FPM exam questions completed on second phase review

2000
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

2015
1 Exercise and chronic pain
2 Renal and hepatic
3 Dementia and pain
4 Headache
5 Neuroinflammation
6 Peripheral neuropathy
7 Intrathecal and cancer
8 Acute pain, Chronic post-surgical pain
9 Problematic substance use and DSM
10 Mucositis

Strategy:
1-2 questions a day from 3/7
10 questions a week minimum
80 questions by 27/8 minimum
Study leave strategy - Saturdays OFF
96 questions (8/day for 12 days - 2hrs/day)

DR JR's Goal 150 questions

Low pass rate Q's
2014
2) Renal/Hepatic 26%
7) Paediatric nociception 57%
9) Adolescent pain 43%
12) Spinal cord pain 15%
14) Medication overuse headache 63%
15) Peripheral neuropathy 59%

Culture and pain (have a solid answer)

2019 (1)
2022 (5)
2016 (5)

Dates
23-Jul
24-Jul
25-Jul
26-Jul
27-Jul
28-Jul
30-Jul
31-Jul
1-Aug
3-Aug
4-Aug
6-Aug
8-Aug
10-Aug
11-Aug
13-Aug
15-Aug
16-Aug
18-Aug
20-Aug
21-Aug
22-Aug
24-Aug
27-Aug
 Exam questions - 2nd round
2011
1 Neuropathic pain
2 Opioid appropriateness
3 Long term opioid side effects
4 Fentanyl patches
5 Drivinng and opioids
6
7
8 Guidelines and ketamine
9 Cervicogenic headache and neck pain
10 Catastrophisation
11
12
13
14 Older person pain changes and renal and hepatic
15

Date
30-Aug
31-Aug
1-Sep
3-Sep
5-Sep
7-Sep
8-Sep
10-Sep
11-Sep
12-Sep

10 practices in 15 days

OSCE and VIVA

Examinations
Cranial nerves
Upper limb neuro
Shoulder
Neck
Low back
Hip
Knee
Lower limb neuro
Pain orientated sensory testing (POST)
Mental state examination
Mini mental state examination
Headache

Medical examinations
Respiratory
Cardiac
Neurological
Abdominal

For next 3 weeks

4 Questions a day - past osce/viva
Card review 30mins - evening/morning
ETA point explain
Attend all practices
Exam + history practice

Last 2 weeks:
1. Viva practice with consultants (variety)
2. Examinations - practice all of them each day
3. Review cards
4. Go through past Viva's 2-4x day
 2001

2016
Opioid tolerance
Visceral pain
Codiene
PTSD, DSM, Pain management
Culture
Renal and hepatic
Pain clinic wait strategies
Lignocaine notes
Medically unexplained pain ?CRPS ?FND
Number needed to treat

Done!

Can cover at least 10 years again

2015
2) Hepatic/renal 64%
3) Pain in dementia 68%
7) Cancer pain 67%
9) Substance abuse DSM-5 53%
10) Mucositis 67%

2021
1) Elderly acute pain 48%
3) Benzo's and CNCP 66%
7) Hepatic and Renal 64%
9) Medicinal cannabis CNCP
10) Procedures - 45%

Questions practiced
2019 (4,5,6.7)
2014 (13,14,15)
2013 (3,4,5)
2018 (5) 2015 (9)
2016 (4,5) 2020 (4)
2018 (2,4,10)
2015 (4,5,6) 2017 (8)
2021 (1, 7) 2012 (15)
2019 (2,4,8)
2020 (5,8,10)
2015 (10), 2016 (1,2,3)
2017 (2,3,4,5)
2016 (6,7) 2018 (8,9) 2015 (2)
2012 (11) 2014 (3,4,5,7)
2021 (4,5,7,10)
2020 (1, 2,3,6,10)
2015 (3, 7) 2020 (4,6)
2017 (9,10) 2016 (8,10)

2012 ( 3, 4, 5, 6, 7, 8, 11, ) 2021 (7 renal)

total
 2012
Opioid Stewardship

Pain scales and clinic

Low back pain imaging
Post-craniotomy headache
Anti-neuropathics PHN
Medical unexplained pain
CRPS mirror box

