Succeeding in the nMRCGP AKT (Applied Knowledge Test) : 500 SBAs, EMQs and picture MCQs, with a full mock test PDF
Preview Succeeding in the nMRCGP AKT (Applied Knowledge Test) : 500 SBAs, EMQs and picture MCQs, with a full mock test
Contents Foreword v About the authors vii About the publisher vii Acknowledgements ix Preface xi About the exam and tips on passing xiii Single Best Answer (SBA) Question Paper 1 Answer section: Single Best Answer 42 Extended Match Question (EMQ) Paper 66 Answer section: Extended Match Questions 88 Picture Question Paper 102 Answer section: Picture Questions 151 Mock Paper: 200 questions 162 Answer section: Mock Paper 226 Subject Index 260 Copyright Permission list 262 nMRCGP File-1.indd 3 10/8/09 2:59:27 PM Succeeding in the nMRCGP AKT (Applied Knowledge Test) – 500 SBAs, EMQs and Picture MCQs, with a full Mock Test Chirag Mehta, Mark Williams & Milan Mehta nMRCGP File-1.indd 1 10/8/09 2:59:27 PM Published by Developmedica Castle Court Duke Street New Basford, Nottingham, NG7 7JN 0845 838 0571 www.developmedica.com © 2009 Developmedica Digital Edition converted and published by Andrews UK Limited 2010 www.andrewsuk.com All rights reserved. Purchasers of this book are instructed that they can only use this guide for the sole purpose of preparing for their nMRCGP AKT and are prohibited from redistributing this book or any part thereof. This book cannot be reproduced in full or in part without the express written consent of Developmedica. Developmedica recommend that you consult the GP Recruitment website regarding your nMRCGP AKT. The views expressed in this book are those of Developmedica and not those of Royal College of General Practioners and Developmedica are in no way associated with the Royal College of General Practioners or Pearson Vue. The contents of this book are intended as a guide only and although every effort has been made to ensure that the contents of this book are correct, Developmedica cannot be held responsible for the outcome of any loss or damage that arises through the use of this guide. Readers are advised to seek independent advice regarding their nMRCGP AKT. Warning: The contents of this revision guide are for the purposes of aiding you to prepare for your nMRCGP AKT only and are not intended to replace the protocols of your current employer. Every effort has been made to contact the copyright holders of any material reproduced within this publication. If any have been inadvertently overlooked, the publishers will be pleased to make restitution at the earliest opportunity. A catalogue record for this title is available from the British Library ISBN: 9781906839543 Typeset by Replika Press Pvt. Ltd. (India) nMRCGP File-1.indd 4 10/8/09 2:59:27 PM Foreword Doctors are good at passing exams. That is how we all got to where we are. But assessment in general practice, as in all the specialties, has moved on. Multiple choice questions have undergone subtle changes and the applied knowledge test (AKT) for Membership of the Royal College of General Practitioners is a different sort of exam. Candidates are not asked to demonstrate knowledge but to apply it. The computer-based, multi-centre AKT was offered for the sixth time in April 2009. 1102 candidates sat the exam and their mean score was 143 out of 199 questions, with the best candidate scoring 183. 83.8% of candidates passed. Thus bright, well motivated learners are doing well - especially if you sit the exam later on in your training period. The answers on how to pass the exam will not be found in this book. They will be found during your time in practice seeing lots of patients, focussing on those ‘awkward moments’ when you realise your training so far has left you completely unprepared for the worries of the patient in front of you. Looking things up in response to patients’ unmet needs or doctor’s educational needs, talking to your trainer and colleagues, discussing issues that are important to patients and reading widely will get you through the exam. Such is the alignment between this exam and practice that that is also how you will get to be a good GP. What this book will give you is a way of self-assessing your areas of weakness, showing you where to focus your reading and getting you to think about the breadth and depth of the RCGP curriculum. You won’t see everything in practice, rare but important conditions are also part of this exam and you may need reminding of those. The authors are all trainees who have recently passed the AKT. They have worked hard to develop something that can act as a signpost for nMRCGP File-1.indd 5 10/8/09 2:59:27 PM vi Foreword you, based on their experience. This book is an excellent jumping off point for your reading. Good luck! Kay Mohanna Chair, RCGP Midland Faculty and Director of Postgraduate Medicine, Keele University. nMRCGP File-1.indd 6 10/8/09 2:59:27 PM About the authors Chirag Mehta is a GP trainee in the West Midland Deanery who qualified from Manchester University in 2006. He has had articles published in the British Medical Journal, the GP trainee journal InnovAit and also in the journal Public Health. He has recently passed his nMRCGP AKT exam in April 2009. Milan Mehta has come to the end of his GP vocational training within the West Midlands Deanery and has successfully obtained his nMRCGP qualification. He has had articles published in a number of international medical journals and will shortly be taking up a Teaching Fellow post in academic General Practice at Keele University. Together with this he will also continue to work as a part-time salaried GP in Staffordshire. Mark Williams is a GP trainee who has previously co-authored a book on medical careers, ‘The Medical Student Career Handbook’ and has had articles published in the British Medical Journal and Emergency Medical Journal. He has recently passed the nMRCGP AKT. About the publisher Developmedica is a specialist provider of books, courses and eLearning solutions tailored to meet your career development needs. Visit our web site at www.developmedica.com and find out more. Our approach is friendly and personal, and we are only a phone call or an email away. nMRCGP File-1.indd 7 10/8/09 2:59:27 PM nMRCGP File-1.indd 8 10/8/09 2:59:27 PM Acknowledgements We would like to thank Dr Sarah Gear (GP) for her assistance in reviewing the book. We would also like to thank Dr Kay Mohana (Chair of the RCGP Midland Faculty) for writing the foreword for the book. We are also very grateful to Matt Green and his team at Developmedica. The dermatology pictures Figure 2, Figure 3, Figure 8, Figure 10, Figure 12, Figure 16 and Figure 25 are from © Ashton, Richard and Leppard, Barbara, Differential Diagnosis in Dermatology 3rd edition. Oxford: Radcliffe Publishing; 2005. Reproduced with the permission of the copyright holder. The ophthalmology pictures Figure 18, Figure 19, Figure 21, Figure 23, Figure 28, Figure 31 are reproduced with permission from James B, Chew C and Bron A (2007) Lecture notes Ophthalmology (10e). Blackwell Publishing. We would also like to thank the National Institute for Clinical Excellence for allowing us to adapt their tables and algorithms that we have used in Figure 1, Figure 6, Table 4, Figure 24, Figure 45. National Institute for Clinical Excellence (2003) Adapted from CG 5 Chronic heart failure: management of chronic heart failure in adults in primary and secondary care. London: NICE. Available from www.nice. org.uk/CG5 Reproduced with permission. National Institute for Health and Clinical Excellence (2005) Adapted from CG 30 Long-acting reversible contraception. London: NICE. Available from www.nice.org.uk/CG30 Reproduced with permission. National Institute for Health and Clinical Excellence (2006) Adapted from CG 34 Hypertension: the management of hypertension in adults in primary care. London: NICE. Available from www.nice.org.uk/CG34 Reproduced with permission. National Institute for Health and Clinical Excellence (2007) Adapted from nMRCGP File-1.indd 9 10/8/09 2:59:27 PM
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