100+ Free MICGP CKT Practice Questions
Pass your MICGP Core Knowledge Test (CKT) exam on the first try — instant access, no signup required.
Loading practice questions...
Explore More Ireland Health Registration Exams
Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.
Key Facts: MICGP CKT Exam
180 questions
The current CKT consists of 180 single best answer questions
ICGP - Core Knowledge Test (CKT)
3 hours
Time allowed for the CKT paper
ICGP - Core Knowledge Test (CKT)
5 options
Each SBA question offers five options with one single best answer
ICGP - Core Knowledge Test (CKT)
No negative marking
Correct answer scores +1 and incorrect or multiple answers score 0
ICGP - Core Knowledge Test (CKT)
From Year 2
The CKT can be taken from Year 2 of GP training
ICGP - Core Knowledge Test (CKT)
Criterion-referenced
Passing standard is set by standardisation procedures, not a fixed percentage
ICGP - MICGP Exam Modules
16 domains
Questions are drawn from 16 topic areas in the Core Curriculum for Irish General Practice
ICGP - Core Knowledge Test (CKT)
100
Free original CKT practice questions here
OpenExamPrep
The MICGP Core Knowledge Test (CKT) is the ICGP's applied-knowledge module for Irish GP trainees, taken from Year 2 of training. It is a single best answer paper of 180 questions (select one from five options) sat over three hours, with no negative marking (+1 correct, 0 incorrect). It is criterion-referenced with no fixed percentage pass mark; the standard is set by recognised standardisation procedures each sitting. Questions test application of best general-practice care across 16 domains in the Core Curriculum for Irish General Practice, weighted toward general medicine, cardiovascular, respiratory, endocrine and GI topics. This 100-question bank provides original Irish-context practice across all CKT domains with full explanations.
Sample MICGP CKT Practice Questions
Try these sample questions to test your MICGP CKT exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 58-year-old man with no prior cardiovascular disease has a clinic blood pressure of 158/96 mmHg confirmed on ambulatory monitoring. He has no diabetes or chronic kidney disease. According to standard Irish primary-care practice, which is the most appropriate first-line antihypertensive?
2A 70-year-old woman with non-valvular atrial fibrillation has a CHA2DS2-VASc score of 4. She has no contraindication to anticoagulation. What is the most appropriate management to reduce her stroke risk?
3A 24-year-old woman presents with a 3-day history of dysuria, frequency and suprapubic discomfort. She is otherwise well, afebrile, and not pregnant. There is no vaginal discharge. What is the most appropriate initial management?
4A 45-year-old man presents with a 30-minute history of central crushing chest pain radiating to the left arm, with sweating and nausea. His ECG shows ST elevation in the inferior leads. What is the most appropriate immediate action in general practice?
5A 6-month-old infant presents with coryza, a barking cough developing into wheeze, increased work of breathing and fine crackles. He is feeding less. What is the most likely diagnosis?
6A 35-year-old woman requests contraception. She is a smoker of 20 cigarettes per day and is 36 years old at her next birthday. She has migraines without aura. Which contraceptive option is contraindicated?
7A 52-year-old man with type 2 diabetes has an HbA1c of 64 mmol/mol despite maximal metformin. He has established atherosclerotic cardiovascular disease. Which add-on agent has the best evidence for cardiovascular benefit in this setting?
8A 28-year-old woman presents with low mood, anhedonia, poor sleep and reduced concentration for six weeks following a relationship breakdown. She has no suicidal ideation and symptoms are moderately impairing. What is the most appropriate first-line treatment in primary care?
9A 60-year-old man presents with a slowly enlarging, pearly, telangiectatic nodule with a rolled edge and central ulceration on the side of his nose, present for many months. What is the most likely diagnosis?
10A 3-year-old child presents with a barking cough, hoarse voice and inspiratory stridor that is worse when upset, but no stridor at rest and normal oxygen saturations. What is the most appropriate management?
About the MICGP CKT Exam
The MICGP Core Knowledge Test (CKT) is one of the modules of the MICGP examination run by the Irish College of General Practitioners (ICGP) and is taken by GP trainees from Year 2 of training. It tests the application of knowledge within the context of current best general practice across the Core Curriculum for Irish General Practice. The paper currently consists of 180 single best answer questions sat over three hours, with each item presenting a clinical stem, usually a lead-in question and five plausible options of which one is the single best answer. There is no negative marking: a correct answer scores +1 and an incorrect or multiple answer scores 0. Topic areas span clinical and minor surgery, consultation skills, dermatology, emergency medicine, ENT, general (internal) medicine, infectious diseases, women's health and obstetrics & gynaecology, ophthalmology, paediatrics, palliative care, practice management, psychiatry and mental health, rheumatology and musculoskeletal medicine, sexual health, and therapeutics and prescribing.
