MRCGP - AKT practice questions

Need help preparing for the applied knowledge test?

Questions from 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?

A. Buddhism

B. Hinduism

C. Islam

D. Judaism

E. Sikhism


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?

A. Povidone-iodine

B. Chlorhexidine

C. Hypochlorite

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, produced by Hodder Arnold

1. A

2. D

3. C

4. B and E

5. A, C and E

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

Houses of parliament

Evidence for mandatory NHS staff COVID-19 jabs 'not good enough', says Lords committee

Evidence to support government plans to require all NHS staff in patient-facing roles...

Dr Farah Jameel

Practices 'need substantial support' to step up Omicron response, warns BMA GP chair

General practice is already facing unsustainable pressure and will need 'substantial...

JCVI COVID-19 immunisation chair Professor Wei Shen Lim

JCVI backs immediate expansion of COVID-19 vaccination to combat Omicron variant

The COVID-19 booster campaign should expand immediately to people aged 18-39 and...

Close up of hand holding sample tube with 'Omicron' handwritten on side

Government urged to 'free up' GP practices and expand steps to control Omicron

GPs have called for immediate action such as suspension of QOF to allow practices...

(Photo: Mike Kemp/Getty Images)

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...

External wall of GP surgery with wording 'medical centre'

‘Utterly toxic’: GPs speak out over abuse and physical attacks on practice teams

GPs have condemned a rise in verbal and physical attacks on practice staff - warning...