Cancer pain
Fibromyalgia

Practice tests questions

2012 (12) 2013 (1,5,13) 2014 (2,7,14,15)
2015 (1,4,5,6,7,8,9,10)
2017 (2,3,4,5,6,7,8,9) 2016 (10)
2011 (1,2,3,4,5,8,9,10,14)
2021 (1,3,7,9,10) 2020 (5,8) 2019 (4)
2016 (4,5) 2018 (6,8,10) 2019 (2,6,9) 2020 (1)
2022 (2,3,6,7,8) 2020 (4), 2019 (1,3,7)
2019 (8) 2016 (1,2,9) 2022 (5) 2011 (14) 2018 (2,9)
2021 (5) 2017 (1) 2018 (1,4,5) 2015 (3) 2020 (2,3)
2022 (1,9) 2021 (4,6,8) 2020 (10) 2014 (12) 2019 (4)

total

History to nail
Pain specific history
Substance use
Cancer pain
Opioid use and misuse and side-effects
Elderly pain history
Adolescent history
Complex regional pain syndrome
Fibromyalgia
Post traumatic stress disorder
Acute pain history
Suicide risk assessment
Social history

Investigations to review
MRI scan
CT scan
Electromyograph
ECG
Bloods

Daily questions, eventual mastery

 2002 2003

2017 2018
X- removed Lumbar fracture , elderly, confusion
Cancer bone pain
NMDA antagonists Colleague intoxicated
DSM-5 Substance abuse
Spinal cord stimulation Pelvic pain
Psychiatry - suicide Complex regional pain syndrome
Fibromyalgia and CAM's Forrest Plots
IBS and Codiene Psychology - fear, anxiety and pain
Orofacial pain CPSP and CIPN
Adolscent transition Procedures - injections evidence

Completed
Review in stage 3

2016 2017
4) PTSD - 46% 1) Neuropathic pain
5) Culture - 58% 4) DSM Substance use - 66%
9) Medically unexplained pain 58%
10) EBM - NNT 4%

2022 2013
2) Opioids and CNCP 61% 3) Inflammation and CP
3) ICD-11 56% 4) CPSP 60%
4) Acute pain (ribs) 63% 5) Pain and dementia 42%
7) Role of psychologist 56% 6) CNCP and opioids and driving 64%
8) Low value spinal pain 51% 8) Ischaemic pain 67%
10) Role of QST in pain 50%
12) Cancer survivor and pain 55%

Totals in one sitting

4
4
3
2
3
3
4
3
3
3
4
4
5
5
4
5
4
4
6
8
4
3
4
8
100 First goal met
 2013 2014
Pain modulation Spinal pain
Renal and hepatic
Neuroinflammation CRPS
Chronic post-surgical pain CPSP factors/prevention
Dementia Major depression and pain
Opioids and harm
Mature/immature noci
Psychology and CBT
Spinal cord stimulator Female and pain
Unilateral face pain

Chronic post-surgical pain Spinal cord pain

Pelvic pain Cancer bone pain
Pain service waiting times MOH
PCA and Paediatrics Peripheral Neuropathy

Number
8
8
9
9
8 Low pass rate questions
9
9
8
8
8 last practice aiya!

84 (Wanted 100!)

Past questions covered

OSCE
OSCE
OSCE
OSCE
VIVA
VIVA
VIVA
VIVA
OSCE
OSCE
OSCE
OSCE
VIVA
VIVA
VIVA
VIVA

OSCE
OSCE
OSCE
OSCE
VIVA
VIVA
VIVA
VIVA
 2004 2005

2019 2020
Aboriginal culture CIPN and Adolescents
Acute pain and SUD PTSD and Psychiatric Assessment
Visceral and Somatic pain Spinal pain and procedures
Opioids and substance use Fibromyalgia and psychology
Dementia and pain Visceral pain (liver)
Cannabis and pain Clinical Guidelines
Temporo-mandibular joint disease Problematic substance use and opioids
Somatic Symptom Disorder Acute pain and OIVI
Statistics - EBM Renal and Hepatic impairment
X - removed Headache - frontotemporal

Week 1 14
Week 2 11
Week 3 14
Week 4 18
Week 5 16
Week 6 19
Week 7 22
Week 8 19

2018 2019
7) Forest plot - 51% 4) Opioids annd CNCP - 53%
8) Anxiety and pain - 35% 5) Cannabinoids - 60%
10) Procedures - 29% 8) DSM Somatic Symptom Disorder - 58%
9) EBM limitations - 65%
 2015 2016
Exercise and chronic pain Opioid tolerance
Renal and hepatic Visceral pain
Dementia and pain Codiene
Headache PTSD, DSM, Pain management
Neuroinflammation Culture
Peripheral neuropathy Renal and hepatic
Intrathecal and cancer Pain clinic wait strategies
Acute pain, Chronic post-surgical pain Lignocaine notes
Problematic substance use and DSM Medically unexplained pain ?CRPS ?FND
Mucositis Number needed to treat

Low pass rate Q's

2014
2) Renal/Hepatic 26%
7) Paediatric nociception 57%
9) Adolescent pain 43%
12) Spinal cord pain 15%
14) Medication overuse headache 63%
15) Peripheral neuropathy 59%

