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Meet the GPs and former examiners who write and review our resources for the RACGP AKT, KFP and CCE. Fellow Academy Clinical Team Authors and Clinical Editors of Fellow Academy Resources Dr Shaun Tan GP & Primary Author Dr Shaun Tan is a GP, Medical Director, and Medical Educator with a passion for transforming medical education and optimising study efficiency. He holds honorary academic positions at the University of Queensland and Griffith University, mentors junior doctors, and serves as an official examiner, contributing feedback to improve examinations. In his spare time, he enjoys hiking, coffee, and being outdoors. Through Fellow Academy flashcards, he is on a mission to help GP trainees and IMGs pass the AKT & KFP on their first attempt, while also helping them save time, reduce stress, and focus on what truly matters. Dr Charles Wang Fellowed GP & Medical Author Dr. Charles is an experienced fellowed GP and clinical editor for Fellow Academy flashcards. He graduated from the University of New South Wales in 2015 and completed further medical training at Westmead Hospital, Auburn Hospital, and Coffs Harbour Base Hospital. He enjoys caring for a wide range of patients, with particular interests in men’s health and chronic health. Since becoming a GP, Dr. Charles has been serving the Campbelltown area, with professional experience across Westmead, Auburn, Coffs Harbour, and Rhodes. In his spare time, he enjoys going to the gym, rock climbing, and running. Dr Mark Ishak Former Official Medical Examiner, Educator and Author Dr Ishak is a distinguished Cardiology Advanced Trainee based in Sydney, currently on track to complete his specialist training and commence practice as a consultant cardiologist next year. Throughout his advanced training across the Sydney region, he has earned a reputation for clinical excellence and a disciplined, evidence-based approach to care, reflecting a strong commitment to continuous learning. Passionate about medical education, Dr Ishak actively teaches and mentors medical students and junior doctors, and is known for his clear, practical teaching style that supports confident clinical decision-making. After dedicating significant time to preparing for competitive cardiology interviews, he secured a coveted training position in the specialty and is now completing his final year while preparing to transition into a consultant role.

Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Our Blog Resources and insights The latest industry news, interviews, technologies, and resources. KFP Exam Technique Part 1: Improve Your Exam Answers Specificity Matters in the KFP Exam Understanding the . . . Written by Dr. Shaun Published on 20 October 2024 File under Flashcard Flashcard View all Flashcards FlashCard KFP Exam Technique Part 1: Improve Your Exam Answers Specificity Matters in the KFP Exam Understanding the . . . Dr. Shaun 20 Oct 2024 FlashCard Tips for Non-Pharmacological Management and Allied Health References Practical tips for consistent answers in non- . . Dr. Shaun 20 Oct 2024

Testimonials Success Stories from Fellow GP Trainees Fellow Academy Flashcards and Exam Notes gave me the clear structure I really needed for exam preparation. Relying solely on lecture slides was too overwhelming, especially during busy clinic days. With these resources, I could also easily revise on my phone during short breaks, making study more manageable and less stressful. Dr. Sarah Kulthum, MBBS, FRACGP RACGP GP Educator, Fellowed GP at Browns Plains Family Practice As Shaun’s supervisor at Forest Lake General Practice, I saw firsthand how effectively he used his own flashcards and notes. In fact, he frequently shared them during teaching sessions, helping other registrars who struggled to organise their revision, as well as helping me brush up on my own knowledge. These resources would undoubtedly simplify exam preparation for anyone facing the AKT or KFP Dr. Geoffrey Neundorf, MD, FRACGP RACGP GP Registrar Senior Supervisor, Fellowed GP I felt stressed and unsure about where to focus my study efforts for the KFP exam. These flashcards and exam notes specifically targeted high-yield KFP content, delivering the precise depth I needed without any unnecessary information. They quickly became essential to my preparation and in the last few weeks before the exam was pretty much the only things I used to revise. Dr. Douglas Brown, MD, FRACGP Fellowed GP, Addiction Medicine Advanced Trainee at Caboolture Hospital I was extremely anxious in the lead up to the KFP exam as I had heard many horror stories. Using these resources was an absolute game changer for my exam preparation. They not only provided key information but also created simplified ways of remembering large chunks of information. Dr. Nitin Mukesh, MD, FRACGP Fellowed GP with The Royal Australian Air Force (RAAF) Preparing for these exams was the toughest study challenge I've ever faced. I struggled to manage the overload from multiple fragmented resources, none of which had everything clearly in one place. Fellow Academy streamlined everything, saving me hundreds of hours I previously wasted creating my own notes. The clarity, focus, and structure provided were exactly what I needed. Dr. Charles Wang, MD, FRACGP Former PassRaCGP user, now a contributor to the PassRACGP, Fellowed GP at Your Doctors Used by 1200+ IMG doctors across Australia Try the system for free Answer a 30-second survey, then unlock cases tailored to your exam path. Send Me KFP + AKT Samples Send Me CCE Samples Subscribe to our Mailing List Worried that these resources may not be for you? Our Fellow Academy resources portal comes with a 7-day money-back guarantee. Take the stress out of deciding and invest risk-free in your success today. Shop Now Code AU +61 You agree to our friendly privacy policy. * Submit

Pass the RACGP AKT & KFP exams with 700+ flashcards designed for GP trainees. Proven tools to help you succeed. Begin your exam prep journey now BUY AKT & KFP ALL-IN-ONE BUNDLE The Only AKT & KFP Exam Platform With Clinician-Verified (Not AI) Answers Backed by Exact Guideline Screenshots 2,000+ AKT & KFP questions verified by practicing clinicians 91-94% KFP pass rate vs 79.57% national average (KFP 2025.2) Suitable for Australian-trained GP registrars and international medical graduates (IMGs) Built for exam-level difficulty, not easy practice Free Trial Buy Now Proven Results. Our Customers Have Higher Pass Rates 99.3% rated our AKT and KFP MSQs as the highest quality exam questions they’ve seen. 1.18-1.22x higher pass rate than the national average See how Fellow Academy candidates compare with national results from KFP 2025.2 National Pass Rate Fellow Academy Members Pass Rate KFP 91 - 94% 79.57% Disclaimer: Actual pass rates vary slightly between cohorts (typically 91–98% depending on the exam cycle). 99.6% satisfaction rate - measured by members who kept access with no refund request Proven Results. Our Customers Have Higher Pass Rates 99.3% rated our AKT and KFP MSQs as the highest quality exam questions they’ve seen. 1.18-1.22x higher pass rate than the national average 99.6% satisfaction rate - measured by members who kept access with no refund request See how Fellow Academy candidates compare with national results from KFP 2025.2 National Pass Rate Fellow Academy Members Pass Rate KFP 91 - 94% 79.57% Disclaimer: Actual pass rates vary slightly between cohorts (typically 91–98% depending on the exam cycle). Buy AKT + KFP All-in-One Bundle 500+ AKTs & 500+ KFP MSQ Cases Exam style stems and rationales that mirror official format. Pass Your AKT/KFP With Australia's #1 Rated Question Bank Led by Former Official RACGP Examiners, GP Educators and Specialists Trial Fellow Academy for Free Access 35 free AKTs & KFP MSQs + Join Our Live Exam Prep Masterclass Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next Watch the video to see how to improve your exam results Proven Results. Our Customers Have Higher Pass Rates 99.3% rate our questions banks are the highest quality they’ve seen. 1.18 - 1.22x higher pass rate than the national average 99.6% satisfaction rate - measured by members who kept access with no refund request See how Fellow Academy candidates compare with national results from 2025.2 National Pass Rate Fellow Academy Members Pass Rate KFP 79.57% 91-94% Disclaimer: Actual pass rates vary slightly between cohorts (typically 91–98% depending on the exam cycle). 9 months ago, we faced a choice: create 3,000 easy questions, or 1,000 exceptional, exam-level ones We chose exceptional. Every detail - clinical depth, diagnostic reasoning and complexity - perfected to feel just like the real exam. AKT and KFP Done Right From clinical story to defensible choices "After sitting and failing the 2025.2 KFP, I realised the other question banks I'd practiced with were far too easy and they set me up for failure. Fellow Academy's questions are different. They are the closest match to the real exam I've found. The scenarios, the distractors, the complexity and the clinical reasoning required is near identical. It's rare to find a question bank that truly replicates the exam while also teaching you exam technique. I wish I'd found these before my first attempt." Dr. Nitin Mukesh, MD, FRACGP The Challenge Most KFP question banks are setting you up to fail. Questions are oversimplified with obvious answers. They don't test genuine clinical judgment. The references provided often contradict the "correct" answers. The cases lack the complexity and nuance of the actual exam. And the explanations tell you what's right without teaching you why or how to approach similar cases next time How We Help Fellow Academy designs KFP MSQs to match the real exam and to teach reasoning. Every item uses the current multi select structure with strict timing. Choices and explanations are mapped to RACGP guidance, ETG, AJGP, Australian Prescriber, and PBS so your selections are defensible on exam day. We make the marking logic explicit by labelling correct, acceptable but less prioritised, and unsafe, and we explain why each verdict fits the case. Distractors are intentional and test priority, contraindications, and context. Stems are written as natural GP consultations so you practise judgement, not buzzword spotting. Our KFP Process 01 Write option by option rationales with citations, run timed pilots, complete examiner and independent GP review, and update after cohort feedback and each exam cycle. 04 Select a high yield topic, set the clinical context, and map to the RACGP blueprint and learning objectives. Create a realistic consultation narrative with subtle cues, safety considerations, and a clear decision focus. 02 Construct a disciplined set of correct actions, acceptable but less prioritised actions, and unsafe or irrelevant actions, each tied to current Australian guidance. 03 Join the Hundreds of Doctors Who Passed With Us Voices from the cohort "Fellow Academy made AKT and KFP prep so much easier with clear explanations and exam-style cases. The platform is practical, focused, and perfectly aligned with RACGP expectations. Highly recommend to any GP trainee aiming for success!" Dr Rajesh Gemnani, MBBS, MRC|GP IMG GP (FSP), Medical Director GP Registrar, Smart Clinics Cairns "Relying solely on lecture slides was too overwhelming, especially during busy clinic days. With these resources, I could also easily revise on my phone during short breaks, making study more manageable and less stressful." Dr. Sarah Kulthum, MBBS, FRACGP Fellowed GP at Browns Plains Family Practice Complete Preparation. Three integrated resources combined into one structured preparation bundle. The All-in-One AKT & KFP Preparation System 1,000+ Exam-Style AKT MSQ Questions and 1,000+ KFPs Realistic cases that train exam-day thinking Most practice questions don’t prepare you for how difficult the real AKT and KFP exams are. Our 2,000+ former examiner-written questions prepare you for the real challenge - the clinical complexity, tough distractors, and impossible time pressure you’ll face. They help you: Handle exam-level difficulty so nothing on test day surprises you Master the clinical reasoning the exam actually tests - prioritising between multiple plausible options under pressure Study with certainty using explanations with proof from guidelines, so you never second-guess what you’ve learned 300+ Exam Notes Topic You'll Actually Use and Remember The KFP tests both quick recall and deep understanding. Our exam notes give you both (and with structure). You’ll get Concise Notes for fast revision and Comprehensive Notes for thorough learning. Together, they Break down each medical topic clearly without overwhelming you with unnecessary detail Provide in-depth coverage of each topic so you understand the clinical reasoning, not just memorise facts Keep everything organised in one simple portal so you can find any topic instantly View Sample Exam Notes 1500+ High-Yield Flashcards Designed for Memory Retention The KFP covers an overwhelming amount of information, and it’s easy to forget what you’ve studied. Our 1,500+ exam-specific flashcards solve that problem. We’ve selected the highest-yield content you actually need to remember for the KFP and built them into flashcards that Strengthen your long-term memory so you retain information through to exam day Track your progress and show you exactly where your knowledge gaps are Focus only on high-yield content so you’re not wasting time on low-value facts View Sample Flashcards Finally Pass the KFP/AKT Exam and Become a Fellowed Australian GP Resources by a GP Educator who scored 9/10 in the MCQ and Former Official RACGP Examiners 500+ AKTs & 500+ KFP MSQ Cases Exam style stems and rationales that mirror official format. 