AKT MCQs
Single-best-answer items mapped to every domain of the RACGP curriculum.
For GP registrars · GP Exam Lab
Sit Fellowship here, before you sit it for real.
AI-powered RACGP Fellowship prep — AKT MCQs across every curriculum domain, KFP cases with LLM grading, timed AKT mocks, and per-domain insights.
Five tools below — each one is a tab on the live station panel. Browse without signing in.
station · live preview
sample content
Plate 01 · AKT · Applied Knowledge Test
Single-best-answer MCQs, RACGP-shaped.
Cases written in the AKT register — short clinical vignette, one best answer from five options. Coverage mapped to the RACGP curriculum: acute care, women's health, paediatrics, mental health, chronic disease and more.
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Curriculum-mapped
Every item tagged against the RACGP Fellowship curriculum so you know what you've covered.
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Explanations every time
Why the best answer is best, and why each distractor is a real GP-land trap.
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Australian context
Medicare items, PBS, MBS, RACGP guidelines — answers reflect Australian practice.
Acute care · chest pain
A 62-year-old man presents to your GP clinic with 30 minutes of central chest heaviness radiating to the left arm, mild nausea, no relief with rest. He is diaphoretic. BP 145/90, HR 96 regular.
PMH: hypertension, ex-smoker (quit 5 years). Meds: perindopril 5 mg daily.
What is the single most appropriate immediate management?
ATake an ECG, give sublingual GTN, and review in 30 minutes
BCall an ambulance for transfer to ED, give aspirin 300 mg chewed, oxygen if SaO₂ < 94%✓
CRefer for outpatient stress test within the week
DArrange urgent cardiology outpatient appointment and prescribe atenolol
EReassure, prescribe a PPI, and review in 24 hours
Correct — option B. This is a textbook ACS presentation in a high-risk patient. RACGP/ACEM guidance: call an ambulance, give aspirin 300 mg chewed (unless contraindicated), oxygen only if hypoxic. ECG in clinic is fine in parallel but does not replace urgent transfer — STEMI on tracing wouldn't change the disposition. A, C, D and E all delay reperfusion in a time-critical syndrome.
KFP · Women's health · 4 marks
Sarah, 32, attends with 8 weeks of heavy menstrual bleeding and fatigue. Cycle regular, 28-day, soaking through a super tampon hourly on heaviest day. No intermenstrual or post-coital bleeding. Para 2, breastfeeding ceased 6 months ago. Examination unremarkable.
Hb 98 g/L · ferritin 6 µg/L · TSH normal · pregnancy test negative
List the four most appropriate initial investigations or actions you would take today. (4 marks · 1 per correct answer)
1Commence oral iron replacement✓ 1
2Pelvic / transvaginal ultrasound✓ 1
3Trial of tranexamic acid during menses✓ 1
4Cervical screening test if not up to date✓ 1
Score 4 / 4. RACGP marks each KFP answer independently — order doesn't matter, but volume does. The LLM grader is calibrated against examiner marking schedules, accepting clinically equivalent phrasing (e.g. "iron supplementation" ≡ "oral iron"). It does not reward shotgunning — wrong answers can incur negative marks on the real KFP.
Plate 02 · KFP · Key Feature Problem
Short-answer cases, graded by an LLM examiner.
KFPs reward you for thinking like a GP — listing the most appropriate next steps in the order a Fellow would. We grade your free-text answers against the examiner marking schedule, accepting clinically equivalent phrasing.
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Examiner-aligned schedules
Each case carries its own marking schedule, written against the RACGP KFP style.
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Phrasing-tolerant grading
"Oral iron" ≡ "iron supplementation" ≡ "ferrous sulfate" — the grader accepts clinical synonyms.
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Negative marking honest
Wrong answers can subtract, just like the real KFP — no shotgunning rewards.
Plate 03 · per-domain insights
Where you actually stand, by curriculum domain.
Accuracy tracked against every domain of the RACGP Fellowship curriculum, rolling 14-day window. KFPs and AKTs scored separately. The weakest domain is highlighted — that's where tomorrow's set starts.
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RACGP domain map
Acute care, paeds, women's, mental health, chronic disease, Aboriginal & Torres Strait Islander health — each tracked.
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AKT vs KFP separately
Knowing your AKT score doesn't tell you about your KFP — both are tracked.
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Picked-for-you focus
The lowest domain with enough volume becomes tomorrow's recommended drill.
