Focus GP

🩺 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

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!

🩺 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

🩺 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

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.