300+ Topics Exam Notes High yield summaries and full references built for GPs. 1500+ Flashcards Spaced repetition that tracks your weak areas. Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next Trial Fellow Academy for Free Access 35 free AKTs & KFP MSQs + Join Our Live Exam Prep Masterclass Try Fellow Academy for Free Access 35 free AKTs & KFP MSQs and join our live exam prep masterclass. Fill in your details and we will contact you with next steps. The Problem. Why Most Question Banks Leave Candidates Underprepared An overwhelming volume of low-yield content Many resources look comprehensive, but most of that content is low-yield and unlikely to be tested. For doctors juggling full-time practice, weekend rosters and family obligations, every hour spent on irrelevant material is an hour lost on what actually matters. No structure to retain what you learn. Even good study material is ineffective without a clear method to move through it efficiently. Most resources provide content without a system to track what you have covered, identify what needs revision and ensure nothing critical is missed before exam day. Questions that are too easy Regular question banks create a false sense of readiness. Candidates regularly score 80% or higher on practice questions, only to fail the actual exam. If your practice material does not challenge you at the level of the real exam, it is not properly preparing you. Not purpose-built for MSQ When the KFP format changed to MSQ in 2025.2, many providers simply converted their existing short-answer questions into multiple-choice. This resulted in structurally flawed questions, because distractors were added as an afterthought rather than built into the case from the start. Our Solution. An Examiner-Designed, Exam-Level Preparation System Only verified, high-yield content Our team includes GPs, medical examiners, medical specialists and experienced medical educators. Every question is selected to ensure your study time is spent on material that is likely to be tested, not on content that looks thorough but adds no value on exam day Screenshot proof from Australian guidelines Our highest value questions all include screenshots directly from eTG, AJGP, Murtagh's and RCH, so you can verify the answer at the source. This means you never have to wonder whether what you are learning is correct - you can see the evidence yourself and study with confidence. A structured, exam-level learning system Our comprehensive learning system guides you through a clear sequence of identifying gaps, building understanding and retaining what you have learned. All content follows a format that replicates the difficulty and clinical complexity of the actual RACGP exams. Built from the ground up for MSQ We developed 1,000+ new KFP cases specifically for the multi-select structure. Every distractor is clinically plausible, with some being technically correct, but not the most appropriate for the specific case. This is the skill the real exam tests, and it cannot be replicated by converting old short-answer questions. Real Feedback From Doctors Just Like You Sweat in Style, skip the crowded gyms and pump iron in peace Dr Sanjit Dulku Fellowed GP at Aboriginal Medical Services Chooi Chean Chong General Practice Registrar. MD, AMC "Fellow Academy has been part of my journey in completing RACGP fellowship program with flying colours. Their questions are good quality and compatible with real exams. On top of this, Dr Shaun always share with candidates the tips in preparing for exams which I think is essential." Dr. Sarah Kulthum, MBBS, FRACGP Fellowed GP, Browns Plains Family Practice "Having all the Fellow Academy resources easily accessible on my phone made the biggest difference. I could review flashcards between patients and go through a case on my lunch break, actually making progress on days where I had no dedicated study time." Dr Rajesh Gemnani, MBBS, MRC|GP IMG GP (FSP), Medical Director P4 scored Exam Guidance From Our Founder, Dr Shaun Tan Dr Shaun is a GP, Medical Director, Medical Educator and Official Supervisor for IMG GPs. He is also an Official Examiner and Associate Lecturer at the University of Queensland and Griffith University. Members of Fellow Academy get direct access to Dr Shaun to ask questions and for general exam preparation advice. Dr Shaun is passionate about medical education and optimising study efficiency, and is always happy to share his experiences and support our community. "After sitting and failing the 2025.2 KFP, I realised the other question banks I'd practiced with were far too easy and they set me up for failure. Fellow Academy's questions are different. They are the closest match to the real exam I've found. The scenarios, the distractors, the complexity and the clinical reasoning required is near identical. It's rare to find a question bank that truly replicates the exam while also teaching you exam technique. I wish I'd found these before my first attempt." Dr. Nitin Mukesh, MD, FRACGP Exam-Level Precision. Questions That Replicate the Actual Exam Fellow Academy designs KFP MSQs to match the real exam and to develop clinical reasoning. The Challenge Every question uses the current multi-select structure under strict timed conditions, replicating the real exam. Distractors are clinically plausible and intentional. Some are technically correct but not the most appropriate for the specific case, testing prioritisation under pressure. Answer options and explanations are mapped to verified Australian guidelines (not AI-generated references that lead to low-quality or irrelevant sources). How We Help Cases are built around key features (patient-specific details like age, comorbidities, medications, etc) that determine the correct answer. Each answer is classified as correct, acceptable but less prioritised, or incorrect, with a clear explanation of why that classification applies to the specific case. Stems are written as natural GP consultations, so you develop clinical judgement through exposure to realistic scenarios, rather than just rote memorisation. More Than a Question Bank Fellow Academy is a complete exam preparation platform, purpose-built to make every hour of study count. Rather than working through a pre-defined set of questions, you prepare on an intelligent digital system that responds to how you are performing. Build custom sessions by topic, system or exam domain. Practice under timed exam conditions. Track your progress across every area of the curriculum. The platform identifies where you are strongest, where gaps remain and which questions need your attention most - then guides your next session accordingly. This is what structured, efficient exam preparation looks like when it is designed around how doctors actually study. How We Build AKT & KFP Questions Our question bank is developed by a team of practising GPs, medical specialists, GP supervisors, experienced medical educators and official examiners. 05 Test under timed conditions, review with examiners and clinical experts, then refine based on candidate feedback. 04 Develop detailed rationales that include: Screenshot proof from guidelines for every answer Clinical reasoning notes explaining why specific case details alter the correct response. Key learning points to maximise retention from each case. 03 Design answer options where distractors are clinically plausible but not the most appropriate response for the specific case context. This develops prioritisation, clinical reasoning, and decision-making under exam time constraints. 02 Construct realistic cases with multiple comorbidities, subtle but critical diagnostic cues, clinical nuance and biopsychosocial complexities that reflect the real exam's difficulty. 01 Select high-yield topics from the RACGP blueprint and map them to clinical scenarios GPs encounter in daily practice. What About Recalls? Content and questions on our platform are informed by detailed candidate debriefs from previous exam sittings. We analyse recalled themes, question patterns and topic areas to ensure our cases reflect what is likely to be tested in your upcoming exam. 1,500+ High-Yield Flashcards Designed for Long-Term Retention The volume of content tested in the AKT and KFP is substantial, and it is common to forget material well before exam day. Our 1,500+ exam-specific flashcards directly address this problem. Each card is designed to be completed in a short study break, between patients, on a lunch break or during a gap in your roster. We have identified the highest-yield content and built it into flashcards that: Strengthen long-term memory so you retain information through to exam day. Track your progress and identify exactly where knowledge gaps remain. Fit naturally into short breaks or gaps in your schedule, so study happens even on your busiest days. View Sample Flashcards 300+ Clinical Topic Guides Structured for Reliable Recall The AKT and KFP test both rapid recall and deep clinical understanding. Our clinical topic guides provide both, in two complementary formats. Concise Guides deliver focused, high-yield summaries for efficient revision. Comprehensive Guides provide thorough coverage for topics requiring deeper understanding. In both formats, low-yield content has been filtered out so you only study what is relevant to the exam. Clinical Topic Guides: Present each topic clearly without overwhelming you with unnecessary detail. Provide in-depth coverage so you understand the clinical reasoning, not merely memorise facts. Organise everything within a single portal so you can locate any topic immediately. 1,000+ Exam-Style AKT MSQ Questions and 1,000+ KFPs Realistic Cases That Develop Exam-Level Reasoning Most practice questions do not prepare you for the difficulty of the actual AKT and KFP MSQ. Our 2,000+ expert-written questions are designed to match the real challenge, including the clinical complexity, plausible distractors, and time pressure you will encounter. Our questions prepare you to: Handle exam-level difficulty so nothing on test day is unfamiliar. Develop the clinical reasoning the exam actually tests - prioritising between multiple plausible options under pressure. Study with confidence using rationales backed by verified Australian guidelines. Complete Preparation. The All-in-One AKT & KFP Preparation System Three integrated resources combined into one structured preparation bundle. One Integrated System. One Clear Objective To Prepare You to Pass BUY AKT & KFP ALL-IN-ONE BUNDLE Each component of the AKT & KFP bundle is designed to reinforce the others, creating a structured preparation pathway. How It Works Our intelligent digital learning system guides you through a proven sequence that removes the guesswork from exam preparation. 1 Start with AKT & KFP practice questions Identify your knowledge gaps and key learning areas. Understand where your clinical judgment may differ from RACGP expectations. 