General practice knowledge, evidence interpretation and organisational questions, blueprinted to the RCGP curriculum rather than to hospital medicine.
United KingdomRoyal College of General Practitioners written
| Questions or stations | 160 verified 2026-08-10 Source says: “the number of items in the examination have been reduced from 200 to 160” check it yourself |
|---|---|
| Time | 160 minutes verified 2026-08-10 Source says: “the total examination length has been reduced from 190 minutes to 160 minutes” check it yourself |
| Format | Single best answer, extended matching, algorithm and table completion |
| Adaptive delivery | No |
| Pass mark | Standard set per sitting; the college publishes the pass mark and pass rate with each diet's report. verified 2026-08-10 check it yourself |
| Blueprint | Being a General Practitioner — RCGP curriculum, Royal College of General Practitioners |
From October 2025 the AKT is 160 items in 160 minutes (down from 200 in 190). A defined slice covers evidence interpretation and organisational content, which candidates most often underprepare.
Every question in this bank is tagged to one of the sections below, and the tag traces to Being a General Practitioner — RCGP curriculum. That is what makes a coverage claim checkable instead of a marketing line. The table shows exactly how many items exist in each section today, including the sections where the answer is none.
| Curriculum section | Share of the blueprint | Items in this bank |
|---|---|---|
| Knowing yourself and relating to others | 8% | 1 |
| Applying clinical knowledge and skill | 40% | 4 |
| Managing complex and long-term care | 20% | 2 |
| Working well in organisations and systems | 12% | 2 |
| Caring for the whole person and the wider community | 20% | 3 |
Coverage today: 5 of 5 sections. We publish the gap rather than hiding it.
Full explanations for every option, including the ones you didn't pick. The option you nearly chose is usually the one you needed explained. Read these before paying for anything.
A 54-year-old man with type 2 diabetes has an HbA1c of 62 mmol/mol on maximum tolerated metformin. He has established atherosclerotic cardiovascular disease and a BMI of 33. eGFR is 74 mL/min/1.73m². Which is the most appropriate addition to his treatment?
The point: Type 2 diabetes with established cardiovascular disease, heart failure or chronic kidney disease: add an SGLT2 inhibitor for the outcome benefit, not merely for the HbA1c. GLP-1 receptor agonists are the alternative where weight dominates.
Source: NICE NG28 — Type 2 diabetes in adults: management NICE · tier 1, national regulator or guidance
A patient asks your practice for a copy of their full medical record under UK GDPR. What is the correct response?
The point: Subject access request: one month, free, no reason required, extendable to three months if complex. Redact third-party identifying information and the narrow serious-harm exemption, documenting why for each redaction.
Source: ICO — Right of access Information Commissioner's Office · tier 1, national regulator or guidance
UK general practice (MRCGP) runs MRCGP AKT → MRCGP SCA. One DocPasser account covers all of them, so moving to the next stage does not mean a new subscription and a progress history you can no longer see.
The majority, but not all of it. A meaningful slice covers evidence interpretation and how UK general practice is organised, and candidates who prepare only clinically lose marks there every sitting.
No. It is blueprinted directly to the current RCGP curriculum's Areas of Capability, which is how this bank tags it.
MRCGP AKT is a flat £20 for 12 months of access — one price, one purchase, no tiers. The first 10 questions are free, with the full explanation for every option, so you can judge the quality of the explanations before paying for anything.