UK general practice questions sectioned to the RCGP's published AKT blueprint, weighted towards the areas the college's feedback reports keep flagging.
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 | Mostly single best answer, with some 'select two' items, free-text answers (drug dose calculations) and extended matching |
| 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 | RCGP GP curriculum (2025), Royal College of General Practitioners |
From October 2025 the AKT is 160 items in 160 minutes (down from 200 in 190). 128 items are clinical, 16 are evidence-based practice and data interpretation, and 16 are organisation, management and administration.
Every question in this bank is tagged to one of the sections below, and the tag traces to RCGP GP curriculum (2025). 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 |
|---|---|---|
| Cardiovascular health | 7% | none yet |
| Metabolic problems and endocrinology | 7% | 2 |
| Gastroenterology and nutrition | 6% | none yet |
| Children and young people | 7.5% | 51 |
| Mental health, alcohol and substance misuse | 6.5% | 1 |
| Women's health: gynaecology, pregnancy, contraception and breast | 7.5% | none yet |
| Respiratory health | 5.5% | none yet |
| Dermatology | 4% | 25 |
| Ear, nose and throat, speech and hearing | 3% | 1 |
| Musculoskeletal health | 4% | none yet |
| Neurology | 4.5% | 26 |
| Eyes and vision | 3.5% | 13 |
| Renal and urology | 3% | none yet |
| Men's health | 2% | none yet |
| Haematology | 2% | none yet |
| Allergy and clinical immunology | 1% | none yet |
| Infectious diseases, travel and sexual health | 3% | none yet |
| Therapeutics and safe prescribing | 1.5% | 26 |
| People at the end of life | 1.5% | 13 |
| Organisation, management and administration | 10% | 27 |
| Evidence-based practice and data interpretation | 10% | 26 |
Coverage today: 11 of 21 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 takes metformin 1 g twice daily. His HbA1c is 62 mmol/mol. He had a myocardial infarction two years ago. His BMI is 33 kg/m² and his eGFR is 74 mL/min/1.73m². According to current NICE guidance, which is the most appropriate addition to his treatment?
The point: NICE NG28 changed in February 2026. Most adults with type 2 diabetes now start modified-release metformin and an SGLT-2 inhibitor together. If they have atherosclerotic cardiovascular disease, add subcutaneous semaglutide (up to 1 mg weekly) as well. The heart and kidney protection matters more than the HbA1c here.
Source: NICE NG28: Type 2 diabetes in adults, initial medicines (2026) NICE · tier 1, national regulator or guidance
A patient asks the practice for a copy of their full medical record under UK GDPR. Which is the correct response?
The point: Subject access request: answer within one month, free of charge, no reason needed. You can extend by two months if it is complex. Remove third-party details and anything likely to cause serious harm, and write down why for each removal.
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 account and a progress history you can no longer see.
80%, which is 128 of the 160 questions. The other 32 are split evenly between evidence-based practice and data interpretation, and organisation, management and administration. The college says these proportions stay the same at every sitting.
By the RCGP's own AKT blueprint. Cardiovascular, endocrine, gastroenterology, children, mental health, women's health and respiratory get the most questions, because the blueprint gives them broader representation. Each section also leans towards the topics the college's feedback reports have flagged over the last two years, such as neurology, prescribing safety, confidentiality, children's acute illness and data interpretation.
Current UK national guidance. Where the AKT says 'according to national guidance' it means NICE or SIGN, so that is what we cite first. CKS, the BNF, the DVLA, the Green Book and the GMC are used where they are the authority on the point.
Yes. MRCGP[INT] is run separately at accredited sites such as South Asia, each with its own local curriculum. The South Asia paper is 200 single best answer questions in three and a half hours, uses NICE for chronic disease and WHO guidance for infectious disease. This bank is written for the UK AKT.
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.