4 Consolidate with Flashcards Evidence-based algorithm using spaced repetition and active recall. System tracks what you know vs what requires reinforcement. Personalised schedule so concepts you find difficult appear more frequently. 3 Deepen Understanding with Comprehensive Clinical Topic Guides Expand your clinical reasoning for complex or unfamiliar topics. Build integrated understanding that transfers across multiple exam scenarios. Move beyond surface-level memorisation to durable comprehension. 2 Review the Concise Clinical Topic Guide Address identified weaknesses with high-yield summaries. Cover essential concepts without unnecessary detail. Direct study time toward genuine gaps, not topics you have already consolidated. How It Works Our intelligent digital learning system guides you through a proven sequence that removes the guesswork from exam preparation. 01 Start with AKT & KFP practice questions → Identify your knowledge gaps and key learning areas. → Understand where your clinical judgment may differ from RACGP expectations. → Understand where your clinical judgment may differ from RACGP expectations. 02 Review the Concise Clinical Topic Guide → Address identified weaknesses with high-yield summaries. → Cover essential concepts without unnecessary detail. → Direct study time toward genuine gaps, not topics you have already consolidated. 03 Deepen Understanding with Comprehensive Clinical Topic Guides → Expand your clinical reasoning for complex or unfamiliar topics. → Build integrated understanding that transfers across multiple exam scenarios. → Move beyond surface-level memorisation to durable comprehension. 04 Consolidate with Flashcards → Evidence-based algorithm using spaced repetition and active recall. → System tracks what you know vs what requires reinforcement. → Personalised schedule so concepts you find difficult appear more frequently. BUY AKT & KFP ALL-IN-ONE BUNDLE How It Works Our intelligent digital learning system guides you through a proven sequence that removes the guesswork from exam preparation. 01 Start with AKT & KFP practice questions → Identify your knowledge gaps and key learning areas. → Understand where your clinical judgment may differ from RACGP expectations. → Understand where your clinical judgment may differ from RACGP expectations. 02 Review the Concise Clinical Topic Guide → Address identified weaknesses with high-yield summaries. → Cover essential concepts without unnecessary detail. → Direct study time toward genuine gaps, not topics you have already consolidated. 03 Deepen Understanding with Comprehensive Clinical Topic Guides → Expand your clinical reasoning for complex or unfamiliar topics. → Build integrated understanding that transfers across multiple exam scenarios. → Move beyond surface-level memorisation to durable comprehension. 04 Consolidate with Flashcards → Evidence-based algorithm using spaced repetition and active recall. → System tracks what you know vs what requires reinforcement. → Personalised schedule so concepts you find difficult appear more frequently. BUY AKT & KFP ALL-IN-ONE BUNDLE The Outcome. Systematic coverage of high-yield content with no gaps remaining by exam day. No uncertainty about whether you have properly covered a critical topic. No realising, weeks before the exam, that you have not revisited diabetes management or hypertension guidelines in months. The system automatically tracks your progress across every domain and directs your effort where it is most needed. Free Trial Buy Now Trial before you purchase Access 35 free sample cases and a live exam preparation masterclass to evaluate our platform and learning system before any commitment. 7-day refund guarantee If you purchase our resources and find they do not suit your preparation needs, contact us within 7 days for a full refund. No questions asked. Free repeat subscription, if needed If you do not pass your exam and our system confirms you have completed at least 75% of the question bank, we will provide a repeat subscription at no cost. (We understand that clinical work, family responsibilities and other commitments can affect study time. Therefore, if you have completed less than 75%, we will discount a repeat subscription by 30%). Our Commitment to You We are confident that the AKT & KFP bundle will prepare you effectively for your exams. To remove financial risk from your decision, we offer the following guarantees: Numbers matter. Proven results. Backed by Data 99.3% rated our KFP MSQs as the highest quality exam questions they’ve seen. See how Fellow Academy candidates compare with national results from KFP 2025.2 National Pass Rate Fellow Academy Members Pass Rate KFP 79.57% 91 - 94% Disclaimer: Actual pass rates vary slightly between cohorts (typically 91–98% depending on the exam cycle). 1.18-1.22x higher pass rate than the national average 99.6% satisfaction rate - measured by members who kept access with no refund request Voices from the cohort Join the Hundreds of Doctors Who Passed With Us "It gave me the structure I needed and helped me retain information I would previously often forget. I strongly feel that they were one of the most important resources I used that helped me pass my exams." Dr. Sanjit Dulku, MBBS, FRACGP RACGP Registrar GP Liaison Officer, Fellowed GP at Aboriginal Medical Services "Fellow Academy made AKT and KFP prep so much easier with clear explanations and exam-style cases. The platform is practical, focused, and perfectly aligned with RACGP expectations. Highly recommend to any GP trainee aiming for success!" Dr Rajesh Gemnani, MBBS, MRC|GP, IMG GP (FSP), Medical Director GP Registrar, Smart Clinics Cairns "Relying solely on lecture slides was too overwhelming, especially during busy clinic days. With these resources, I could also easily revise on my phone during short breaks, making study more manageable and less stressful." Dr. Sarah Kulthum, MBBS, FRACGP RACGP GP Educator Fellowed GP at Browns Plains Family Practice AKT & KFP MSQ Questions + Exam Notes $900.00 What We Offer AKT & KFP MSQ Question Bank $600.00 BEST VALUE AKT & KFP All-In-One Bundle AKT & KFP MSQ Questions + Flashcards + Exam Notes $1099.00 $1400.00 AKT & KFP MSQ Question Bank $399.00 AKT & KFP MSQ Questions + Exam Notes $900.00 AKT & KFP MSQ Question Bank $600.00 BEST VALUE AKT & KFP All-In-One Bundle AKT & KFP MSQ Questions + Exam Notes + Flashcards $1099.00 $1400.00 What We Offer KFP MSQ Question Bank $399.00 Is this worth the price? Our system combines three proven study tools in one - practice questions, flashcards, and exam notes - saving you the cost of buying from multiple providers and the time it takes to figure out what’s actually relevant. Plus, our pass guarantee and regular updates make it a safer investment. How does the 7-day money-back guarantee work? If you try our resources and find they don’t suit your learning style, simply let us know within 7 days and we’ll issue a full refund. No hidden conditions, no questions asked. I already have a subscription to another question bank.. Should I also get yours? The more high-quality practice questions you complete, the better prepared you’ll be. Many of our customers use us alongside other providers because our content offers a unique edge - longer, more realistic case stems, nuanced distractors, and guideline-referenced answers with screenshots. These features complement other question banks and strengthen your preparation. I’ve already failed the KFP before. How is this different? Our questions are based on surveys from hundreds of candidates and are rated the highest in terms of complexity, nuance, and alignment with RACGP exam standards. We also include flashcards - a proven, highly effective way to retain information. This means you’ll be preparing differently this time, with a more structured system designed for better recall and exam application. How do you decide what is high yield? We analyse thousands of KFP and AKT cases, SAPT questions, and RACGP exam reports to identify which topics and question types appear most often. This ensures we focus on what matters most for your exam success Do you cover all domains and common presentations? Yes. Our materials are mapped to the RACGP curriculum and exam domains, covering every common presentation along with a wide range of less common but high-yield topics that have been tested in past exams. How often are your questions and notes updated? We review and update our content every 3 months to make sure it stays aligned with the latest Australian guidelines and RACGP standards. If there are any major guideline changes that have been drawn to our attention, we aim to update them even earlier. How do I know this will suit my learning style? That’s exactly why we offer a 7-day money-back guarantee. You can try all three study formats - questions, notes, and flashcards - in your first week and see if they work for you. If not, we’ll refund you in full. How is your content structured? We provide 1,000+ high-quality AKT and 1,000+ KFP MSQ cases, over 1500 flashcards for rapid recall, and both concise and comprehensive exam notes. These resources are integrated into one portal so you can easily move between questions, notes, and flashcards without losing your place. Can I use this on my phone or tablet? Yes, in fact we encourage it. We acknowledge we are not perfect and welcome all feedback. If something seems unclear or outdated, let us know. We aim to get back to you within 7 days and will adjust the content if needed, especially if guidelines have changed. Can I provide feedback on the content if I think it might be incorrect? Yes, in fact we encourage it. We acknowledge we are not perfect and welcome all feedback. If something seems unclear or outdated, let us know. We aim to get back to you within 7 days and will adjust the content if needed, especially if guidelines have changed. Do you offer a payment plan? Yes. If you’d like to discuss a payment plan to spread the cost, please contact us directly. Frequently Asked Questions Frequently Asked Questions Is this preparation system worth the investment? Our system integrates three proven study tools - practice questions, clinical topic guides and flashcards - into a single platform. This eliminates the cost of purchasing from multiple providers and the time it takes to figure out which resources are relevant. Plus, our 7-day refund guarantee and free repeat subscription (terms and conditions apply) make it a safer investment. How does the 7-day money-back guarantee work? If you try our resources and find they do not suit your learning approach, let us know within 7 days. We will issue a full refund, no questions asked. How long do I have access to the materials? You receive full access from the date of purchase until your upcoming exam date. This typically provides 2 - 6 months of access, depending on when you enrol relative to your exam cycle. All content updates and guideline changes during your access period are included at no additional cost. What happens if I do not pass? If our system confirms you have completed at least 75% of the question bank, we will provide a repeat subscription at no cost. If you have completed less than 75%, we will discount a repeat subscription by 30%. I already use another question bank. Should I also use yours? Many candidates use Fellow Academy alongside other providers. Our content offers a distinct advantage: longer and more realistic case stems, clinically plausible distractors that test prioritisation and guideline-referenced rationales with screenshot evidence. These features complement other question banks and address areas that simpler resources do not. Will this help if I have previously failed the KFP? If previous attempts were undermined by practice questions that were too straightforward, or by explanations you could not verify against published guidelines, this system addresses both problems directly. Based on surveys of hundreds of exam candidates, Fellow Academy questions are rated highest in: Complexity matching the real exam Quality of explanations Alignment with RACGP standards If you failed because your practice material did not match the difficulty of the actual exam, this is a different standard of preparation. How do you determine what is high-yield? We analyse thousands of KFP and AKT cases, SAPT questions, and published RACGP exam reports to identify which topics and question types appear most frequently. This ensures our content is