71%
Overall accuracy
486 items · 14-day window
Chronic disease82%
Acute care76%
Women's health71%
Mental health64%
Paediatrics59%
Aboriginal & TSI health52%
Focus area · this week
Aboriginal & Torres Strait Islander health — 52% over 14 days.
GP essentials · card 7 of 30
A 4-year-old presents with a barking cough, hoarse voice, and inspiratory stridor at rest. Temperature 38.2 °C, RR 32, mild intercostal recession. What is the single most appropriate first-line treatment, and why?
tap to reveal
Answer
Oral dexamethasone 0.15–0.6 mg/kg (single dose). • Moderate croup (stridor at rest with recession) — corticosteroid is the cornerstone. • Oral dex is as effective as nebulised budesonide and far easier in primary care. • Nebulised adrenaline reserved for severe croup or rapid temporising before transfer. • Most cases settle within hours; safety-net for stridor at rest returning or worsening.
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7 / 30
Plate 04 · flashcards
Spaced repetition, seeded from your weak topics.
Cards you nearly miss reappear sooner. Decks seeded from your weakest curriculum domains this week — so the next 15 minutes of revision starts where it matters.
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Default-on spacing
SM-2 schedules each card; no deck construction needed.
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Reasoning, not labels
Cards prompt mechanism, rationale, dose — not single-word recall.
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Add your own
Anything you read in RACGP eLearning — paste it, tag it, it joins the cadence.
Plate 05 · exam mode
Sit a full AKT mock. 150 items, 3.5 hours.
Real RACGP timing and shape. Flagging grid, no drip-fed feedback until the bell. The debrief afterwards links each miss back to a domain, a card, or a similar case to revisit.
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One paper, one debrief
No interruptions during. After: one scrollable page linking every miss to what closes the gap.
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Flag & return
The grid tells you what's answered, flagged, and untouched — at a glance.
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Real RACGP timing
150 items at the actual 3.5-hour clock. Pacing tested honestly.
AKT Mock Paper · Q22 / 150
2:48:14
Q22 — A 56-year-old woman with newly diagnosed type 2 diabetes (HbA1c 8.4%) has stage 3a CKD (eGFR 52). She has no cardiovascular disease but has obesity. Which first-line agent best balances glycaemic and renal benefit?
AMetformin alone
BMetformin + empagliflozin
CSulfonylurea
DInsulin glargine
EDPP-4 inhibitor
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About GP Exam Lab
AI-powered prep for the RACGP Fellowship exams.
GP Exam Lab is an AI-powered RACGP Fellowship prep platform. Practise AKT single-best-answer MCQs across every domain of the RACGP curriculum; work through KFP-style Key Feature Problems graded against examiner schedules; sit full 150-question AKT mock papers at exam timing — with per-domain insights that pinpoint your weakest area.
Two human promises
AI on the inside. Humans on the outside.
We use AI to make practice realistic, instant and tireless. But the things that matter — the questions, the marksheets, the answer when you email us — come from real doctors.
01 · Content
Every case, question and marksheet is human-verified.
Practising doctors and examiners write and review every simulated patient, MCQ, viva, flashcard and rubric before it reaches you. AI helps us scale; it never replaces the clinician at the keyboard.
Human-verified content
02 · Support
A fully human, responsive support team.
When you email [email protected] you reach a real person — usually a doctor or medical student — not a chatbot. We typically reply within 24 hours, often the same day.
Real humans on supportFive tools, one Fellowship.
AKT-shaped MCQs across the RACGP curriculum. KFP short-answer cases graded by an LLM examiner. A 150-question timed paper. Insights that tell you which domain to revise next.
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02
KFP cases
Short-answer Key Feature Problems, graded against examiner schedules.
03
Per-domain insights
Accuracy tracked separately across each RACGP curriculum area.
04
Flashcards
SM-2 spaced repetition seeded from your weakest domains this week.
05
Exam mode
Full 150-question AKT paper at RACGP timing, with debrief.
06
Clinician-reviewed
Every item written and reviewed by practising Australian GPs.
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About us
Built by Australian doctors.
Auri was built by a group of Australian doctors who have a passion for making medical education and exam study as efficient as possible.
The team
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Raymond
GP, Adelaide, SA
FRACGP, M.D. (Griffith University)
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George
Ophthalmology Registrar, Sydney, NSW
M.D. (University of Melbourne)
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Marie
ENT Registrar, Adelaide, SA
M.D. (Griffith University)
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Tasneem
GP, Adelaide, SA
FRACGP, M.D. (Griffith University)