Culture and pain (have a solid answer)

2019 (1)
2022 (5)
2016 (5)
 2006 2007

2021 2022
Acute pain, elderly, rib fractures
Statistics NNT Opioids, monitoring, OIH
Problematic substance use and opioids
Cancer pain and procedures
CRPS - paediatric Older pt pain
Fibromyalgia
Renal and hepatic changes Role of Psychology
Culture and OIH Spinal pain and procedures
Medicinal cannabis
Procedures in pain Pelvic Pain and IBS

Plus JR's EDS question + MDT care Practice exam 4 questions (19/7)

26 left to be done (try hit 22 this week)

2020
1) CIPN 65%
4) Fibromyalgia - 63%
5) Visceral pain - 35%
8) Acute pain OIVI 51%
10) Fronto-temportal headache 54%
 2017 2018
Neuropathic pain Lumbar fracture , elderly, confusion
Cancer bone pain Acute pain and cancer pain
NMDA antagonists Colleague intoxicated
DSM-5 Substance abuse Phantom limb pain
Spinal cord stimulation Pelvic pain
Psychiatry - suicide Complex regional pain syndrome
Fibromyalgia and CAM's Forrest Plots
IBS and Codiene Psychology - fear, anxiety and pain
Orofacial pain CPSP and CIPN
Adolscent transition Procedures - injections evidence

2015 2016
2) Hepatic/renal 64% 4) PTSD - 46%
3) Pain in dementia 68% 5) Culture - 58%
7) Cancer pain 67% 9) Medically unexplained pain 58%
9) Substance abuse DSM-5 53% 10) EBM - NNT 4%
10) Mucositis 67%

2021 2022
1) Elderly acute pain 48% 2) Opioids and CNCP 61%
3) Benzo's and CNCP 66% 3) ICD-11 56%
7) Hepatic and Renal 64% 4) Acute pain (ribs) 63%
9) Medicinal cannabis CNCP 46% 7) Role of psychologist 56%
10) Procedures - 45% 8) Low value spinal pain 51%
 2008 2009

Practice FPM Q's 23/7

 2019 2020
Aboriginal culture CIPN and Adolescents
Acute pain and SUD PTSD and Psychiatric Assessment
Visceral and Somatic pain Spinal pain and procedures
Opioids and substance use Fibromyalgia and psychology
Dementia and pain Visceral pain (liver)
Cannabis and pain Clinical Guidelines
Temporo-mandibular joint disease Problematic substance use and opioids
Somatic Symptom Disorder Acute pain and OIVI
Statistics - EBM COVID 19 Teleconference
X - removed Headache - frontotemporal

2017 2018
1) Neuropathic pain 7) Forest plot - 51%
4) DSM Substance use - 66% 8) Anxiety and pain - 35%
10) Procedures - 29%

2013
3) Inflammation and CP
4) CPSP 60%
5) Pain and dementia 42%
6) CNCP and opioids and driving 64%
8) Ischaemic pain 67%
10) Role of QST in pain 50%
12) Cancer survivor and pain 55%
2010 2011

Psychology of pain
 2021 2022
Acute pain, elderly, rib fractures Central neuropathic pain
Statistics NNT Opioids, monitoring, OIH
Problematic substance use and opioids ICD-11
Cancer pain and procedures Acute paiin rib fractures
CRPS - paediatric Culture and peripheral neuropathy
Fibromyalgia Older pt pain
Renal and hepatic changes Role of Psychology
Culture and OIH Spinal pain and procedures
Medicinal cannabis Cancer pain adolescent
Procedures in pain Pelvic Pain and IBS

2019 2020
4) Opioids annd CNCP - 53% 1) CIPN 65%
5) Cannabinoids - 60% 4) Fibromyalgia - 63%
8) DSM Somatic Symptom Disorder - 58% 5) Visceral pain - 35%
9) EBM limitations - 65% 8) Acute pain OIVI 51%
10) Fronto-temportal headache 54%

do now
do tommorow
the day after that
the day after after that
 2012 2013 2014
Opioid Stewardship Spinal pain

Pain scales and clinic Neuroinflammation CRPS

Low back pain imaging Chronic post-surgical pain CPSP factors/prevention
Post-craniotomy headache Dementia Major depression and pain
Anti-neuropathics PHN Opioids and harm
Medical unexplained pain Mature/immature noci
CRPS mirror box Psychology and CBT
Spinal cord stimulator Female and pain
Unilateral face pain
Cancer pain
Chronic post-surgical pain Spinal cord pain
MOH headache
Pain service waiting times Cancer bone pain
PCA and Paediatrics Peripheral Neuropathy