focused on the material most likely to determine your result. Do you cover all RACGP domains and common presentations? Yes. Our materials are mapped to the RACGP curriculum and exam domains, covering every common presentation along with a broad range of less common but historically tested topics. How frequently is content updated? We review and update content every three months to maintain alignment with current Australian guidelines and RACGP standards. If a major guideline change is identified between cycles, we prioritise an earlier update. How do I know this will suit my learning style? This is precisely why we offer a 7-day refund guarantee. You can try all three study formats (questions, clinical topic guides and flashcards) during your first week and determine whether they suit your approach. If not, we will refund you in full. How is the content structured? We provide 1,000+ AKT and 1,000+ KFP MSQ cases, over 1,500 flashcards for active recall, and both concise and comprehensive clinical topic guides. These resources are integrated into a single portal so you can move between questions, notes and flashcards without losing your place. Can I access the platform on my phone or tablet? Yes. If you’d like to discuss a payment plan to spread the cost, please contact us directly. Can I provide feedback if I believe content is incorrect? Yes. We welcome all feedback. If something appears unclear or inconsistent with current guidelines, please contact us. We aim to respond within 7 days and will adjust content where appropriate. Do you offer a payment plan? Please contact us directly to discuss payment plan options. Try Fellow Academy for Free Get 35 Free Sample Cases Buy Now Trusted resource provider for RACGP exam success. Expertly crafted notes, flashcards and mock cases designed to get you exam-ready. Our Products All in 1 System KFP Questions Flashcards Exam Notes CCE Questions Quick Links Home Meet The Team Blog Login Videos Summary Page Examination Dates Contact Us support@fellowacademy.com.au +61 423 832 140

Fellow Academy, formerly PassRACGP. High quality RACGP AKT, KFP and CCE prep built by GPs and former examiners. Flashcards, exam notes and mock cases. 500+ AKTs & 500+ KFP MSQ Cases Exam style stems and rationales that mirror official format. IMGs & Australian GPs Dedicated Exam Prep For The AKT, KFP & CCE Led by Former Official RACGP Examiners, GP Educators and Specialists Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Numbers matter. Proven results. Built on rigour. 0% rate our AKT + KFP MSQ case banks as the highest quality they’ve seen. 0% satisfaction rate - measured by members who kept access with no refund request See how Fellow Academy candidates compare with national results from 2025.2 AKT KFP CCE National Pass Rate Fellow Academy Members Pass Rate Disclaimer: Actual pass rates vary slightly between cohorts (typically 91–98% depending on the exam cycle). 79.41% 96-98% 79.57% 91-94% 79.66% 97-99% 1.18 - 1.22x higher pass rate than the national average All-in-One Your Complete Exam Prep Suite Choose the resources you need individually or get the complete package with a bundle discount: Practise with real exam style questions. Learn the why with comprehensive guideline anchored rationales. 1,000+ AKT and 1,000+ KFP MSQ QBank Seamless recall meets structure. Smart, exam-focused flashcards with free Brainscape Premium access. 1500+ Digital Flashcards Your high-yield, structured study resource hub designed for RACGP fellowship exam candidates. 300+ Exam Notes Topics Rehearse stations in the exact 15+5 format. Use examiner-approved competent candidate criteria to refine safety netting and structure. 100+ CCE Cases Our Value What We Pride Ourselves With Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now IMGs & Australian GPs Dedicated Exam Prep For The AKT, KFP & CCE Led by Former Official RACGP Examiners, GP Supervisors & Specialists Buy Now Numbers matter. Proven results. Built on rigour. 0% rated our AKT + KFP MSQ as the highest quality exam questions they’ve seen. See how Fellow Academy candidates compare with national results from 2025.2 National Pass Rate Fellow Academy Members Pass Rate AKT 79.41% 96 - 98% KFP 79.57% 91 - 94% CCE 79.66% 97 - 99% Disclaimer: Actual pass rates vary slightly between cohorts (typically 91–98% depending on the exam cycle). 1.18-1.22x higher pass rate than the national average 0% satisfaction rate - measured by members who kept access with no refund request All-in-One Your Complete RACGP Exam Prep Suite Four integrated products that take you from first pass to exam day with authentic practice and guideline-anchored teaching. Choose the resources you need individually or get the complete package with a bundle discount: Practise with real exam style questions. Learn the why with comprehensive guideline anchored rationales. 1,000+ AKT and 1,000+ KFP MSQ Qbank Your high-yield, structured study resource hub designed for RACGP fellowship exam candidates. 300+ Notes Portal 1500+ Digital Flashcards Seamless recall meets structure. Smart, exam-focused flashcards with free Brainscape Premium access. 100+ CCE Mock Cases Rehearse stations in the exact 15+5 format. Use examiner-approved competent candidate criteria to refine safety netting and structure. Our Value What We Pride Ourselves With Quality Over Quantity We prioritise exceptional quality in every case. Unlike standard resources that overwhelm with hundreds of generic questions, each of our AKT and KFP MSQ cases undergoes meticulous development, taking 3-5 times longer to create. This ensures depth, realism, and targeted learning. Learn More Expertly Curated Rationales Each rationale is carefully structured, clinically accurate, and guideline-referenced, clearly showing you exactly how RACGP examiners think. Learn More Comprehensive Clinical Coverage All essential clinical domains from the RACGP curriculum are comprehensively addressed, ensuring balanced and thorough revision. Each topic is methodically chosen to reflect actual exam emphasis and current general practice guidelines. Learn More Quality Over Quantity We prioritise exceptional quality in every case. Unlike standard resources that overwhelm with hundreds of generic questions, each of our AKT + KFP MSQ cases undergoes meticulous development, taking 3-5 times longer to create. This ensures depth, realism, and targeted learning. Learn More Expertly Curated Rationales Each rationale is carefully structured, clinically accurate, and guideline-referenced, clearly showing you exactly how RACGP examiners think. Learn More Optimised for Busy Doctors Study anytime, anywhere. Our fully responsive platform ensures seamless access on any device, fitting easily into your busy clinical schedule, ensuring consistent and effective revision. Learn More "It gave me the structure I needed and helped me retain information I would previously often forget. I strongly feel that they were one of the most important resources I used that helped me pass my exams." Dr. Sanjit Dulku, MBBS, FRACGP Fellowed GP at Aboriginal Medical Services Click to Watch the Testimonial Video Voices from the cohort Join the Hundreds of Doctors Who Passed With Us "Fellow Academy made AKT and KFP prep so much easier with clear explanations and exam-style cases. The platform is practical, focused, and perfectly aligned with RACGP expectations. Highly recommend to any GP trainee aiming for success!" Dr Rajesh Gemnani, MBBS, MRC|GP, IMG GP (FSP), Medical Director GP Registrar, Smart Clinics Cairns "Relying solely on lecture slides was too overwhelming, especially during busy clinic days. With these resources, I could also easily revise on my phone during short breaks, making study more manageable and less stressful." Dr. Sarah Kulthum, MBBS, FRACGP Fellowed GP at Browns Plains Family Practice “I felt stressed and unsure about where to focus my study efforts for the KFP exam. These flashcards and exam notes specifically targeted high-yield KFP content, delivering the precise depth I needed without any unnecessary information." Dr. Douglas Brown, MD, FRACGP Fellowed GP, Addiction Medicine Advanced Trainee at Caboolture Hospital Join the Hundreds of Doctors Who Passed With Us Voices from the cohort "Fellow Academy made AKT and KFP prep so much easier with clear explanations and exam-style cases. The platform is practical, focused, and perfectly aligned with RACGP expectations. Highly recommend to any GP trainee aiming for success!" Dr Rajesh Gemnani, MBBS, MRC|GP IMG GP (FSP), Medical Director GP Registrar, Smart Clinics Cairns "Relying solely on lecture slides was too overwhelming, especially during busy clinic days. With these resources, I could also easily revise on my phone during short breaks, making study more manageable and less stressful." Dr. Sarah Kulthum, MBBS, FRACGP Fellowed GP at Browns Plains Family Practice Click to Watch Testimonial Video AKT & KFP MSQ Questions + Exam Notes $900.00 KFP / AKT CCE What Exam Are You Preparing For? BEST VALUE AKT & KFP All-In-One Bundle AKT & KFP MSQ Questions + Flashcards + Exam Notes $1099.00 $1400.00 AKT & KFP MSQ Question Bank $600.00 BEST VALUE CCE All-In-One Bundle CCE Cases + Exam Notes + Flashcards $1200.00 $699.00 BEST VALUE CCE All-In-One Bundle CCE Cases + Exam Notes + Flashcards $699.00 $1200.00 CCE Cases + Exam Notes $599.00 $800.00 CCE Cases $499.00 $399.00 Meet the Fellow Academy Team Behind Your Prep Dr Shaun Tan GP & Primary Author Shaun is a GP, Medical Director, and Medical Educator with a passion for transforming medical education and optimising study efficiency. > Read More Dr Mark Ishak Former Official Medical Examiner, Educator and Author Mark is a distinguished Cardiology Advanced Trainee in the Sydney region, due to complete his training and become a consultant next year... > Read More Dr Charles Wang Dr Shaun Tan Charles graduated from the University of New South Wales in 2015 and completed further medical training at Westmead Hospital... > Read More Used by 1200+ IMG doctors across Australia Try the system for free Answer a 30-second survey, then unlock cases tailored to your exam path. Send me AKT + KFP MSQ samples Send me CCE samples Used by 1200+ IMG doctors across Australia Try the system for free Answer a 30-second survey, then unlock cases tailored to your exam path. Send me KFP + AKT samples Send me CCE samples Used by 1200+ IMG doctors across Australia Try the system for free Answer a 30-second survey, then unlock cases tailored to your exam path. Send me AKT + KFP MSQ samples Send me CCE samples

Pass the RACGP AKT & KFP exams with 700+ flashcards designed for GP trainees. Proven tools to help you succeed. Begin your exam prep journey now BUY CCE PREP BUNDLE Finally Pass the CCE Exam and Become a Fellowed Australian GP Led by Former Official RACGP Examiners, GP Educators and Specialists Buy Now Start Free Trial Now Numbers matter. Proven results. Built on rigour. 99.3% rate our questions banks are the highest quality they’ve seen. 99.6% satisfaction rate - measured by members who kept access with no refund request See how Fellow Academy candidates compare with national results from 2025.2 CCE National Pass Rate Fellow Academy Members Pass Rate Disclaimer: Actual pass rates vary slightly between cohorts (typically 91–98% depending on the exam cycle). 79.66% 97-99% 1.18 - 1.22x higher pass rate than the national average Numbers matter. Proven results. Backed by Data 99.3% rated our CCE case bank as the highest quality exam questions they’ve seen. 1.18-1.22x higher pass rate than the national average 99.6% satisfaction rate - measured by members who kept access with no refund request See how Fellow Academy candidates compare with national results from CCE 2025.2 National Pass Rate Fellow Academy Members Pass Rate CCE 79.57% 91 - 94% Disclaimer: Actual pass rates vary slightly between cohorts (typically 91–98% depending on the exam cycle). WATCH THE VIDEO BELOW TO SEE HOW TO IMPROVE YOUR EXAM RESULTS Fill in the Form Below to Access 8 Free CCE Cases Which RACGP pathway are you preparing under?