Assessment
180 single best answer (SBA) multiple-choice questions. Each item has a clinical stem, usually a lead-in question, and five plausible options of which only one is the single best answer. Questions are drawn from the topic areas in the Core Curriculum for Irish General Practice.
Time Limit
Three hours for the CKT paper.
Passing Score
Criterion-referenced with no fixed percentage cutoff. The passing standard is set for each sitting using internationally recognised standardisation procedures, and all candidates who reach that standard pass.
Exam Fee
The CKT module fee is set by the ICGP and published on its website as part of the MICGP examination fees; it is reimbursable for eligible trainees under the Training Support Scheme (TSS). (Irish College of General Practitioners (ICGP))
MICGP CKT Exam Content Outline
General medicine, cardiovascular, respiratory, endocrine and GI
The largest share of CKT questions covers common chronic and acute medical problems managed in primary care: hypertension and cardiovascular risk, ischaemic heart disease, heart failure, atrial fibrillation and anticoagulation, asthma and COPD, type 2 diabetes and thyroid disease, and GI conditions such as dyspepsia, GORD, IBS and coeliac disease, applying ICGP and HSE guidance.
Mental health, women's health and sexual health
Assessment and management of depression, anxiety and self-harm risk; contraception, emergency contraception, menopause and HRT; cervical screening through CervicalCheck and antenatal care; and sexual health including STI testing, PrEP and partner notification in the Irish setting.
Paediatrics, dermatology, MSK/rheumatology, ENT and ophthalmology
Childhood illness, fever, immunisation schedules and developmental concerns; recognition of common rashes and red-flag skin lesions; gout, osteoarthritis and inflammatory arthritis; ENT problems such as otitis media and sore throat scoring; and acute eye complaints including the painful red eye and sudden visual loss.
Emergency, palliative care, infectious disease, therapeutics and practice management
Recognition and initial management of acute deterioration, anaphylaxis and sepsis; symptom control and syringe-driver prescribing in palliative care; antimicrobial stewardship and notifiable diseases; safe prescribing, monitoring and drug interactions; and practice management and medico-legal topics such as certification, consent, capacity and data protection in Irish general practice.
How to Pass the MICGP CKT Exam
What You Need to Know
- Passing score: Criterion-referenced with no fixed percentage cutoff. The passing standard is set for each sitting using internationally recognised standardisation procedures, and all candidates who reach that standard pass.
- Assessment: 180 single best answer (SBA) multiple-choice questions. Each item has a clinical stem, usually a lead-in question, and five plausible options of which only one is the single best answer. Questions are drawn from the topic areas in the Core Curriculum for Irish General Practice.
- Time limit: Three hours for the CKT paper.
- Exam fee: The CKT module fee is set by the ICGP and published on its website as part of the MICGP examination fees; it is reimbursable for eligible trainees under the Training Support Scheme (TSS).
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
MICGP CKT Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the MICGP CKT and how long is it?
The CKT currently consists of 180 single best answer questions and is sat over three hours. Earlier exam regulations referenced 200 questions, but the current ICGP module page states 180.
What format are CKT questions?
They are single best answer (SBA) items: a clinical stem, usually a lead-in question, and five plausible options. All five may sound reasonable, but only one is the single best answer and you choose that one.
Is there negative marking on the CKT?
No. There is no negative marking. A correct answer scores +1, and an incorrect answer or more than one answer recorded scores 0, so it is always worth attempting every question.
What is the pass mark for the CKT?
The CKT is criterion-referenced with no fixed percentage pass mark. A passing standard is set for each sitting using internationally recognised standardisation procedures, and every candidate who reaches that standard passes.
When can GP trainees sit the CKT?
The CKT can be taken from Year 2 of training. It is open to trainees on ICGP-recognised programmes who have not yet passed the module, and to eligible candidates within two years of completing such a programme.
Are these official ICGP exam questions?
No. These are original OpenExamPrep practice questions modelled on the CKT's domains and Irish primary-care guidance. They are for revision only and are not past or sample ICGP exam questions.