CMSA FC Fam Med(SA) Part II Practice Questions - CMSA FC Fam Med(SA) Part II - College of Family Physicians of South Africa Exam - CMSA FC Fam Med(SA) Part II Practice Questions - CMSA FC Fam Med(SA) Part II - College of Family Physicians of South Africa Exam

Question 1

A 34-year-old G2P1 at 38 weeks gestation presents to a rural district hospital emergency center in South Africa with a blood pressure of 170/110 mmHg, 3+ proteinuria, severe frontal headache, and hyperreflexia. Fetal heart rate is 140 bpm. What is the most appropriate initial pharmacological step to prevent eclamptic seizures according to South African ESMOE guidelines?

Administer a loading dose of IV magnesium sulfate 4 g slowly over 10-15 minutes plus 10 g IM (5 g in each buttock) Administer IV diazepam 10 mg slow push every 15 minutes until headache resolves Initiate oral methyldopa 500 mg immediately and recheck blood pressure in 4 hours Administer IV phenytoin loading dose of 18 mg/kg in normal saline over 1 hour

Correct Answer:

Administer a loading dose of IV magnesium sulfate 4 g slowly over 10-15 minutes plus 10 g IM (5 g in each buttock)

Question 2

A 45-year-old male with confirmed pulmonary tuberculosis (TB) and newly diagnosed HIV infection (CD4 count 42 cells/µL) is initiating antiretroviral therapy (ART) in a primary care clinic. According to South African National ART guidelines, when should TLD (tenofovir disoproxil fumarate / lamivudine / dolutegravir) be started relative to TB treatment, and how should dolutegravir dosing be adjusted if he receives rifampicin-based TB therapy?

Initiate TLD within 2 weeks of starting TB treatment; increase dolutegravir to 50 mg twice daily (adding an extra 50 mg dose 12 hours after TLD) Start TLD immediately on day 1 of TB treatment without dose modification of dolutegravir Delay TLD until 6 months of TB treatment is fully completed to prevent Immune Reconstitution Inflammatory Syndrome (IRIS) Initiate TLD within 2 weeks of starting TB treatment; replace dolutegravir with efavirenz 600 mg once daily

Correct Answer:

Initiate TLD within 2 weeks of starting TB treatment; increase dolutegravir to 50 mg twice daily (adding an extra 50 mg dose 12 hours after TLD)

Question 3

A family physician is leading a Community-Orientated Primary Care (COPC) initiative in a sub-district health catchment area. What is the first essential step in the 5-step COPC methodological framework?

Defining and characterising the target community (community profiling) Prioritising health problems based on epidemiological burden Implementing a targeted clinical intervention strategy Evaluating the outcome of health outreach programmes

Correct Answer:

Defining and characterising the target community (community profiling)

Question 4

In a South African district hospital, the clinical governance committee reviews a clinical audit cycle regarding diabetes care at primary care clinics. Which stage of the audit cycle immediately follows the collection of baseline clinical data against established standard treatment guidelines?

Comparing baseline results against agreed standard targets and identifying care gaps Writing a new clinical protocol for primary care nurses Re-auditing the clinical records after 12 months Reporting staff members who failed to meet performance targets to the HPCSA

Correct Answer:

Comparing baseline results against agreed standard targets and identifying care gaps

Question 5

Under the South African Mental Health Care Act (Act 17 of 2002), what is the mandatory requirement for initiating a 72-hour assessment of an involuntary mental health care user in a designated district hospital?

Application by a spouse, relative, or healthcare provider, followed by independent examinations by two healthcare providers (at least one being a medical practitioner) A formal court order issued by a High Court judge prior to admission Written consent signed by the patient's employer or local ward councillor Unanimous approval by a panel of three specialist psychiatrists

Correct Answer:

Application by a spouse, relative, or healthcare provider, followed by independent examinations by two healthcare providers (at least one being a medical practitioner)

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Prepare with the CMSA FC Fam Med(SA) Part II Practice Questions - CMSA FC Fam Med(SA) Part II - College of Family Physicians of South Africa Exam practice quiz. This question bank includes 100 questions covering year-old, south, african, health, and presents. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CMSA FC Fam Med(SA) Part II Practice Questions - CMSA FC Fam Med(SA) Part II - College of Family Physicians of South Africa Exam

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CMSA FC Fam Med(SA) Part II Practice Questions - CMSA FC Fam Med(SA) Part II - College of Family Physicians of South Africa Exam

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