* Australian GP Trainee (AGPT) Fellowship Support Program (FSP – IMG) Specialist Pathway Program (SPP) RVTS (Remote Vocational Training Scheme) Other Next The CCE demands that you recall the right frameworks, red flags, and management steps in seconds, while still communicating clearly with patients. Our 1,500+ exam-specific flashcards are built for that reality. We have distilled the highest yield CCE content you actually need at your fingertips and turned them into flashcards that: Strengthen your long term memory so key differentials, investigations, and management plans are instantly retrievable in the exam room Highlight your progress and make your knowledge gaps visible, so you can target weak areas before the exam Focus only on CCE relevant, high yield content such as consultation structure, safety netting, shared decision making, and guideline based management, so you are not wasting time on low value detail View Sample Flashcards View Exam Notes The CCE tests your ability to apply knowledge in a live consultation, which means you need both rapid recall and a strong grasp of clinical reasoning. Our exam notes are designed for exactly that. You will get Concise Notes for quick refreshers and Comprehensive Notes for deeper learning. Together, they: Break down each clinical topic with clarity while avoiding unnecessary detail that slows revision Provide in-depth coverage of each topic so you understand the clinical reasoning, not just memorise facts Keep everything organised in one simple portal so you can find any topic instantly 300+ Exam Notes Topic You'll Actually Use and Remember Memory Retention High-Yield Flashcards Designed for 1500+ High-Yield Flashcards Designed for Memory Retention The All-in-One CCE Preparation System Everything you need to study smarter - 3 premium resources combined into one high-value bundle. Case Bank Realistic cases that train CCE-level reasoning Most CCE practice resources do not reflect the intensity of the real exam. Our examiner-written cases and role-play scenarios mirror the authentic challenge, the clinical nuance, and the tight time pressure you will face. They help you: Build confidence with station-level difficulty so you feel prepared for any scenario Strengthen the clinical reasoning that the CCE truly assesses, which includes exploring differentials, prioritising safety, and communicating decisions clearly under time pressure Study with certainty using explanations grounded in current Australian guidelines, so you always know the exact reasoning behind each answer Join the Hundreds of Doctors Who Passed With Us Voices from the cohort “I did a mock CCE with Shaun and it was so important to my passing the CCE. I liked his CCE course a lot as it is so close to the real exam. My first day of CCE did not go so well but I did great on the second day which I think helped me pass it.” Dr Chooi Chean Chong, MD "Relying solely on lecture slides was too overwhelming, especially during busy clinic days. With these resources, I could also easily revise on my phone during short breaks, making study more manageable and less stressful." Dr. Sarah Kulthum, MBBS, FRACGP "Fellow Academy gave me the structure I needed. The cases were challenging, the role-play scripts were realistic, and the feedback style matched what examiners expect. I felt significantly more prepared compared to peers who used generic materials." Dr Rajesh Gemnani, MBBS, MRC|GP View Comparison 4. Patient Simulations That Feel Real Other Question Banks Patient simulation cases that feel unrealistic and lack detail Our Difference Patient simulation scripts that feel like real consultations 3. Structured Responses You Can Actually Use Other Question Banks Answers lack structure, making it difficult to know what to actually say in the exam Our Difference Our answers are clearly structured, showing you exactly how to speak in the exam View Comparison View Comparison 2. RACGP Standard CCE Format Other Question Banks Format looks completely different to the real RACGP CCE Format Our Difference Everything from the headers, formatting, question types mirror the official RACGP questions Why 99.6% of surveyed candidates rated these as the highest-quality CCE questions they’d seen? Why 99.6% of surveyed candidates rated these as the highest-quality CCE questions they’d seen? 1. Realistic, CCE Case Stems Other Question Banks Short, oversimplified, lacking clinical depth Our Difference Long, detailed stems with multiple comorbidities, medications, and real-world complexity View Comparison View Sample Flashcards 1500+ High-Yield Flashcards Designed for Memory Retention The KFP covers an overwhelming amount of information, and it’s easy to forget what you’ve studied. Our 1,500+ exam-specific flashcards solve that problem. We’ve selected the highest-yield content you actually need to remember for the KFP and built them into flashcards that Strengthen your long-term memory so you retain information through to exam day Track your progress and show you exactly where your knowledge gaps are Focus only on high-yield content so you’re not wasting time on low-value facts View Sample Exam Notes 300+ Exam Notes Topic You'll Actually Use and Remember The KFP tests both quick recall and deep understanding. Our exam notes give you both (and with structure). You’ll get Concise Notes for fast revision and Comprehensive Notes for thorough learning. Together, they Break down each medical topic clearly without overwhelming you with unnecessary detail Provide in-depth coverage of each topic so you understand the clinical reasoning, not just memorise facts Keep everything organised in one simple portal so you can find any topic instantly Case Bank Realistic cases that train exam-day thinking Most practice questions don’t prepare you for how difficult the real KFP is. Our 500+ examiner-written questions prepare you for the real challenge - the clinical complexity, tough distractors, and impossible time pressure you’ll face. They help you: Handle exam-level difficulty so nothing on test day surprises you Master the clinical reasoning the exam actually tests - prioritising between multiple plausible options under pressure Study with certainty using explanations with proof from guidelines, so you never second-guess what you’ve learned The All-in-One CCE Preparation System Everything you need to study smarter - 3 premium resources combined into one high-value bundle. Why 99.6% of surveyed candidates rated these as the highest-quality CCE questions they’d seen? 1. Realistic, CCE Case Stems Other Question Banks Short, oversimplified, lacking clinical depth Our Difference Long, detailed stems with multiple comorbidities, medications, and real-world complexity View Comparison View Comparison 2. RACGP Standard CCE Format Other Question Banks Format looks completely different to the real RACGP CCE Format Our Difference Everything from the headers, formatting, question types mirror the official RACGP questions 3. Structured Responses You Can Actually Use Other Question Banks Answers lack structure, making it difficult to know what to actually say in the exam Our Difference Our answers are clearly structured, showing you exactly how to speak in the exam View Comparison View Comparison 4. Patient Simulations That Feel Real Other Question Banks Patient simulation cases that feel unrealistic and lack detail Our Difference Patient simulation scripts that feel like real consultations 5. 20-Minute Stations Exactly Like Exam Day Other Question Banks Cases are too short and don't match 20-minute stations, making it hard to learn proper pacing. Our Difference Each case includes a 5-minute reading and 15-minute response, exactly like the real CCE. You’ll learn to structure your answers clearly and manage your timing well View Comparison View Comparison 6. CCE Scenarios Designed to Cover High-Yield Topics Other Question Banks Contain low-yield scenarios unlikely to appear on exam day. Our Difference High-yield cases based directly on official RACGP CCE exam reports and examiner feedback 9 months ago, we faced a choice: create 3,000 easy questions, or 100 exceptional, comprehensive exam-level ones We chose exceptional. Every detail - clinical depth, diagnostic reasoning and complexity - perfected to feel just like the real exam. Premium Coaching Complete CCE Mock Exam Experience $2500 CCE Pack + Exam Notes $800 $599 CCE Pack $499 $399 Best Value All-In-One CCE Prep Bundle CCE Pack + Flashcards + Exam Notes $1200 $699 What We Offer Why They Work Together One Integrated System. One Clear Goal: To Help You Pass Step 1. Start with CCE practice cases Identify your knowledge gaps and get used to exam-style thinking. Step 2. Review the concise exam notes Quickly cover the key concepts related to your weak areas. Step 3. Dive into the comprehensive exam notes Deepen your understanding when a topic needs more depth. Step 4. Use flashcards to strengthen verbal responses Actively practise high-yield phrases and responses AKT & KFP MSQ Questions + Exam Notes $900.00 KFP / AKT CCE AKT & KFP MSQ Question Bank $600.00 What We Offer BEST VALUE CCE All-In-One Bundle CCE Cases + Exam Notes + Flashcards $1200.00 $699.00 BEST VALUE CCE All-In-One Bundle CCE Cases + Exam Notes + Flashcards $699.00 $1200.00 ELEVATE YOUR CCE PREP TODAY Trial Fellow Academy for Free Get 8 Free Sample Cases Buy Now Frequently Asked Questions Is this worth the price? Our system combines three proven study tools in one - practice questions, flashcards, and exam notes - saving you the cost of buying from multiple providers and the time it takes to figure out what’s actually relevant. Plus, our pass guarantee and regular updates make it a safer investment. How many Viva and Patient Simulation cases are included in the 100 CCE cases? The 100 CCE cases include 45 Viva cases and 55 Patient Simulation cases, matching the RACGP CCE exam's actual 4:5 ratio. This ensures your practice closely mirrors real exam conditions. I already have a subscription to another CCE question bank.. Should I also get yours? For the CCE, the more realistic scenarios you practise, the better you'll perform. Many registrars use our question bank alongside others because we offer something different: longer, more detailed patient scenarios, realistic examiner-style questions, and structured, practical answers referencing current guidelines. Our unique approach complements other resources, ensuring you're fully prepared and confident for exam day. I’ve already failed the CCE before. How is this different? Based on surveys from candidates, 99.6% rate our cases as the highest in terms of complexity, nuance, and alignment with RACGP exam standards. We also include flashcards - a proven, highly effective way to retain information. This means you’ll be preparing differently this time, with a more structured system designed for better recall and exam application. How do you decide what is high yield? We analysed previously RACGP CCE practice cases and official RACGP exam reports to identify which topics and question types appear most often. This ensures we focus on what matters most for your exam success Do you cover all domains and common presentations? Yes. Our materials are mapped to the RACGP curriculum and exam domains, covering every common presentation along with a wide range of less common but high-yield topics that have been tested in past exams. How often are your questions and notes updated? We review and update our content every 3 months to make sure it stays aligned with the latest Australian guidelines and RACGP standards. If there are any major guideline changes that have been drawn to our attention, we aim to update them even earlier. How do I know this will suit my learning style? That’s exactly why we offer a 7-day money-back guarantee. You can try all three study formats - questions, notes, and flashcards - in your first week and see if they work for you. If not, we’ll refund you in full. How is your content structured? We provide 100+ high-quality CCE cases, over 1500 flashcards for rapid recall, and both concise and comprehensive exam notes. The exam notes and flashcards are integrated into a portal so you can easily revise them and it can keep track of your progress Can I use this on my phone or tablet? Yes, in fact we encourage it. We acknowledge we are not perfect and welcome all feedback. If something seems unclear or outdated, let us know. We aim to get back to you within 7 days and will adjust the content if needed, especially if guidelines have changed. Can I provide feedback on the content if I think it might be incorrect? Yes, in fact we encourage it. We acknowledge we are not perfect and welcome all feedback. If something seems unclear or outdated, let us know. We aim to get back to you within 7 days