100+ Free RACGP AKT Practice Questions
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Key Facts: RACGP AKT Exam
150 questions
The AKT has 150 single-best-answer multiple-choice questions
RACGP - AKT and KFP exams
4 hours
Both the AKT and KFP run for a four-hour duration
RACGP - General exam delivery information
Single best answer
Each AKT item is equally weighted with no negative marking
RACGP - AKT and KFP exams
Computer-based
Delivered at Pearson VUE centres or via remote proctoring
RACGP - AKT and KFP exams
Modified Angoff
Pass standard is criterion-referenced and set per sitting, not a fixed percentage
RACGP - Fellowship exams
About 80%
Recent AKT first-attempt pass rates
DXC Medical / RACGP exam reports
AUD $2,868
AKT enrolment fee for the 2026.2 sitting
RACGP - Exam dates and enrolments
1 of 3 exams
AKT is one of three FRACGP exams with the KFP and CCE
RACGP - Fellowship exams
The RACGP Applied Knowledge Test (AKT) is a computer-based exam of 150 single-best-answer multiple-choice questions sat over four hours at Pearson VUE centres or by remote proctoring. It is one of three Fellowship exams (with the KFP and CCE) and tests applied clinical knowledge at the level of a competent, newly independent Australian GP. Questions span diagnosis and management, population health, prescribing and medicolegal practice, grounded in Australian guidelines such as the RACGP Red Book, Therapeutic Guidelines and the Australian Medicines Handbook. There is no fixed pass mark; the RACGP sets the standard each sitting using a modified Angoff method, with recent pass rates around 80%. This 100-question bank provides original single-best-answer practice across the major general-practice topic areas.
Sample RACGP AKT Practice Questions
Try these sample questions to test your RACGP AKT 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 type 2 diabetes, a current smoker, has a clinic blood pressure of 152/94 mmHg on repeated readings and no established cardiovascular disease. According to current Australian guidelines, what is the most appropriate first-line antihypertensive choice?
2A 65-year-old woman presents with sudden-onset central crushing chest pain radiating to the left arm, lasting 30 minutes, with diaphoresis. Her ECG shows ST-elevation in leads II, III and aVF. Which artery is most likely occluded?
3A 72-year-old man has newly diagnosed atrial fibrillation. His CHA2DS2-VASc score is 3 and his HAS-BLED score is low. What is the most appropriate management to reduce stroke risk?
4A 50-year-old man with no prior cardiovascular history is assessed for absolute cardiovascular risk using the Australian CVD risk calculator. Which combination of factors is used to estimate his 5-year risk?
5A 24-year-old woman presents with acute shortness of breath and pleuritic chest pain three weeks after starting the combined oral contraceptive pill. She has tachycardia and clear lungs. Her Wells score for pulmonary embolism is low and a D-dimer is requested. If the D-dimer is negative, what is the most appropriate next step?
6A 30-year-old woman with asthma uses her salbutamol inhaler more than three times per week and wakes at night with symptoms twice a month. She is not on any preventer. According to Australian asthma guidelines, what is the most appropriate step-up in management?
7A 68-year-old man with a 40-pack-year smoking history has progressive dyspnoea and a chronic productive cough. Spirometry shows a post-bronchodilator FEV1/FVC ratio of 0.62. What does this finding indicate?
8A 45-year-old man has an HbA1c of 7.8% (62 mmol/mol) on metformin. He has an eGFR of 70 mL/min/1.73m2 and established atherosclerotic cardiovascular disease. Which additional agent is most appropriate to add?
9A 35-year-old woman reports fatigue, weight gain, cold intolerance and constipation. Her TSH is 9.5 mIU/L and free T4 is low. What is the most appropriate management?
10A 19-year-old man presents with polyuria, polydipsia, weight loss and lethargy over two weeks. His random capillary glucose is 22 mmol/L and urine shows ketones. What is the most appropriate immediate action?
