Focus GP

06/10/2026

With registrations now closed for the 2027.1 AKT & KFP, its time to hit the drawing board!

Already good activity with our registrars practicing consistently! Let's go!

06/10/2026

🩺 KFP Question of the Day
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Sina Faleolo, aged 29 years, presents to your metropolitan general practice the morning after a witnessed first generalised tonic-clonic seizure. The seizure was typical and lasted around 90 seconds. He is now back to baseline. He works as a software engineer and drives a sedan to work daily.

He has no past medical history, takes no medications, no allergies. He drinks two standard drinks once or twice per week. There is no family history of epilepsy. He has had no similar episodes previously.

On examination he is alert and oriented, vital signs normal, and neurological examination is normal apart from a small lateral tongue laceration. You have arranged appropriate initial investigations and a neurology referral; ECG and bloods are normal. He is awaiting outpatient EEG and MRI in the next two weeks. Sina holds a standard private (Class C) driver licence and asks whether he can drive to work tomorrow.
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❓ What are the MOST appropriate management steps regarding driving at this consultation? Select THREE (3) from the following list.

A. Advise Sina he can drive once neurology has reviewed him
B. Advise Sina he can drive once the EEG and MRI are normal
C. Advise Sina he can resume driving when he feels well, as the seizure was provoked by sleep deprivation
D. Advise Sina he must not drive a private vehicle for at least 6 months from the date of the seizure
E. Advise Sina he must not drive a private vehicle for at least 12 months from the date of the seizure
F. Arrange weekly review until cleared to drive
G. Document the driving advice given and Sina's understanding in the clinical record
H. Inform Sina that you (the GP) will report him to the driver licensing authority today
I. Inform Sina that it is his legal responsibility to notify the driver licensing authority of his condition
J. Issue Sina with a medical certificate exempting him from driving
K. Provide Sina with the Austroads patient information sheet on driving and seizures
L. Refer Sina for occupational therapy driving assessment now
M. Reassure Sina that as the seizure was a one-off, no driving restriction applies
N. Suggest Sina arrange alternative transport (public transport, lifts, taxi/rideshare) for the next 6 months
O. Tell Sina to apply for a conditional licence immediately

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⬇️ Answer and clinical reasoning in the comments

01/09/2026

🩺 AKT Question of the Day
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Sanya Raman, aged 14 years, presents alone to your general practice requesting the oral contraceptive pill. She is in a relationship with a 15-year-old classmate and says both her parents would be very upset if they found out. On discussion, she demonstrates a clear understanding of the purpose of contraception, the side effects of the pill, and the alternative options available. She is articulate, does not appear to be under coercion, and asks specifically about confidentiality.
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❓ What is the MOST accurate statement about prescribing contraception for Sanya without parental knowledge?
A. You cannot prescribe contraception to anyone under 16 without parental consent in Australia
B. You may prescribe if you assess she meets the criteria for a mature minor with sufficient understanding and capacity, and that it is in her best interest
C. You must notify her parents before prescribing, as she is under 16
D. You must refer her to a sexual health clinic as general practice cannot provide confidential contraceptive services to minors
E. You should defer prescribing until she turns 16 and can consent independently
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⬇️ Answer and clinical reasoning in the comments

31/07/2026

🩺 KFP Question of the Day
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Anastasios Karagiannis, aged 58 years, presents requesting treatment for 'fungal toenails'. He has had thickened, yellow-discoloured great and second toenails on the right foot for 2 years. They are crumbly at the free edge with subungual debris. His second toenail on the left is similarly affected.