and will adjust the content if needed, especially if guidelines have changed. Do you offer a payment plan? Yes. If you’d like to discuss a payment plan to spread the cost, please contact us directly. Dr Morgan AGPT GP Registrar, QLD Dr Mohammed IMG GP Registrar, VIC Dr Khan IMG GP Registrar, VIC Dr Anjali IMG GP Registrar, VIC Dr Priya IMG GP Registrar, QLD Dr Farhana IMG GP Registrar, FSP Pathway, VIC Dr Patel IMG GP Registrar, WA Dr Ayesha IMG GP Registrar, NSW Dr Ali IMG GP Registrar, QLD Dr Sarah AGPT GP Registrar, QLD Dr Fatima IMG GP Registrar, NSW Dr Leila IMG GP Registrar, NSW Dr Rahul IMG GP Registrar, TAS Dr Hassan IMG GP Registrar, VIC Dr Ahmed IMG GP Registrar, SA Change My Life This is a space to share more about the business: who's behind it, what it does and what this site has to offer. It’s an opportunity to tell the story behind the business or describe a special service or product it offers. Jade Smith Amazing Experience This is a space to share more about the business: who's behind it, what it does and what this site has to offer. It’s an opportunity to tell the story behind the business or describe a special service or product it offers. Amy Helvic Join the Hundreds of Doctors Who Passed With Us — Dr. Sanjit Dulku, MBBS, FRACGP RACGP Registrar GP Liaison Officer, Fellowed GP at Aboriginal Medical Services " It gave me the structure I needed and helped me retain information I would previously often forget. I strongly feel that they were one of the most important resources I used that helped me pass my exams. " — Dr. Sarah Kulthum, MBBS, FRACGP RACGP GP Educator Fellowed GP at Browns Plains Family Practice " With these resources, I could also easily revise on my phone during short breaks, making study more manageable and less stressful. " — Dr. Douglas Brown, MD, FRACGP Fellowed GP Addiction Medicine Advanced Trainee at Caboolture Hospital " These flashcards and exam notes specifically targeted high-yield KFP content, delivering the precise depth I needed without any unnecessary information. " Why 99.3% of surveyed candidates rated these as the most realistic KFP questions they’d seen? 1. Realistic, Exam-Style Case Stems Other Question Banks Short, oversimplified, lacking clinical depth Our Difference Long, detailed stems with multiple comorbidities, medications, and real-world complexity View Comparison Other Question Banks Short, oversimplified, lacking clinical depth Our Difference Long, detailed stems with multiple comorbidities, medications, and real-world complexity Other Question Banks Short, oversimplified, lacking clinical depth Our Difference Long, detailed stems with multiple comorbidities, medications, and real-world complexity View Comparison Why 99.6% of surveyed candidates rated these as the highest-quality CCE questions they’d seen? 1. Realistic CCE Case Stems Other Question Banks Short, oversimplified, lacking clinical depth Our Difference Long, detailed stems with multiple comorbidities, medications, and real-world complexity View Comparison View Comparison 2. RACGP Standard CCE Format Other Question Banks Format looks completely different to the real RACGP CCE Format Our Difference Everything from the headers, formatting, question types mirror the official RACGP questions 3. Structured Responses You Can Actually Use Other Question Banks Answers lack structure, making it difficult to know what to actually say in the exam Our Difference Our answers are clearly structured, showing you exactly how to speak in the exam. View Comparison 4. Patient Simulations That Feel Real Other Question Banks Patient simulation cases that feel unrealistic and lack detail Our Difference Patient simulation scripts that feel like real consultations View Comparison Our Difference High-yield cases based directly on official RACGP CCE exam reports and examiner feedback Other Question Banks Contain low-yield scenarios unlikely to appear on exam day. 6. CCE Scenarios Designed to Cover High-Yield Topics Why 99.6% of surveyed candidates rated these as the highest-quality CCE questions they’d seen? 5. 20-Minute Stations Exactly Like Exam Day Other Question Banks Cases are too short and don't match 20-minute stations, making it hard to learn proper pacing. Our Difference Each case includes a 5-minute reading and 15-minute response, exactly like the real CCE. You’ll learn to structure your answers clearly and manage your timing well View Comparison View Comparison Our Difference Everything from the headers, formatting, question types mirror the official RACGP questions 2. RACGP Standard CCE Format Other Question Banks Format looks completely different to the real RACGP CCE Format 1. 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Our Difference Each case includes a 5-minute reading and 15-minute response, exactly like the real CCE. You’ll learn to structure your answers clearly and manage your timing well View Comparison 2. RACGP Standard CCE Format Other Question Banks Format looks completely different to the real RACGP CCE Format Our Difference Everything from the headers, formatting, question types mirror the official RACGP questions View Comparison View Comparison 6. CCE Scenarios Designed to Cover High-Yield Topics Other Question Banks Contain low-yield scenarios unlikely to appear on exam day. Our Difference High-yield cases based directly on official RACGP CCE exam reports and examiner feedback Step 1. Start with KFP practice questions → Identify your knowledge gaps and get used to exam-style thinking. Step 2. Review the concise exam notes → Quickly cover the key concepts related to your weak areas. Step 3. Dive into the comprehensive exam notes → Deepen your understanding when a topic needs more depth. 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Log In Get started Bookmarks Help Progress 0% Cardiovascular AAA + Rupture AC dislocation ATSI Abdominal pain in kids Abnormal/Dysfunctional Uterine Bleeding (AUB/DUB) Acanthosis Nigricans Acne Acromegaly Actinic Cheilitis Acute Kidney Injury (AKI) Acute Swollen Joint with Fever Acute Vision Loss Acute and Progressive Vision Loss Addisons Adjustment Disorder and Anxiety Adjustment Disorder with Depressed Mood Age related macular degeneration Alcohol Cessation Allergic rhinitis Alopecia Amenorrhoea Anaphylaxis Angina Angular Cheilitis Ankylosing Spondylitis (AS) Anorexia Nervosa Anticholinergics and TCAs Antidepressants Antimetabolite drugs Antiphospholipid syndrome Antipsychotics Anxiety Disorders Aortic Dissection Arrhythmia Asthma Asthma Atrial Fibrillation Back pain Behavioural / learning disorders Behavioural disturbances Bell’s palsy and Ramsey Hunt syndrome Beta-Human Chorionic Gonadotropin (β-hCG) Biologic agents Bipolar Disorder Bleeding disorders Blepharitis Breast Cancer Breast Lump Bronchiectasis (Updated) CA-125 (Cancer Antigen 125) CRPS CVD Risk Assessment Calluses and Corns Candida (Candidiasis as an STI) Carpal tunnel syndrome and de quervains tenosynovitis Cellulite Cervical spondylosis Chest pain Chickenpox (Varicella) Chilblains Cholesteatoma Chronic Cough in Children Chronic Fatigue Syndrome (CFS) Chronic Kidney Disease (CKD) Chronic Rhinosinusitis Chronic Stridor Clavicular fracture Clozapine Coeliacs Colorectal Cancer Screening Recommendations Congestive Cardiac Failure Connective Tissue Diseases Constipation Contact Dermatitis Cracked Heel Croup Cushings Cutaneous Drug Eruptions DKA vs HHS Dacrocystitis, dacyrostenosis, dacyrocystocoele Deep Vein Thrombosis (DVT) Delerium Dementia Depression and Delirium Dermal melanocystosis (mongolian spot) Developmental Dysplasia of the Hip (DDH) Diabetes Diabetes Insipidus (DI) vs Primary Polydipsia Diabetic Neuropathy Diarrhoea Diplopia Dizziness / syncope Down syndrome Duchenne muscular dystrophy Dupuytrens / trigger finger Dyspepsia Dyspnoea (Shortness of Breath) ECG ECG Findings ECG Patterns CONCISE COMPREHENSIVE Smoking Cessation When to Start Pharmacotherapy Indications for pharmacotherapy (any of the following): Smoking within 30 min of waking (best indicator) 10 cigarettes/day Withdrawal symptoms during prior quit attempts Comorbid mental health conditions Questions to Assess Willingness to Quit Have you considered quitting? Are you ready to quit now? What were your experiences with previous quit attempts? What barriers prevent you from quitting? What are your triggers or high-risk situations? Non-Pharmacological Strategies Plan Quit Date: Agree on a specific day to quit Smoking Cessation Support: Refer to a program (e.g., Quitline) Craving Management: 4 D’s: Delay, Distract, Deep breathing, Drink water Physical activity to reduce cravings Motivational Interviewing: Explore and resolve ambivalence Follow-Up: Arrange review within 1 week Education: Provide written materials on quitting strategies Smoking Cessation: Varenicline Mechanism of Action: Nicotine partial agonist Dosing Schedule Day 1–3: 0.5 mg OD Day 4–7: 0.5 mg BD Week 2–12: 1 mg BD Set quit date after 1st week of therapy Adverse Effects Nausea (most common) Abnormal dreams Mood changes: depression, irritability, suicidality (monitor closely in psychiatric history) Caution: History of seizures or cardiovascular disease Contraindications Severe renal impairment Pregnancy, breastfeeding, adolescence Concurrent use with specific medications (check interactions) Precautions Monitor: Psychiatric illness (close supervision) Cardiovascular events (e.g., angina) Hepatic impairment (assess LFTs if indicated) Counselling Explain common side effects (e.g., nausea, abnormal dreams) Adherence to dosing improves outcomes Cravings may increase after cessation; support is crucial Combine with nicotine replacement therapy (if suitable) for better success PBS subsidy requires enrolment in a cessation program Regular follow-up to assess progress, provide behavioural support Outcome Doubles chances of long-term cessation with proper adherence and support. Smoking Cessation When to Start Pharmacotherapy Indications Smoking within 30 minutes of waking (strongest indicator of dependence) ≥10 cigarettes/day Withdrawal symptoms during prior quit attempts Comorbid mental health conditions (e.g. depression, anxiety, psychosis) Questions to Assess Willingness to Quit Have you considered quitting? Are you ready to quit now? What were your experiences with previous quit attempts? What barriers prevent you from quitting? What are your triggers or high-risk situations? Non-Pharmacological Strategies Plan a Quit Date: Agree on a specific day to stop entirely. Smoking Cessation Support: Refer to counselling or a quit program (e.g., Quitline). Craving Management: The “4 D’s”: Delay, Distract, Deep breathing, Drink water Incorporate physical activity to curb cravings Motivational Interviewing: Explore ambivalence, enhance motivation. Follow-Up: Arrange review within 1 week of quit attempt. Education: Provide written material on quitting strategies. Smoking Cessation: Varenicline Mechanism of Action Nicotine partial agonist: Reduces withdrawal and blocks reward from smoking. Dosing Schedule Day 1–3: 0.5 mg once daily Day 4–7: 0.5 mg twice daily Week 2–12: 1 mg twice daily Set quit date after first week of therapy Adverse Effects Nausea (most common), abnormal dreams Mood changes: depression, irritability, rare suicidality → monitor closely in psychiatric history Caution in patients with seizure history or CVD Contraindications Severe renal impairment Pregnancy, breastfeeding, adolescence Check for drug interactions Precautions Monitor psychiatric illness (close supervision) Cardiovascular events (e.g. angina) Consider hepatic impairment if indicated Counselling Explain common side effects (nausea, dreams) Emphasise adherence for best outcome Cravings may intensify initially; adequate support crucial Can combine with nicotine replacement (if appropriate) for better success PBS subsidy often requires enrolment in a cessation support program Schedule regular follow-ups for behavioural support Outcome Doubles chances of long-term cessation with proper adherence and psychosocial support Additional Notes Max Alcohol: 2 drinks/day recommended while quitting. Notify Employer if needed for workplace adjustments. Encourage optimised sleep, stress management, and identify triggers (e.g., coffee, driving, boredom). Consider other pharmacotherapies (nicotine replacement therapy, bupropion) if varenicline is unsuitable. Bookmark Failed! Bookmark Saved! Refresh Refresh Refresh

