The Nature and Content of GP

Question 1

______can be defi ned as that medical discipline
which provides ‘community-based, continuing,
comprehensive, preventive primary care’,

Answer 1

General practice

Question 2

General practice is modelled to____

Answer 2

CCCP model.

Question 3

According to the RACGP

_______is that component of the health
care system which provides initial, continuing,
comprehensive and coordinated medical care for all
individuals, families and communities and which
integrates current ________

Answer 3

General practice

biomedical, psychological and
social understandings of health

Question 4

________involves the ability to take
responsible action on any problem the patient
presents, whether or not it forms part of an ongoing
doctor–patient relationship

Answer 4

Primary care

Question 5

General/
family practice is the point of________ for the
majority of people seeking health care. In

Answer 5

fi rst contact

Question 6

The RACGP has defi ned fi ve domains of general

practice:

Answer 6

communication skills and the doctor–patient
relationship
• applied professional knowledge and skills
• population health and the context of general practice
• professional and ethical role
• organisational and legal dimensions

Question 7

The American Academy of Family Physicians
(AAFP)1 and the American Board of Family Practice
(ABFP) have defined family practice as

Answer 7

the medical specialty that provides continuing
and comprehensive health care for the individual
and the family

Question 8

It is the specialty in breadth that
integrates the biological, clinical and behavioural
sciences. The scope of family practice encompasses
all ages, both sexes, each organ system and
disease entit

Answer 8

family practice

Question 9

Functions of primary care

1. It is______care, serving as a point-ofentry
   for patients into the health care system.
   2 It includes continuity by virtue of ______ for
   patients over a period of time, both in sickness
   and in health

Answer 9

‘fi rst-contact’

caring

Question 10

Functions of primary care

3. It is comprehensive care, drawing from all the
   traditional major disciplines for its functional
   content.
   4 It serves a _________ for all the health
   care needs of the patient.
   5 It assumes continuing responsibility for_______ and ______health problems.
   6 It is a highly ________type of care

Answer 10

coordinative function

individual patient follow-up and community

personalised

Question 11

Pereira Gray3 identifi es six principles—_________

all designed to achieve preventive and personal care

Answer 11

primary

care, family care, domiciliary care and continuing care

Question 12

Whole-person diagnosis is based on

two components:

Answer 12

1 the disease-centred diagnosis

2 the patient-centred diagnosis

Question 13

The ______ consultation is the traditional
medical model based on the history, examination and
special investigations, with the emphasis on making a
diagnosis and treating the disease

Answer 13

disease-centred

Question 14

______consultation also adds another dimension—that of the psychosocial
hallmarks of the patient,

Answer 14

the patient-centred diagnosis

Question 15

In the third national survey of
morbidity in general practice in Australia6 the most
common symptoms described by patients
 were\_\_\_\_\_\_\_ (6.2 per 100 encounters), 
\_\_\_\_\_\_\_\_\_\_ (3.8 per 100), 
\_\_\_\_\_\_\_\_\_\_\_ (3.6 per 100) and 
\_\_\_\_\_\_\_\_\_\_(3.2 per 100).

Answer 15

cough

throat complaints

back complaints

upper respiratory tract infection (URTI)

Question 16

very common presentations included a
______ (13.7 per 100) and a_______
(8.2 per 100).

Answer 16

check-up

request for prescription

Question 17

Medical defence organisations have highlighted the
following areas as being those most vulnerable for
management mishaps
1
2
3
4
5
6

Answer 17

• acute abdominal pain
• acute chest pain
• breast lumps
• children’s problems, especially the sick febrile child
<2 years, groin pain and lumps
• dyspnoea ± cough (? heart failure, cancer, TB)
• headache

Question 18

Excluding a general medical examination, ______ and __________were the
two most common problems encountered in both the
Australian and US11 studies

Answer 18

hypertension

and upper respiratory tract infection (URTI)

Question 19

A study of international target conditions13 in chronic
disease management have highlighted the importance
of the following (as common themes)

Answer 19

• coronary heart disease
• chronic heart failure
• stroke
• hypertension
• diabetes mellitus type 2
• chronic obstructive pulmonary disease
• asthma
• epilepsy
• hypothyroidism
• chronic mental illness
• medication monitoring