About the RACGP AKT Exam
The Applied Knowledge Test (AKT) is one of three written and clinical exams in the RACGP Fellowship (FRACGP) program, alongside the Key Feature Problem (KFP) and the Clinical Competency Exam (CCE). The AKT is a computer-based test of 150 single-best-answer multiple-choice questions sat over four hours at approved Pearson VUE centres or via remote proctoring. It assesses applied clinical knowledge at the standard of a competent, newly independent Australian GP, drawing on the RACGP Curriculum and Syllabus for Australian General Practice, current Australian guidelines (the RACGP Red Book, Therapeutic Guidelines and the Australian Medicines Handbook) and the PBS. Content spans diagnosis and management across body systems and patient groups, preventive and population health, rational prescribing, and the professional, ethical and legal dimensions of practice. Each question is equally weighted with no negative marking, and the pass standard is set per sitting.
Assessment
150 single-best-answer (SBA) multiple-choice questions. Each question carries equal marks and there is no negative marking. Questions sample the breadth of the RACGP curriculum across clinical, population-health, professional and organisational dimensions of Australian general practice.
Time Limit
Four hours.
Passing Score
No fixed percentage. The RACGP sets the pass standard for each AKT sitting using a criterion-referenced (modified Angoff) method, so the cut score varies by paper. Recent AKT pass rates have been about 80%.
Exam Fee
AUD $2,868 for the 2026.2 sitting (AUD $2,721 for 2026.1); set per sitting by the RACGP and paid online at enrolment. (Royal Australian College of General Practitioners (RACGP), delivered via Pearson VUE)
RACGP AKT Exam Content Outline
Clinical diagnosis and management
Applied clinical knowledge across body systems and patient groups in Australian primary care: cardiovascular, respiratory, endocrine and diabetes, mental health, women's, men's and sexual health, paediatrics, dermatology, musculoskeletal, gastrointestinal, renal, neurology and infectious disease. Practice focuses on selecting the single best diagnosis, investigation or management step for each scenario.
Population health and prevention
Preventive activities, screening and immunisation schedules, chronic disease prevention, cardiovascular and cancer risk assessment, Aboriginal and Torres Strait Islander health, and evidence-based practice. Practice draws on the RACGP Red Book and national Australian guidelines.
Pharmacology and prescribing
Rational prescribing, dosing, drug interactions and adverse effects, monitoring, and the Pharmaceutical Benefits Scheme (PBS) context. Practice is guided by Therapeutic Guidelines and the Australian Medicines Handbook.
Professional, ethical and legal practice
Medicolegal and ethical duties including consent, confidentiality, capacity, mandatory reporting, driving and notifiable conditions, plus Medicare/MBS basics and the organisational and legal dimensions of Australian general practice.
How to Pass the RACGP AKT Exam
What You Need to Know
- Passing score: No fixed percentage. The RACGP sets the pass standard for each AKT sitting using a criterion-referenced (modified Angoff) method, so the cut score varies by paper. Recent AKT pass rates have been about 80%.
- Assessment: 150 single-best-answer (SBA) multiple-choice questions. Each question carries equal marks and there is no negative marking. Questions sample the breadth of the RACGP curriculum across clinical, population-health, professional and organisational dimensions of Australian general practice.
- Time limit: Four hours.
- Exam fee: AUD $2,868 for the 2026.2 sitting (AUD $2,721 for 2026.1); set per sitting by the RACGP and paid online at enrolment.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
RACGP AKT Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the RACGP AKT?
The AKT has 150 single-best-answer multiple-choice questions. Each question is worth equal marks and there is no negative marking.
How long is the AKT and how is it delivered?
The AKT runs for four hours and is computer-based. It is delivered at approved Pearson VUE test centres or via remote online proctoring, with a basic on-screen calculator provided.
Is there a fixed pass mark for the AKT?
No. The RACGP sets the pass standard for each AKT sitting using a criterion-referenced (modified Angoff) method, so the cut score varies by paper. Recent AKT pass rates have been around 80%.
How does the AKT fit with the KFP and CCE?
The AKT is one of three RACGP Fellowship exams alongside the Key Feature Problem (KFP) and the Clinical Competency Exam (CCE). All three must be passed to attain Fellowship (FRACGP); the AKT and KFP are usually sat before the CCE.
What does the AKT test?
It tests applied clinical knowledge across the breadth of Australian general practice, including diagnosis and management, population health and prevention, prescribing, and professional, ethical and legal practice, at the standard of a competent independent GP.
Are these official RACGP exam questions?
No. These are original OpenExamPrep practice questions modelled on the AKT single-best-answer format and grounded in current Australian guidelines. The RACGP provides its own official exam materials separately.