Log In Get started Bookmarks Help Progress 0% Cardiovascular AAA + Rupture AC dislocation ATSI Abdominal pain in kids Abnormal/Dysfunctional Uterine Bleeding (AUB/DUB) Acanthosis Nigricans Acne Acromegaly Actinic Cheilitis Acute Kidney Injury (AKI) Acute Swollen Joint with Fever Acute Vision Loss Acute and Progressive Vision Loss Addisons Adjustment Disorder and Anxiety Adjustment Disorder with Depressed Mood Age related macular degeneration Alcohol Cessation Allergic rhinitis Alopecia Amenorrhoea Anaphylaxis Angina Angular Cheilitis Ankylosing Spondylitis (AS) Anorexia Nervosa Anticholinergics and TCAs Antidepressants Antimetabolite drugs Antiphospholipid syndrome Antipsychotics Anxiety Disorders Aortic Dissection Arrhythmia Asthma Asthma Atrial Fibrillation Back pain Behavioural / learning disorders Behavioural disturbances Bell’s palsy and Ramsey Hunt syndrome Beta-Human Chorionic Gonadotropin (β-hCG) Biologic agents Bipolar Disorder Bleeding disorders Blepharitis Breast Cancer Breast Lump Bronchiectasis (Updated) CA-125 (Cancer Antigen 125) CRPS CVD Risk Assessment Calluses and Corns Candida (Candidiasis as an STI) Carpal tunnel syndrome and de quervains tenosynovitis Cellulite Cervical spondylosis Chest pain Chickenpox (Varicella) Chilblains Cholesteatoma Chronic Cough in Children Chronic Fatigue Syndrome (CFS) Chronic Kidney Disease (CKD) Chronic Rhinosinusitis Chronic Stridor Clavicular fracture Clozapine Coeliacs Colorectal Cancer Screening Recommendations Congestive Cardiac Failure Connective Tissue Diseases Constipation Contact Dermatitis Cracked Heel Croup Cushings Cutaneous Drug Eruptions DKA vs HHS Dacrocystitis, dacyrostenosis, dacyrocystocoele Deep Vein Thrombosis (DVT) Delerium Dementia Depression and Delirium Dermal melanocystosis (mongolian spot) Developmental Dysplasia of the Hip (DDH) Diabetes Diabetes Insipidus (DI) vs Primary Polydipsia Diabetic Neuropathy Diarrhoea Diplopia Dizziness / syncope Down syndrome Duchenne muscular dystrophy Dupuytrens / trigger finger Dyspepsia Dyspnoea (Shortness of Breath) ECG ECG Findings ECG Patterns CONCISE COMPREHENSIVE Screening Recommendations Definition:Guidelines for assessing health to detect early signs of chronic conditions, reduce disease risk, and ensure timely intervention. Causes/Aetiology:Screening targets conditions like hypertension, cardiovascular disease (CVD), diabetes, high cholesterol, osteoporosis, and skin cancers, which are often asymptomatic early. Early detection enables management to reduce morbidity and mortality. Pathophysiology: Hypertension: Chronic high BP damages blood vessels, leading to CVD, stroke, kidney damage. CVD: Includes heart disease, stroke, caused by factors like atherosclerosis, hypertension, dyslipidaemia. Diabetes: High blood glucose damages blood vessels and organs. Lipid Disorders: High LDL contributes to atherosclerosis and CVD. Fracture Risk: Bone loss increases fracture risk in postmenopausal women and older adults. Skin Cancer: Screening aids early detection of melanoma and non-melanoma skin cancers. Symptoms: Hypertension: Often silent; severe cases may cause headache, dizziness, blurred vision. CVD: Chest pain, shortness of breath, dizziness, fatigue. Diabetes: Excessive thirst, frequent urination, fatigue, blurred vision. High Lipids: Asymptomatic until complications like heart disease arise. Osteoporosis: Fractures, height loss in severe cases. Skin Cancer: Skin changes, new growths, changes in moles. Differential Diagnosis: Hypertension: Anxiety, endocrine issues. CVD: Anxiety, GI issues, musculoskeletal pain. Diabetes: Other polyuria causes, medication effects. Lipid Disorders: Other cardiovascular issues. Fractures: Metabolic bone diseases. Skin Conditions: Psoriasis, benign growths. Investigations: Blood Pressure: Annual check from age 18; more frequent if elevated. AUSDRISK (Diabetes Risk): Screening from age 40 every 3 years; ATSI individuals from 18 every 3 years. CVD: Screen ages 45+ every 2 years; ATSI individuals from age 35. Lipid Profile: Start at 45 every 5 years; ATSI from 35 every 5 years. Fracture Risk: For women over 45 and men over 50 using Garvan fracture risk tool. Skin Screening: Opportunistically for those over 40 with high sun exposure risk. Management: Blood Pressure: Lifestyle changes, antihypertensives if necessary. Diabetes: Lifestyle modification, weight management, glucose-lowering medications. CVD: Lifestyle adjustments, statins, antihypertensives, antiplatelet therapy. Lipid Management: Statins or other lipid-lowering medications. Osteoporosis: Weight-bearing exercises, calcium, vitamin D, bisphosphonates. Skin Cancer: Regular self-checks, professional skin exams, excision for detected cancers. Screening Recommendations Summary: Blood Pressure: Every 2 years from 18. Diabetes (AUSDRISK): Every 3 years from 40; ATSI from 18. CVD: Every 2 years from 45; ATSI from 35. Lipid Profile: Every 5 years from 45; ATSI from 35. Fracture Risk: Women 45+, men 50+, calculate risk. Skin Screening: For 40+ individuals with skin cancer risk. Prognosis:Screening enables early detection and management of chronic conditions, enhancing outcomes and reducing complications. Notes: ATSI Populations: Earlier and more frequent screening due to higher risks. Adjust Screening Frequency: Based on individual risk factors, e.g., family history. Screening Recommendations Definition: Screening recommendations provide guidelines for assessing the health of individuals at various ages to detect conditions early, reduce the risk of diseases, and ensure timely intervention. Screening aims to identify health issues before they become symptomatic, particularly in at-risk populations. Aetiology/Causes: Screening is essential for detecting conditions like hypertension, cardiovascular disease (CVD), diabetes, high cholesterol, osteoporosis, and skin cancers, which are often asymptomatic in their early stages. Early detection allows for prevention and management to reduce morbidity and mortality. Pathophysiology: Hypertension (BP): Elevated blood pressure over time can lead to vascular damage, increasing the risk of heart disease, stroke, kidney damage, and other complications. Cardiovascular Disease (CVD): CVD encompasses heart disease, stroke, and peripheral artery disease, often caused by atherosclerosis, high blood pressure, and dyslipidaemia. Diabetes: Elevated blood sugar leads to complications such as kidney disease, neuropathy, cardiovascular complications, and poor wound healing. Lipid Disorders: High cholesterol and low HDL cholesterol contribute to atherosclerosis, leading to CVD. Fracture Risk: Bone loss, particularly in postmenopausal women and older adults, increases the risk of fractures. Skin Cancer: Regular skin screening helps in the early detection of melanoma and non-melanoma skin cancers. Symptoms: Hypertension: Often asymptomatic, but can lead to headaches, dizziness, and blurred vision when severe. CVD: Symptoms may include chest pain, shortness of breath, dizziness, and fatigue. Diabetes: Thirst, frequent urination, fatigue, blurry vision, and slow-healing sores. High Lipids: Often asymptomatic; symptoms are typically seen in later stages with complications like heart disease. Osteoporosis: Pain, fractures with minimal trauma, and height loss in severe cases. Skin Cancer: Changes in skin lesions, new growths, or changes in existing moles. Differential Diagnosis: Hypertension: Anxiety, stress, and endocrine disorders (e.g., pheochromocytoma). CVD: Anxiety, musculoskeletal pain, and gastrointestinal issues. Diabetes: Other causes of polyuria and polyphagia, like kidney disease or certain medications. Lipid Disorders: Other cardiovascular issues may present with similar symptoms (e.g., heart failure, peripheral artery disease). Fractures: Trauma or underlying metabolic bone diseases. Skin Conditions: Psoriasis, eczema, or benign skin growths may resemble skin cancer. Investigations: Blood Pressure (BP): Measure annually for adults 18 and over; more frequently if elevated. AUSDRISK: Screening for diabetes risk at age 40 and over every 3 years, and for ATSI individuals over 18 years every 3 years. This includes waist circumference as a key measure. Cardiovascular Risk (CVD): Individuals aged 45 and over should be screened every 2 years for CVD. For ATSI individuals, screening starts at age 35 and should occur every 2 years. If the individual is at low risk, blood tests from the previous 5 years may be used. Lipid Profile: Screening for cholesterol levels at age 45 and over every 5 years. For ATSI individuals, start screening at age 35 and over, every 5 years. Fracture Risk: Fracture risk calculation should be performed for postmenopausal women over 45 years and men over 50 years using the Garvan fracture risk calculator. This is critical for individuals with a history of osteoporosis or those who are at risk of falls. Skin Screening: Opportunistic screening for skin cancer should be conducted for individuals over 40 years, particularly those with risk factors like fair skin or a history of significant sun exposure. Management: Blood Pressure: If elevated, initiate lifestyle changes (e.g., diet, exercise) and consider antihypertensive medications for high readings. Diabetes: Lifestyle modification, weight management, and glucose-lowering medications, including insulin or oral agents. CVD: Lifestyle changes, statins for lipid control, antihypertensive medications, and antiplatelet therapy if indicated. Lipid Management: Statins or other lipid-lowering therapies depending on cardiovascular risk assessment. Osteoporosis: Encourage weight-bearing exercises, calcium and vitamin D supplements, and bisphosphonates or other bone-protective medications. Skin Cancer: Regular self-examination and professional skin checks. Treatment of detected skin cancers may include excision or referral to a specialist. Screening Recommendations: Blood Pressure (BP): Screen for all individuals 18 years and older every 2 years. AUSDRISK (Diabetes Risk): Screen individuals aged 40 and over every 3 years; ATSI individuals over 18 years should be screened every 3 years. It involves waist circumference measurements as a key indicator. Cardiovascular Disease (CVD): Screen all individuals 45 years and over every 2 years. For ATSI individuals, start screening from age 35 years. If the risk is low, blood tests from the previous 5 years can be used. Lipid Profile: Screen individuals aged 45 and over every 5 years for cholesterol levels. For ATSI individuals, start screening at age 35 and over. Fracture Risk: Postmenopausal women aged 45 and over, and men aged 50 and over should undergo fracture risk calculation using the Garvan fracture risk calculator. Skin Screening: Opportunistic skin screening should be performed for individuals over 40 years, especially for those at higher risk of skin cancer. Prognosis: Early Detection: Timely screening allows for early detection of chronic conditions, improving long-term health outcomes. For conditions like CVD, diabetes, and osteoporosis, appropriate management can significantly reduce complications and mortality. Skin Cancer: Early detection and treatment of skin cancers improve survival rates, particularly for melanoma. NOTES: ATSI Populations: Regular screening is critical for ATSI individuals, with earlier initiation and more frequent screenings compared to the general population due to higher risks. Reassessment of Screening Intervals: Adjust screening intervals based on individual risk factors. For example, those with a family history of diabetes or CVD may need more frequent assessments. Bookmark Failed! Bookmark Saved! Refresh Refresh Refresh

