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The document provides single-best-answer multiple-choice items with correct options, followed by notes, explanations, and references. It emphasizes initial management selection based on biopsychosocial assessment, including psychoeducation and lifestyle advice, and highlights differential diagnosis reasoning for pediatric intussusception. Includes citation-style references to clinical guidelines and evidence sources.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pepea-sample-questions-applied-knowledge-test-practice-experience-program-entry-assessment/503453/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pepea-sample-questions-applied-knowledge-test-practice-experience-program-entry-assessment/503453.png","ImageObject",300,407,{"name":92,"@type":93},"dabgoudw","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the MOST appropriate initial management for Jake Kirkby’s episode at work?","Question",{"text":112,"@type":113},"The correct answer is psychoeducation and lifestyle advice (E). Medication is not first-line for a first panic attack, and brief reassurance like “pull himself together” is insufficient without structured management.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why is alprazolam not the best initial choice in the Jake Kirkby scenario?",{"text":117,"@type":113},"Benzodiazepines such as alprazolam have a high risk of tolerance and dependence, and for a first panic attack they are not first-line or appropriate. Psychoeducation (e.g., cognitive behavioural therapy) addresses the underlying anxiety.",{"name":119,"@type":110,"acceptedAnswer":120},"What is the MOST appropriate provisional diagnosis for Evan Frost?",{"text":121,"@type":113},"The correct answer is intussusception (D). The question reasoning points to intermittent crying with drawing up of the legs, pallor and lethargy, and vomiting with a clinical picture consistent with colicky abdominal pain in toddlers.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},503453,1792138754,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39,"preview_page_count":4},3985747860484,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Sample questions  \nPractice Experience Program Entry Assessment (PEPEA)  \nSample Applied Knowledge Test (AKT) question –  \nSingle best answer question from five options  \nJake Kirkby, aged 27, has been finding it increasingly difficult to cope with work stress over the last seven months. Several employees have recently left his law firm.  \nOne week ago, he had an episode at work where he found himself unable to function, started shaking uncontrollably and felt as though he was about to die. A colleague noticed the situation and suggested Jake ‘pull himself together’ and relax. He was able to return to work after about 15 minutes of calming himself.  \nHe must attend court often and is fearful a similar episode may occur in the future.  \nWhat is the MOST appropriate initial management?  \nA. Advise he ceases working in his current workplace  \nB. Alprazolam 0.5 mg orally as required  \nC. Certificate for one-week sick leave  \nD. Propranolol 20 mg orally as required  \nE. Psychoeducation and lifestyle advice  \nCorrect answer:  \nE. Psychoeducation and lifestyle advice  \nNotes and explanation  \nReferences  \n1. John Murtagh. Anxiety disorders. In: John Murtagh’s General Practice. 6th edn. Sydney: McGraw Hill, 2015.  \n2. Manger S. Lifestyle interventions for mental health. Aust J Gen Pract 2019;48(10):670–73 . Available at www1. [racgp.org.au/ajgp/2019/october/lifestyle-interventions-for](racgp.org.au/ajgp/2019/october/lifestyle-interventions-for)mental-health [Accessed 30 July 2021] .  \n3. eTG complete. Available at [https://tgldcdp.tg.org.au/](https://tgldcdp.tg.org.au/)[ ](https://tgldcdp.tg.org.au/)[etgcomplete](etgcomplete) [Accessed 30 July 2021] .  \nInterpretation:  \nManagement of stressed patients is a common problem in general practice, and determination of the most appropriate management strategy depends on the biopsychosocial assessment of the individual patient. In a young person with specific triggers for anxiety and a single panic attack episode, psychosocial education and lifestyle advice can be an effective first-line measure.  \nAlthough medications can play a role in anxiety disordersand panic attacks, in the case of a first panic attack it would not be first-line or appropriate to prescribe a benzodiazepine (such as alprazolam) that has a high risk of tolerance and dependence. Propranolol can be used to control the physical symptoms, but it does not address the underlying anxiety and is not as appropriate as psychoeducation, such as cognitive behavioural therapy.  \nCeasing work is not appropriate advice, as it does not address the problem. Providing a medical certificate for a week off work as ‘stress leave’, although potentially helpful in the short term, is not likely to be of benefit without additional management, such as psychoeducation.  \nThe Royal Australian College of General Practitioners Ltd Page 1 of 3  \nID-1489.12  \nSample questions Practice Experience Program Entry Assessment (PEPEA)  \nSample Applied Knowledge Test (AKT) question –  \nSingle best answer from more than five options  \nEvan Frost, aged 18 months, is brought in by his mother Katrina because he has been vomiting for the past six hours. Evan awoke at 3.00 am screaming and drawing up his legs, but settled and went back to sleep in his mother’s arms after a few minutes. Since then, he has cried on and off and has seemed very tired. He has refused to eat and has vomited five times.  \nEvan had a watery bowel motion with mucous after dinner the previous night, which initially did not worry Katrina as several children at his day care centre were sent home with diarrhoea last week.  \nOn examination, Evan appears pale and lethargic with temperature 37.6°C, pulse rate 118/min regular, respiratory rate 24/min and blood pressure 85/55 mmHg. His abdomen is soft and non-tender, with a palpable mass in the right upper quadrant.  \nWhat is the MOST appropriate provisional diagnosis?  \nA. Acute appendicitis  \nB. Constipation  \nC. Incarcerated hernia  \nD. Intussusce","cbCaiqxYpPdHm8sW","https://ap.wps.com/l/cbCaiqxYpPdHm8sW","pdf",501149,"English","# Sample questions\n## Practice Experience Program Entry Assessment (PEPEA)\n## Sample Applied Knowledge Test (AKT) question","[{\"question\":\"What is the MOST appropriate initial management for Jake Kirkby’s episode at work?\",\"answer\":\"The correct answer is psychoeducation and lifestyle advice (E). Medication is not first-line for a first panic attack, and brief reassurance like “pull himself together” is insufficient without structured management.\"},{\"question\":\"Why is alprazolam not the best initial choice in the Jake Kirkby scenario?\",\"answer\":\"Benzodiazepines such as alprazolam have a high risk of tolerance and dependence, and for a first panic attack they are not first-line or appropriate. Psychoeducation (e.g., cognitive behavioural therapy) addresses the underlying anxiety.\"},{\"question\":\"What is the MOST appropriate provisional diagnosis for Evan Frost?\",\"answer\":\"The correct answer is intussusception (D). The question reasoning points to intermittent crying with drawing up of the legs, pallor and lethargy, and vomiting with a clinical picture consistent with colicky abdominal pain in toddlers.\"}]","PEPEA Sample Questions - Applied Knowledge Test Practice Experience Program Entry Assessment | PDF",1791056490]