaques on both elbows.
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A 27 year old man, a car mechanic, has over the
past 3 weeks developed a decreasing need for
sleep, working on car engine repairs during the
night, and become markedly irritable with his
workmates and family. Two days before admission
to the emergency department, he had stated he
invented a device to thought-control all traffic
in the city, went out into the middle of a busy
street to test it, and barely escaped being run
over by a truck.
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A 27 year old man, a car mechanic, has over the
past 3 weeks developed a decreasing need for
sleep, working on car engine repairs during the
night, and become markedly irritable with his
workmates and family. Two days before admission
to the emergency department, he had stated he
invented a device to thought-control all traffic
in the city, went out into the middle of a busy
street to test it, and barely escaped being run
over by a truck.
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A 72 year old man who has no known allergies
presents 7 days after a right inguinal hernia
repair with signs of inflammation (erythema,
tenderness) along the incision and in the
adjacent skin. There is no obvious wound
discharge. His temperature is 38.2C
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A 72 year old man who has no known allergies
presents 7 days after a right inguinal hernia
repair with signs of inflammation (erythema,
tenderness) along the incision and in the
adjacent skin. There is no obvious wound
discharge. His temperature is 38.2C
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SAQ

• The question and answer page are combined
• Be as clear and succinct as possible
• Bullet point form is acceptable

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Any Questions?