If you answered none of the above, congratulations: you failed.
Each year GP registrars sit the Applied Knowledge Test or the AKT.
Comprising 150 questions and with a pass-rate of 63.5% itâs been shown to be both a reliable and discrimatory exam.
However, Professor Candid believes that the curriculum can be broadened and that thereâs still room for improvement.
Here are some of his pilot questions:
1. A patientâs LFTs come back showing a slightly raised GGT and AST, a high total protein, a normal bilirubin, a low ALKP, a low AAT and a raised AST. Do you
A. Perform a full liver screen including ANA and mitochondrial antibodies
B. Arrange a liver USS and/or elastography
C. Repeat the LFTs in three months and just hope for the best
2. A patient with short stature presents with a normal calcium, a normal eGFR and an absent PTH resistance. The clinical picture and biochemistry suggests:
A. Albrightâs hereditary osteodystrophy
B. Pseudopseudohypoparathroidism
C. This is a job for … endocrinology
3. A patient presents as below. What is the most likely diagnosis? Â
A. Eczema
B. Psoriasis
C. Hang on, heâs turned into a fÂŁ$%ing cat
4. it is 6.30 on a Friday evening. You are just about to leave the practice when one of your heart-sink patients arrives. Do you
A. Invite him or her cordially into your room and thoroughly explore their health concerns
B. Cut the lights, hit the deck, and pretend youâre not thereÂ
C. Run out screaming something about a fire
5. A patient who is well known to you wanders into your consulting room.
Do you …
A. Take a through history and perform a full cranial nerve examination concentrating on the six cranial nerves that innervate the sensory, motor and autonomic structures in the eyes.
B. Take a sharp breath and say âStop it Bill that’s not funnyâ
C. Ask if heâs really good at those 3D puzzles now
6. This hair-style indicates that the patient has
A. Trichotillomania
B. Cicatricial alopecia
C. Telogen effluvium
D. Terminally bad tasteÂ
7. Below is an anatomical model
Correctly label the following:
A. Finneganâs valve
B. The sphincter of Karamazov
C. Proustâs gland of Frangipane
D. Helveticum
E. May Daymaydayâs organ
8. A 35-year-old male patient presents with polydactylism. What is your first response?
A. “Holy shit!!!!”
B. “Holy crap!!!”
C. “Holy shitting crap!!!”
9. You are finding it difficult to fall asleep. Do you read:
A. The Medical Journal of Australia (known for its premium content)
B. The BMJ (which is peer reviewed) or
C. The Medical Republic (which is jolly good fun)?
Congratulations, you have completed the test. If you have answered mainly Câs youâll make a fine GP!
