Questions from examdoctor.co.uk are provided below to help GP registrars prepare for the applied knowledge test (AKT). The questions are produced according to the RCGP curriculum.
1. Management of COPD
A 45-year-old man attends your surgery due to breathlessness on exertion and cough. He is known to have COPD. On performing spirometry, his FEV1 is 30% of predicted.
According to British Thoracic Society guidelines for the management of stable COPD, which of the following treatments is advised?
A. Regular combined inhaled short-acting beta-2 agonists and anticholinergics and 30mg oral prednisolone for two weeks.
B. Regular combined inhaled short-acting beta-2 agonists and anticholinergics, corticosteroid trial and antibiotic therapy.
C. Regular inhaled short-acting beta-2 agonists and regular inhaled anticholinergics, corticosteroid therapy and long-acting beta-2 agonists.
D. Regular inhaled short-acting beta-2 agonists or regular inhaled anticholinergics and consider corticosteroid therapy.
E. Theophylline and long-term oxygen therapy.
2. Faith considerations
Below is a list of considerations that may apply regarding healthcare:
- Food is required to be kosher.
- It is considered respectful that following death, a body should never be left alone or in the dark before burial.
- For medication which is required to be taken every day, preparation may be required to prevent the breaking of the Sabbath, because preparing medication may be considered unacceptable work to be carried out on the Sabbath.
- Postmortems may be considered to be desecration of the body.
To which of the following world faiths might these considerations apply?
3. Cleaning contaminated body fluids
You are working in the out-of-hours service during an outbreak of winter vomiting. You are asked to assist in cleaning where a patient has vomited in the waiting room. What is the single best cleaning agent for contaminated body fluids on work surfaces?
D. Sodium chloride
E. Sodium perborate
4. Which TWO of the following are accurate concerning sudden infant death syndrome (SIDS)? Select TWO answers only
A. Usually occurs within the first 48 hours of life.
B. Risk factors include baby sleeping on their side.
C. Previous SIDS in the family has no bearing on future episodes of SIDS in the family.
D. Equally prevalent across all socioeconomic groups.
E. More common in the winter months.
5. Which THREE statements regarding sarcoidosis are correct? Select THREE statements only
A. Usually occurs in young adults.
B. Serum ACE levels usually reduced.
C. Can treat with steroids.
D. Eyes not typically affected.
E. Can cause bilateral hilar lymphadenopathy.
- These questions are reproduced with permission from examdoctor.co.uk, produced by Hodder Arnold
- Full explanations of the answers can be found at gponline.com/registrar under the MRCGP examinations section
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4. B and E
5. A, C and E