RACGP question of the week.
Week of 26 October 2026. Have a go, then see the reasoning behind every option.
A 71-year-old man has bothersome urinary hesitancy, weak stream and frequency despite six months of tamsulosin 400 microgram daily. His prostate is smooth and estimated at 60 mL on ultrasound, his post-void residual is 80 mL, his PSA is 3.8 microgram/L and stable, and his renal function is normal. He has no retention or infections. What is the most appropriate addition to his treatment?
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RACGP-style questions, marked with a reason for every option. Free account, no card.
Earlier weeks
A 3-year-old Aboriginal boy in a remote Northern Territory community has had bilateral otitis media with effusion on repeated checks for three months, with dull, retracted tympanic membranes and flat tympanograms. He has no ear pain, fever or discharge. His family say he often does not respond when called. Under the Otitis Media Guidelines for Aboriginal and Torres Strait Islander Children, what is the most appropriate management?
A 68-year-old man was treated in hospital for infective endocarditis of a native aortic valve, and his blood cultures grew Streptococcus gallolyticus. He has completed intravenous antibiotics and is clinically well. He has no bowel symptoms, and his last faecal immunochemical test through the national screening program was negative two years ago. Which further investigation is most important?
A 34-year-old man presents to your practice on the Queensland coast three hours after his second scuba dive of the day to 28 metres. He has aching pain in both shoulders, tingling down his left leg and unusual tiredness. He surfaced without a safety stop. Observations are normal and there are no focal neurological signs. What is the most appropriate immediate management?
A 26-year-old woman returned from Indonesia eight days ago. She has had five days of fever, headache and myalgia. Today her temperature is 36.9°C, but she has worsening abdominal pain, has vomited five times and has bleeding gums. Her blood pressure is 112/80 mmHg. Over two days her platelet count has fallen from 110 to 35 × 10^9/L and her haematocrit has risen from 0.40 to 0.47. Dengue NS1 antigen is positive. What is the most appropriate management?
More free reading: how the RACGP exams are marked →