Table Of ContentEMQs for the
1
nMRCGP Applied
Knowledge Test
with answers discussed
Second Edition
Hayley Dawson
MBBSDRCOGDFFPMRCGP
and
Anna Trigell
BAMBBSMRCGPDRCOGDCHDFFPDipClinDerm
Boca Raton London New York
CRC Press is an imprint of the
Taylor & Francis Group, an informa business
First published 2008 by Radcliffe Publishing
First edition 2005
Published 2016 by CRC Press
Taylor & Francis Group
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Boca Raton, FL 33487-2742
# 2008 Hayley Dawson and Anna Trigell
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
ISBN-13: 978-184619-245-6(pbk)
Hayley Dawson and Anna Trigell have asserted their right under the
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Contents
Prefacetosecondedition v
Prefacetofirstedition vi
Abouttheexam vii
Abouttheauthors viii
Acknowledgements ix
Goodexamtechnique 1
Aboutthequestions 5
Howtousethisbook 7
Questionindexbytopic 9
Paper1Questions 15
Paper1Answers 29
Paper2Questions 39
Paper2Answers 53
Paper3Questions 63
Paper3Answers 79
Paper4Questions 89
Paper4Answers 103
Paper5Questions 113
Paper5Answers 127
Paper6Questions 137
Paper6Answers 149
iv Contents
Paper7Questions 159
Paper7Answers 171
Paper8Questions 179
Paper8Answers 191
Generalindex 199
Preface to second
edition
1
The MRCGP exam and Summative Assessment have now
1
merged to become the compulsory nMRCGP and with this has
comeachangeintheformatofthewrittenexam.RatherthanPaper1
and Paper 2 there is now a single Applied Knowledge Test con-
sisting of one three hour exam. There has also been a move to
computer-basedtests,sohopefully,nomoreconfusionwithques-
tionnumbering.
Thequestionsthemselvesremainsimilarinformat,butwehave
updatedthiseditiontoincluderevisedguidelinesandaddedinsome
questionsonrelativelynewtopicssuchaspractice-basedcommis-
sioning.
HayleyDawson
AnnaTrigell
April2008
Preface to first
edition
Wehavewrittenthisbookasweweresomewhattakenbysurprise
by the recent changes in the Summative Assessment MCQ exam
1
andtheMRCGP MCQexam.
In the last few years the question format has changed from the
standardtrueorfalseMCQsthatweknowandlove,tothemore
involvedandlessguessableEMQs(extendedmatchingquestions).
Wehavelostnegativemarking(hurray),asthiswasfoundtobea
confoundingvariablewhenusedforassessment.
This book is designed to familiarise you with the types of
questions to be found in the new exam, and also to cover good
exam technique in order to optimise your results with the know-
ledgeyouhave.
HayleyDawson
AnnaTrigell
January2005
About the exam
1
nMRCGP
1
The nMRCGP is a modular exam with three components. The
Applied Knowledge Test (AKT) is a computer-based multiple-
choicequestionexam.
. Duration:Theexamlastsforthreehours.
. Numberofquestions:Thereare200questions.
. Passmarks:Thepassmarkvariesbetween63%and70%but
the pass rate is good. Approximately eight out of ten people
pass,sothechancesarethatyouwillbeinthismajority!
Content of the exam
This is based on the General Medical Council’s document Good
Medical Practice (2001), which sets out seven broad headings as
follows.
. Goodclinicalcare.
. Maintaininggoodmedicalpractice.
. Relationshipswithpatients.
. Workingwithcolleagues.
. Teachingandtraining,assessmentandappraisal.
. Probity.
. Healthandtheperformanceofotherdoctors.
Thewholesyllabuscanbefoundatwww.rcgp.org.uk.
Wehopethatthisbookwillhelptoensureyoupasstheexamfirst
time.
About the authors
HayleyDawsonandAnnaTrigellqualifiedfromImperialCollege
School of Medicine in 1999. Hayley joined a vocational training
scheme in Barnet, North London, and Anna split her vocational
training between St Mary’s, Paddington and Addenbrookes,
1
Cambridgeshire. They both sat the MRCGP Examination in
2003 and both achieved a pass with Merit in the multiple-choice
component(Paper2).
HayleyisworkingasaGPinNorthLondon.AnnaisaGPinSt
Neots,CambridgeshireandisaGPwSIindermatology.
Acknowledgements
WewouldliketothankVinceMakandSimonMerchantfortheir
patience, and Dr Emma Radcliffe (GP), Drs Penny and Will
Zermansky (GPs) and Dr Anders Skarsten (Consultant Psy-
chiatrist)for theirassistancewith editing.We arealso grateful to
GillianNinehamandherteamatRadcliffePublishing.
Theillustrationsonpp.76–8arereproducedwithpermissionfrom
AshtonRandLeppardB(2005)DifferentialDiagnosisinDerma-
tology(3e).RadcliffePublishing,Oxford.
