100+ Free RACGP KFP Practice Questions
Pass your RACGP Key Feature Problem (KFP) Exam exam on the first try — instant access, no signup required.
Loading practice questions...
Explore More RACGP Fellowship 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: RACGP KFP Exam
70 questions
The KFP comprises 70 individual multiple-selection questions, each its own scenario
RACGP - AKT and KFP guide
Cycle 2025.2
Format changed from handwritten short answers to multiple-selection questions
RACGP AGPT Program update, November 2024
2 to 6 options
Each KFP question asks candidates to select a stated number of correct options
RACGP - AKT and KFP guide
Four hours
KFP exam duration: a 3.5-hour exam plus a 30-minute universal allowance
RACGP - AKT and KFP guide
64.59% cut score
Pass mark set by standard setting for cycle 2025.2 of the KFP
RACGP - 2025.2 KFP public exam report
79.57% pass rate
Proportion of the 1,160 candidates who passed the 2025.2 KFP
RACGP - 2025.2 KFP public exam report
1.43% per question
Each KFP question contributes equally (1/70) to the final mark with no negative marking
RACGP - General exam delivery information
100
Free original case-based practice questions in this bank
OpenExamPrep
The RACGP Key Feature Problem (KFP) exam assesses clinical reasoning and decision-making for unsupervised Australian general practice. From cycle 2025.2 it consists of 70 scenario-based multiple-selection questions (MSQs), each independent, in which candidates select a stated number of correct options (usually 2 to 6) about history, examination, diagnosis, investigation or management. The exam runs for four hours and is marked from paper answer sheets, with each question worth about 1.43% of the score and no negative marking. There is no fixed pass mark; in 2025.2 the cut score was 64.59% with a 79.57% pass rate from 1,160 candidates. This 100-question bank provides original case vignettes modelled on the new MSQ format and grounded in Australian guidelines.
Sample RACGP KFP Practice Questions
Try these sample questions to test your RACGP KFP 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 presents to your GP clinic with 40 minutes of central crushing chest pain radiating to his left arm, diaphoresis and nausea. He looks unwell. After giving aspirin and arranging an ambulance, what is the single most important immediate investigation to perform in the clinic?
2A 24-year-old woman develops widespread urticaria, lip swelling and wheeze within minutes of eating at a restaurant. She is anxious, has a respiratory rate of 28 and a blood pressure of 88/54 mmHg. What is the single most important immediate management step?
3A 70-year-old man with a history of hypertension reports three weeks of increasing exertional breathlessness, orthopnoea and bilateral ankle swelling. On examination he has bibasal crackles, a raised JVP and a displaced apex beat. Which single investigation is most useful to confirm the most likely diagnosis?
4A 65-year-old man has an irregularly irregular pulse at 110 bpm found on routine review. He is asymptomatic and haemodynamically stable. An ECG confirms atrial fibrillation. Beyond rate control, which single assessment is most important to guide his ongoing management?
5A 30-year-old woman presents with sudden-onset pleuritic chest pain and breathlessness three days after a long-haul flight. She has unilateral calf swelling and tenderness. Heart rate is 105, oxygen saturation 93%. What is the most appropriate first-line investigation given she is haemodynamically stable?
6A 19-year-old man with known asthma presents acutely with severe wheeze. He can speak only in short phrases, has a respiratory rate of 32, heart rate 130 and oxygen saturation of 91% on room air. What is the single most important immediate treatment?
7A 68-year-old man who smokes has a chronic productive cough and worsening breathlessness over years. Spirometry shows a post-bronchodilator FEV1/FVC ratio of 0.58 with limited reversibility. What is the single most effective intervention to slow disease progression?
8A 45-year-old man has a clinic blood pressure of 158/96 mmHg on three separate visits. He has no end-organ symptoms. Before starting medication, which single investigation best confirms whether he has sustained hypertension rather than white-coat effect?
9A 75-year-old woman with type 2 diabetes presents with vague fatigue and breathlessness but no chest pain. ECG shows new ST depression in the lateral leads. What is the most likely diagnosis you must not miss?
10A 22-year-old previously well man presents with sudden sharp left-sided pleuritic chest pain and breathlessness at rest. He is tall and thin. On examination there are reduced breath sounds and hyper-resonance on the left. He is stable with saturation 95%. What is the most likely diagnosis?
About the RACGP KFP Exam
The Key Feature Problem (KFP) exam is one of three RACGP Fellowship examinations and is designed to assess clinical decision-making and clinical reasoning in Australian general practice. From cycle 2025.2 the KFP was converted from handwritten short-answer responses to 70 scenario-based multiple-selection questions (MSQs), a format similar to the Applied Knowledge Test. Each question begins with a clinical vignette describing a realistic GP presentation, examination findings and sometimes investigation results, then asks the candidate to select a stated number of correct options from a list. Questions test the critical 'key feature' actions of a case - the focused history, examination, differential diagnoses, investigations or management that most influence the outcome - rather than rewarding breadth of recall. It remains a paper-based exam marked from computer-readable answer sheets, with each question contributing equally to the final mark.
Assessment
70 individual multiple-selection questions, each based on its own clinical scenario. Each question presents a vignette and asks candidates to select a stated number of correct options (usually 2 to 6) covering history, examination, differential diagnosis, investigation or management. Questions are independent of one another.