He has type 2 diabetes (HbA1c 7.4%), is on metformin 1 g BD, BMI 32 kg/m². He wears enclosed work boots as a carpenter. His feet are otherwise intact with normal monofilament sensation and foot pulses. He has read online that terbinafine tablets 'fix it' and wants a prescription today.
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❓ What are the MOST appropriate next steps in management? Select FOUR (4).
A. Arrange ABPI measurement before any treatment
B. Arrange baseline LFTs before starting oral terbinafine
C. Commence oral fluconazole 150 mg weekly for 6 weeks
D. Commence oral itraconazole pulse therapy empirically
E. Commence oral terbinafine 250 mg daily empirically today
F. Commence topical amorolfine 5% nail lacquer alone
G. Counsel that treatment is a 12-week course for toenail onychomycosis
H. Debride the nail and send clippings for fungal microscopy and culture
I. Examine the feet between the toes for tinea pedis and treat if present
J. Perform a skin biopsy of the nail bed
K. Prescribe oral cefalexin
L. Refer to podiatry for nail avulsion today
M. Refer urgently to dermatology for Mohs surgery
N. Screen for peripheral arterial disease and diabetes-related foot disease
O. Treat without investigation because diagnosis is clinically obvious
P. Await the fungal microscopy and culture result (which can take 2-4 weeks) before commencing oral terbinafine
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⬇️ Answer and clinical reasoning in the comments

26/06/2026

Good luck to all our candidates for the July 2026 AKT/KFP.

1 week to go - you've got this!

One final tip for exam day which I found crucial: divide each four blocks to pace yourself.

This ensures you have time to attempt every question, including the ones you easily know the answers to at the end of the exam.

At the 1hr, 2hr, 3hr, 4hr mark in the:
- AKT you should be at question 38, 75, 108, 150
- KFP you should be question 18, 35, 53, 70

Write down the times at the beginning of the exam.

Good luck!

22/05/2026

🩺 AKT Question of the Day
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Una, aged 49 years, presents with persistent epigastric discomfort for eight weeks. She has no alarm features. She has been taking omeprazole 20 mg daily for the past three weeks with no improvement. You suspect Helicobacter pylori infection and wish to test for it.

She is currently taking the omeprazole and completed a course of amoxicillin for a dental infection two weeks ago.
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❓ What is the MOST appropriate test to confirm active H. pylori infection?
A. H. pylori IgG serology
B. H. pylori stool antigen test
C. Rapid urease test (RUT) on antral biopsy via gastroscopy
D. Urea breath test now, while continuing omeprazole
E. Urea breath test after stopping omeprazole for at least two weeks
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⬇️ Answer and clinical reasoning in the comments

07/05/2026

🩺 AKT Question of the Day

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Trevor Wild, aged 58 years, attends your metropolitan general practice for routine review of his type 2 diabetes. He was diagnosed 4 years ago and currently takes metformin 1g twice daily and perindopril 5mg daily.

He has no history of cardiovascular disease, heart failure, or hypoglycaemia. His BMI is 34 kg/m² and blood pressure is 138/84 mmHg. The remainder of his examination is unremarkable.

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His investigations performed today are shown below:
- HbA1c 7.8% (target 60)
- Urine ACR 8 mg/mmol (normal

07/05/2026

15/04/2026

The standard for RACGP exam prep just shifted.

Passing the AKT and KFP isn't just about how much you study—it’s about how you study.

To study efficiently, we've found the best way is to focus on the key Australian guidelines and then test that knowledge through high-quality, exam-style questions.

We have built FocusGP to combine GP-led expertise with an easy-to-use platform designed for seamless practice. No fluff—just the clinical reasoning and exam technique you need to succeed.

>> GP Led: Questions created by Australian GPs who have sat these exams.

>> Exam Style Cases: Questions mimic the structure of the AKT and KFP, capturing the clinical nuance and subtle distractors found in the exam.

>> Evidence-Led Reasoning: We don't just give you the answer. Questions include detailed clinical reasoning and are supported by references to Australian guidelines.

>> BEACH/Exam weightings: Question distribution is weighted to reflect BEACH data and RACGP Examiner Report feedback.

We’re officially open for the 2026 exam cycle.

Ready to focus your prep? Explore the platform at the link below.