GP

Question 1

Close the Gap: health aims and programs

Answer 1

Life expectancy
Birth weight
Child mortality

PBS co-payment
Different immunisation schedule

Question 2

Barriers to accessing care for indigenous people

Answer 2

Generational trauma
Institutional and individual racism
FACS involvement
Feeling unheard/uninformed about care
Poor health literacy / different health priorities
Culturally-incompetent staff
Cost
Under-triaging in ED
Poor health promotion 
Shortage of ATSI HCWs/liaison officers
Perceived lack of confidentiality in rural areas

Question 3

Supporting indigenous patients

Answer 3

Aboriginal medical service
ATSI liason officers
ATSI healthcare workers
Information at appropriate literacy levels/local language/culturally appropriate

Question 4

Immunisation counselling

- for vaccine-hesitant patients

Question 5

Carpal tunnel syndrome

• aetiology
• ddx for hand pain
• investigations
• management

Answer 5

Pregnancy, obesity, diabetes, acromegaly, structural/congenital, RSI, hypothyroidism

OA, RA, SLE, Raynauds, tenosynovitis, radiculopathy, ulnar neuropathy, trauma

Ultrasound, nerve conduction studies, bloods if indicated (rheum, HbA1c, TSH, lipids)

Rest, NSAIDs, night splints, PT, steroid injections
Carpal tunnel release

Question 6

Alcohol dependence: pharmacological treatment

Question 7

Wernicke’s/Korsakoff’s

Answer 7

Wernicke’s: thiamine deficiency. Nystagmus/confusion/ataxia

Korsakoff’s: confabulation/retro+anterograde amnesia/psychosis

Question 8

Smoking cessation

Question 9

Melanoma types

Answer 9

In situ
Nodular
Superficial spreading
Lentigo maligna melanoma

Question 10

Extra-articulate manifestations of RA

Answer 10

Carpal tunnel syndrome
Rheum nodules (extensor surfaces)
AF/HF/CAD
Interstitial pneumonitis
Keratitis
Vasculitis (small vessel)