Develop applied GP reasoning through 60 selective concepts, 20 explained questions and 20 flashcards covering clinical decisions, prescribing, evidence and professional responsibilities. These are independent learning materials, not official exam questions or a pass prediction.
Read the MRCGP Applied Knowledge Test: Clinical Decisions and Evidence Guide study guide and official exam sourcesExam outline and official sources
Royal College of General Practitioners (RCGP) · RCGP GP Curriculum 2025, implemented from 1 August 2025, together with the current linked MRCGP AKT Blueprint, which displays no publication or effective date. The current examination format took effect in October 2025. Verified on 10 October 2026. The workbook's expanded membership label maps to the Applied Knowledge Test component of MRCGP; the assigned canonical slug is preserved.
This original 20-question sample covers selected topics across the outline. It does not reproduce official exam questions or cover every tested topic.
- MRCGP: Applied Knowledge Test (AKT)
- Introducing the AKT
- Preparing for the AKT
- MRCGP Applied Knowledge Test (AKT) Blueprint
- GP curriculum
- The RCGP Curriculum Topic Guides 2025
- The Clinical Topic Guides
- Data Interpretation
- Primary care organisation and management issues
- High blood pressure
- Atrial fibrillation
- NT-proBNP
- Chronic obstructive pulmonary disease (COPD) — Diagnosis
- Asthma
- Low blood sugar (hypoglycaemia)
- Chronic kidney disease — Diagnosis
- Coeliac disease — Diagnosis
- Rheumatoid arthritis — Diagnosis
- Temporal arteritis
- Transient ischaemic attack (TIA)
- Ectopic pregnancy — Symptoms
- High temperature (fever) in children
- Symptoms of melanoma skin cancer
- Kidney infection
- Bipolar disorder
- Principles of Epidemiology — Lesson 5, Appendix A
- Cochrane Handbook — Chapter 15: Interpreting results and drawing conclusions
- Decision making and consent — Circumstances that affect the decision-making process, part 3
- Decision making and consent — Circumstances that affect the decision-making process, part 2
- Confidentiality — Using and disclosing patient information for direct care
- AKT-blueprint.pdf
- hypertension-in-adults-diagnosis-and-management-pdf-66141722710213.pdf
- CG049-Chronic%20Asthma%20Prescribing%20guidelines%20for%20Adults.pdf
- Out on a limb – prioritising clinical suspicion and early referral in rheumatoid arthritis diagnosis - Manchester University NHS Foundation Trust
- Ectopic pregnancy
- Recommendations | Atrial fibrillation: diagnosis and management | Guidance | NICE
- January-2026-AKT-feedback-report.pdf
- Melanoma
- nice-guidance-bipolar-affective-disorder-assessment-and-management.pdf
- Primary-care-organisation-and-management-topics-AKT_300926.pdf
- How to treat hypoglycaemia | Kent Community Health NHS Foundation Trust
- Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICE
- Recommendations | Bipolar disorder: assessment and management | Guidance | NICE
- 4.2.3.1 Treatment of the acute phase of mania | NI Formulary
- topic-guides-2025.pdf
- CKD staging | UK Kidney Association
- Tissue transglutaminase (TTG) | University Hospitals of North Midlands
- Transient ischaemic attack (TIA) - Diagnosis - NHS
- Statistical Guidance on Reporting Results from Studies Evaluating Diagnostic Tests - Guidance for Industry and FDA Staff | FDA
- Recommendations | Coeliac disease: recognition, assessment and management | Guidance | NICE
- Recommendations | Hypertension in adults: diagnosis and management | Guidance | NICE
- Recommendations | Chronic heart failure in adults: diagnosis and management | Guidance | NICE
- Recommendations | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICE
- Recommendations | Asthma: diagnosis, monitoring and chronic asthma management (BTS, NICE, SIGN) | Guidance | NICE
- Recommendations | Rheumatoid arthritis in adults: management | Guidance | NICE
- Recommendations | Stroke and transient ischaemic attack in over 16s: diagnosis and initial management | Guidance | NICE
- Rationale and impact | Asthma: diagnosis, monitoring and chronic asthma management (BTS, NICE, SIGN) | Guidance | NICE
- Recommendations | Bipolar disorder: assessment and management | Guidance | NICE
- impact-on-nhs-workforce-and-resources-pdf-14506576287685
- Recommendations organised by site of cancer | Suspected cancer: recognition and referral | Guidance | NICE
- Recommendations | Chronic heart failure in adults: diagnosis and management | Guidance | NICE
- NICE-NG136-Hypertension-Management-Guideline-.pdf
- GGC Medicines - Management of Acute Severe Asthma in Adults in Hospital
- Principles of Epidemiology | Lesson 1 - Section 7
- NHS England » Accessible Information Standard – requirements (DAPB1605)
MRCGP Applied Knowledge Test (AKT)
Start with 20 free questions, then review the explanations and any topics you missed.
A 52-year-old feels well. Repeated clinic blood pressures are around 146/92 mmHg. Seven days of structured home monitoring, averaged after discarding day one, give 137/87 mmHg. Which interpretation is most appropriate?
MRCGP Applied Knowledge Test (AKT)
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Clinical knowledge
Blood pressure diagnosis
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