Time Limit
Four hours on exam day: a 3.5-hour exam plus a universal additional 30-minute allowance. The exam starts at 11am local time at each venue.
Passing Score
No fixed percentage. The pass mark is determined by standard setting for each sitting. In cycle 2025.2 the cut score was 64.59%, the mean was 70.98% and the pass rate was 79.57% from 1,160 candidates.
Exam Fee
Approximately A$2,721 for the 2026 cycle (each written exam was A$2,555 in 2024). Fees are set per cycle by the RACGP; confirm the current fee on the official enrolment page. (Royal Australian College of General Practitioners (RACGP))
RACGP KFP Exam Content Outline
Cardiovascular, respiratory and emergency presentations
Acute coronary syndromes, chest pain assessment, heart failure, hypertension, atrial fibrillation, asthma and COPD exacerbations, anaphylaxis, sepsis and other can't-miss emergencies. Practice focuses on recognising the critical action - immediate management, the right first investigation or a red flag - in time-critical GP scenarios.
Acute abdomen, gastrointestinal and genitourinary
Acute abdominal pain, appendicitis, biliary and pancreatic disease, dyspepsia, GORD, inflammatory bowel disease, colorectal red flags, urinary tract infection, pyelonephritis, renal colic and the acute scrotum, emphasising the most appropriate next step in primary care.
Mental health, neurology and substance use
Depression and anxiety, acute psychosis, suicide and self-harm risk, dementia, delirium, headache and red-flag neurology, stroke and TIA, seizures, and alcohol and other drug presentations, with a focus on safe prioritisation and escalation.
Women's, men's, sexual and reproductive health
Antenatal and postnatal care, abnormal uterine bleeding, contraception, the National Cervical Screening Program, sexually transmitted infections, ectopic pregnancy, menopause and prostate disease, applying current Australian screening and treatment guidelines.
Paediatrics and child health
The febrile and unwell child, infant feeding and growth, paediatric rashes, asthma and bronchiolitis, developmental surveillance, immunisation and recognition of the seriously ill or at-risk child, prioritising safe assessment and disposition.
Endocrine, metabolic and renal
Type 2 diabetes and its complications, thyroid disease, electrolyte and acid-base disturbance, osteoporosis, lipid and cardiovascular risk and obesity, set within Australian preventive-health and chronic-disease frameworks.
Dermatology, musculoskeletal and ENT/eyes
Skin cancer and common dermatoses, the acute and chronic joint, back pain and fractures, the acute red eye, otitis media and externa, and other ear, nose and throat presentations that hinge on a single focused decision.
Preventive care, aged care and population health
Health assessments and chronic-disease management, immunisation, Aboriginal and Torres Strait Islander health, polypharmacy and frailty, and ethical, medicolegal and patient-safety considerations such as consent, capacity and mandatory reporting.
How to Pass the RACGP KFP Exam
What You Need to Know
- Passing score: No fixed percentage. The pass mark is determined by standard setting for each sitting. In cycle 2025.2 the cut score was 64.59%, the mean was 70.98% and the pass rate was 79.57% from 1,160 candidates.
- Assessment: 70 individual multiple-selection questions, each based on its own clinical scenario. Each question presents a vignette and asks candidates to select a stated number of correct options (usually 2 to 6) covering history, examination, differential diagnosis, investigation or management. Questions are independent of one another.
- Time limit: Four hours on exam day: a 3.5-hour exam plus a universal additional 30-minute allowance. The exam starts at 11am local time at each venue.
- Exam fee: Approximately A$2,721 for the 2026 cycle (each written exam was A$2,555 in 2024). Fees are set per cycle by the RACGP; confirm the current fee on the official enrolment page.
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 KFP Study Tips from Top Performers
Frequently Asked Questions
What format is the RACGP KFP exam in 2026?
Since cycle 2025.2 the KFP is a paper-based exam of 70 scenario-based multiple-selection questions (MSQs). Each question gives a clinical vignette and asks you to select a stated number of correct options, usually between 2 and 6, from a list. Handwritten short answers were removed.
How many questions are on the KFP and how is it marked?
There are 70 independent questions, each contributing equally (about 1.43%) to your final mark. There is no negative marking, but if you shade more options than requested a small penalty (0.35% per extra option) is deducted from your overall paper score, so select exactly the number asked for.
How long is the KFP exam?
The KFP runs for four hours on exam day - a 3.5-hour exam plus a universal additional 30-minute allowance. It starts at 11am local time at each venue, and candidates are advised to reach at least the 35th question by the halfway point.
What is the pass mark for the KFP?
There is no fixed pass percentage; the cut score is set by standard setting for each sitting. In cycle 2025.2 the pass mark was 64.59%, the mean score was 70.98% and the pass rate was 79.57% from 1,160 candidates.
What does the KFP assess?
The KFP assesses clinical reasoning and decision-making in Australian general practice. It rewards identifying the critical 'key feature' actions of a case - the focused history, examination, diagnosis, investigation or management that most affect the outcome - rather than breadth of recall.
Are these official RACGP KFP questions?
No. These are original OpenExamPrep questions modelled on the new MSQ format and grounded in Australian guidelines such as Therapeutic Guidelines and the RACGP Red Book. The RACGP provides an official practice exam and public exam reports separately.