A deeper look into a KFP case

Understand the case stem, each piece of information is important

  • patient age, sex, ethnic background
  • new patient to your clinic versus a usual patient
  • country versus metropolitan setting
  • routine review versus urgent appointment

There will be cases you can expect

The KFP exam will feature a number of serious not to be missed diagnoses in order to examine that you are a safe and competent independent GP.

The KFP exam will also examine the BIG topics ie. diabetes, hypertension, dermatology that as a GP you need to understand in depth.The KFP exam will also feature at least 2 ATSI questions as this is a government requirement.

You need to know the ‘common qualifiers’

  • most important = most serious = not to be missed
  • most likely = common diagnosis
  • initial = first step = first line
  • immediate = urgent
  • definitive = conclusive
  • further = in addition to
  • long term = weeks or months or years

How you answer is important

  • More than one answer on one line OR more than one example on one line will result in overcoding and a penalty applied
  • A harmful or negligent answer will result in zero marks for that question
  • Avoid abbreviations
  • Use medical terminology not lay terms as the examiners are all FRACGP

You need to know the format of the answer

  • diagnosis versus cause
  • drug name versus drug class
  • examination versus investigation
  • pharmacological management versus lifestyle managementimmediate management versus long term management

Did you get a history question?

  • Read the stem
  • Do not repeat information
  • Be as concise and specific as possible
  • One answer, one line
  • Compare these answers: family history of first degree relative under 40 with breast cancer versus family history
  • Compare these answers: haematuria versus urinary symptoms

Did you get an examination question?

  • Be concise and specific
  • Example: Blood pressure over 140/90
  • Example: Temperature over 38
  • Example: Hepatomegaly
  • Example: K10 score >21

Did you get an investigation question?

  • It will likely be either a choice from a list or an investigation interpretation (such as ecg, imaging, spirometry)
  • Be as specific and accurate as possible

Did you get a management question?

  • Understand what is being asked
  • There is often a qualifier, such as asking for non pharmacological management
  • Pharmacological – drug class
  • Pharmacological – drug specific include dose/modality/frequency/duration
  • Pharmacological – treatment side effects
  • Be specific if making a referral to specialist or hospital
  • Be specific if listing long term or preventative management

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