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Log In Get started Bookmarks Help Progress 0% Cardiovascular AAA + Rupture AC dislocation ATSI Abdominal pain in kids Abnormal/Dysfunctional Uterine Bleeding (AUB/DUB) Acanthosis Nigricans Acne Acromegaly Actinic Cheilitis Acute Kidney Injury (AKI) Acute Swollen Joint with Fever Acute Vision Loss Acute and Progressive Vision Loss Addisons Adjustment Disorder and Anxiety Adjustment Disorder with Depressed Mood Age related macular degeneration Alcohol Cessation Allergic rhinitis Alopecia Amenorrhoea Anaphylaxis Angina Angular Cheilitis Ankylosing Spondylitis (AS) Anorexia Nervosa Anticholinergics and TCAs Antidepressants Antimetabolite drugs Antiphospholipid syndrome Antipsychotics Anxiety Disorders Aortic Dissection Arrhythmia Asthma Asthma Atrial Fibrillation Back pain Behavioural / learning disorders Behavioural disturbances Bell’s palsy and Ramsey Hunt syndrome Beta-Human Chorionic Gonadotropin (β-hCG) Biologic agents Bipolar Disorder Bleeding disorders Blepharitis Breast Cancer Breast Lump Bronchiectasis (Updated) CA-125 (Cancer Antigen 125) CRPS CVD Risk Assessment Calluses and Corns Candida (Candidiasis as an STI) Carpal tunnel syndrome and de quervains tenosynovitis Cellulite Cervical spondylosis Chest pain Chickenpox (Varicella) Chilblains Cholesteatoma Chronic Cough in Children Chronic Fatigue Syndrome (CFS) Chronic Kidney Disease (CKD) Chronic Rhinosinusitis Chronic Stridor Clavicular fracture Clozapine Coeliacs Colorectal Cancer Screening Recommendations Congestive Cardiac Failure Connective Tissue Diseases Constipation Contact Dermatitis Cracked Heel Croup Cushings Cutaneous Drug Eruptions DKA vs HHS Dacrocystitis, dacyrostenosis, dacyrocystocoele Deep Vein Thrombosis (DVT) Delerium Dementia Depression and Delirium Dermal melanocystosis (mongolian spot) Developmental Dysplasia of the Hip (DDH) Diabetes Diabetes Insipidus (DI) vs Primary Polydipsia Diabetic Neuropathy Diarrhoea Diplopia Dizziness / syncope Down syndrome Duchenne muscular dystrophy Dupuytrens / trigger finger Dyspepsia Dyspnoea (Shortness of Breath) ECG ECG Findings ECG Patterns CONCISE COMPREHENSIVE Cholesteatoma Pathology Recurrent ear infections and ETD → TM retraction pocket → accumulation of old skin cells → enzymatic degradation of nearby structures Progressive invasion into middle ear, damaging ossicles, facial nerve, and increasing risk of intracranial infection Presentation (most common first) Progressive hearing loss (conductive) Foul-smelling ear discharge Persistent otitis media Vertigo (labyrinthine involvement) Facial weakness (facial nerve erosion) Differential Diagnosis Chronic otitis media with effusion Otosclerosis Ear canal or middle ear tumours TM perforation Benign ear masses (e.g. polyps) Diagnosis Otoscopy: Retraction pocket, pearly white mass, often posterosuperior TM Audiometry: Conductive hearing loss CT temporal bone: Assesses extent of disease and bone erosion Treatment Surgical (mainstay): Mastoid surgery to remove disease, aerate EAC, and prevent skin buildup Conservative (if surgery not immediate): Keep ear dry, regular suction, treat infections Complications Hearing Loss: Conductive; sensorineural if inner ear affected Intracranial Infections: Meningitis, abscess, sigmoid sinus thrombosis Vertigo: Labyrinthine involvement Facial Nerve Paralysis: Erosion of facial nerve canal Additional Notes Early recognition prevents complications Persistent otorrhoea with attic perforation/retraction pocket = “unsafe” → urgent ENT referral Post-op follow-up essential; risk of recurrence Mastoid bowl requires regular cleaning Cholesteatoma Aetiology Congenital cholesteatoma: Embryonic cell rest in the middle ear Acquired cholesteatoma Primary: Often linked to eustachian tube dysfunction (ETD) causing a retraction pocket in the tympanic membrane (TM) where squamous debris accumulates Secondary: Occurs when skin migrates through a TM perforation, commonly associated with chronic suppurative otitis media Pathophysiology Retraction or invasion of squamous epithelium into the middle ear or mastoid air cells Enzymes from keratin debris trigger chronic inflammation and progressive bone erosion (ossicles, mastoid cortex, even facial nerve canal) Symptoms May be asymptomatic initially Progressive conductive hearing loss (due to ossicular chain damage) Persistent foul-smelling, painless otorrhoea (discharge) Chronic middle ear infection or retraction pocket noted on otoscopy Possible otalgia, vertigo, or facial nerve weakness if advanced Differential Diagnosis Chronic otitis media with effusion Otosclerosis Tumours of the external ear canal or middle ear Simple tympanic membrane perforations Benign ear masses (e.g. polyp) Investigations Otoscopy Retraction pocket, visible white/pearly mass or granulation tissue Typically found in the posterosuperior quadrant of the TM “Unsafe” perforation signs (granulation tissue, bone erosion) are highly suspicious Audiometry Conductive hearing loss most common Mixed or sensorineural loss if labyrinth or cochlea involved Imaging High-resolution CT (Temporal Bone) to assess extent of bone erosion, mastoid involvement, and any complications MRI may help if intracranial extension or complications are suspected Management Surgical (Definitive) Mastoidectomy or tympanomastoid surgery to remove the cholesteatoma, prevent complications, and restore/maintain hearing Ossicular chain reconstruction may be needed if there is ossicle destruction Conservative/Supportive For patients unfit for surgery or awaiting surgical management Keep the ear dry (use earplugs during bathing) Aural toilet under microscopic guidance to remove debris Topical or oral antibiotics for acute infections Regular ENT follow-up to monitor disease progression Complications Hearing Loss Usually conductive from ossicular erosion, though can be sensorineural if the inner ear is involved Intracranial Infections Abscess, meningitis, or sigmoid sinus thrombosis if infection spreads Vertigo Signals labyrinthine involvement Facial Nerve Paralysis Occurs if the facial nerve canal is eroded Additional Notes Early recognition of cholesteatoma is crucial to avoid destructive complications Persistent otorrhoea with an attic perforation or retraction pocket is considered “unsafe” and warrants urgent ENT referral Postoperative follow-up is essential as cholesteatoma can recur Mastoid bowl management (if created during surgery) involves regular cleaning to prevent re-accumulation of debris or infection High suspicion warranted in patients with chronic ear infections not responding to standard treatment, especially when foul-smelling discharge and hearing loss are present Bookmark Failed! 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Log In Get started Bookmarks Help Progress 0% Cardiovascular AAA + Rupture AC dislocation ATSI Abdominal pain in kids Abnormal/Dysfunctional Uterine Bleeding (AUB/DUB) Acanthosis Nigricans Acne Acromegaly Actinic Cheilitis Acute Kidney Injury (AKI) Acute Swollen Joint with Fever Acute Vision Loss Acute and Progressive Vision Loss Addisons Adjustment Disorder and Anxiety Adjustment Disorder with Depressed Mood Age related macular degeneration Alcohol Cessation Allergic rhinitis Alopecia Amenorrhoea Anaphylaxis Angina Angular Cheilitis Ankylosing Spondylitis (AS) Anorexia Nervosa Anticholinergics and TCAs Antidepressants Antimetabolite drugs Antiphospholipid syndrome Antipsychotics Anxiety Disorders Aortic Dissection Arrhythmia Asthma Asthma Atrial Fibrillation Back pain Behavioural / learning disorders Behavioural disturbances Bell’s palsy and Ramsey Hunt syndrome Beta-Human Chorionic Gonadotropin (β-hCG) Biologic agents Bipolar Disorder Bleeding disorders Blepharitis Breast Cancer Breast Lump Bronchiectasis (Updated) CA-125 (Cancer Antigen 125) CRPS CVD Risk Assessment Calluses and Corns Candida (Candidiasis as an STI) Carpal tunnel syndrome and de quervains tenosynovitis Cellulite Cervical spondylosis Chest pain Chickenpox (Varicella) Chilblains Cholesteatoma Chronic Cough in Children Chronic Fatigue Syndrome (CFS) Chronic Kidney Disease (CKD) Chronic Rhinosinusitis Chronic Stridor Clavicular fracture Clozapine Coeliacs Colorectal Cancer Screening Recommendations Congestive Cardiac Failure Connective Tissue Diseases Constipation Contact Dermatitis Cracked Heel Croup Cushings Cutaneous Drug Eruptions DKA vs HHS Dacrocystitis, dacyrostenosis, dacyrocystocoele Deep Vein Thrombosis (DVT) Delerium Dementia Depression and Delirium Dermal melanocystosis (mongolian spot) Developmental Dysplasia of the Hip (DDH) Diabetes Diabetes Insipidus (DI) vs Primary Polydipsia Diabetic Neuropathy Diarrhoea Diplopia Dizziness / syncope Down syndrome Duchenne muscular dystrophy Dupuytrens / trigger finger Dyspepsia Dyspnoea (Shortness of Breath) ECG ECG Findings ECG Patterns CONCISE COMPREHENSIVE Acromegaly Pathophysiology Pituitary adenoma secreting excess GH → increased IGF-1 production by the liver → Overgrowth of bone, cartilage, soft tissue, and organs; impaired glucose tolerance Presentation Bones and Cartilage Enlarged facial structures (jaw, nose, lips, ears), hand/foot size, jaw protrusion (prognathism) Deep voice, joint pain, arthritis Soft Tissue Increased sweating and oily skin, paraesthesia due to nerve compression (e.g., carpal tunnel) Systemic Features HTN, cardiomyopathy, sleep apnoea, insulin resistance, or diabetes mellitus Diagnosis Biochemical Tests Elevated serum IGF-1 levels OGTT: GH does not suppress (GH > 1 µg/L confirms diagnosis) Imaging MRI of the pituitary to identify adenoma Baseline investigations Echocardiogram (cardiomyopathy), sleep study (apnoea), colonoscopy (colonic neoplasia risk) Management Surgery Transsphenoidal surgery is first-line for resection of the pituitary adenoma Pharmacological Management Somatostatin Analogues: Reduce GH secretion and tumour size Lanreotide: 60–120 mg deep SC injection every 4–8 weeks Octreotide: 10–30 mg IM injection every 4 weeks Pasireotide: Reserved for resistant cases (40–60 mg IM every 4 weeks) Monitoring: Adjust doses based on IGF-1 and GH levels Dopamine Agonists: Reduce GH in ~50% of patients Cabergoline: Start at 0.5 mg twice weekly, up to 2 mg twice weekly Bromocriptine: 1.25–30 mg daily in divided doses GH Receptor Antagonists (Pegvisomant) Loading dose: 80 mg SC, then 10 mg SC daily (increase to max 30 mg daily) Radiotherapy Considered if surgery and medical therapy fail Follow-up and Monitoring Target GH < 2.5 µg/L and age-normalised IGF-1 levels Screen and manage cardiovascular complications (e.g., hypertension, cardiomyopathy) Monitor for new or worsening comorbidities (e.g., diabetes, sleep apnoea, colonic neoplasms) Acromegaly Pathophysiology Pituitary adenoma secretes excess GH Leads to increased hepatic IGF-1 production Causes overgrowth of bone, cartilage, soft tissue, and organs Impairs glucose tolerance and can precipitate diabetes mellitus Clinical Presentation Bones and Cartilage Enlarged facial bones (prognathism, coarse facial features) Increased hand/foot size, requiring larger rings or shoe size Jaw protrusion leading to malocclusion Joint pain, early degenerative arthritis Soft Tissue Oily skin, hyperhidrosis (excessive sweating) Carpal tunnel syndrome, paraesthesia Deepened voice from laryngeal thickening Systemic Features Hypertension, cardiomegaly, heart failure (acral cardiomyopathy) Sleep apnoea (obstructive or mixed) Insulin resistance or overt T2DM Colonic polyps with increased neoplasia risk Diagnosis Biochemical Tests Elevated serum IGF-1 (age-adjusted reference range) Oral glucose tolerance test (75 g glucose) with GH measurement Lack of GH suppression (GH >1 µg/L) confirms acromegaly Normal physiology: GH should suppress to <1 µg/L Pituitary Imaging MRI of the pituitary gland to locate and characterise adenoma Consider macroadenoma compressing other pituitary tissue (possible hypopituitarism) Baseline Investigations Echocardiography to assess for cardiomyopathy Sleep study (polysomnography) to evaluate for sleep apnoea Colonoscopy to screen for colonic polyps, especially in older patients or those with long-standing disease Evaluate other pituitary hormones (LH, FSH, TSH, ACTH) to detect co-secretion or hypopituitarism Management Surgery (First-Line) Transsphenoidal resection of pituitary adenoma Can achieve rapid reduction in GH levels and tumour bulk Aim is biochemical remission (GH <1 µg/L on OGTT and normal IGF-1) Medical Therapy Somatostatin Analogues (reduce GH secretion) Octreotide LAR 10–30 mg IM every 4 weeks or Lanreotide (60–120 mg deep SC every 4–8 weeks) Pasireotide for resistant cases Monitor IGF-1 and GH levels, dose adjustments based on response Dopamine Agonists (Cabergoline, Bromocriptine) Effective in ~50% of patients, usually mild disease or co-secreting prolactin Cabergoline 0.5 mg twice weekly up to 2 mg twice weekly GH Receptor Antagonist (Pegvisomant) Blocks peripheral GH action, lowers IGF-1 Start with loading dose 80 mg SC, then 10 mg SC daily (up to 30 mg daily) Monitor IGF-1 but not GH (GH remains elevated) Radiotherapy Consider if surgery is incomplete or tumours recur and medical therapy is insufficient Long latency to see full effect, risk of hypopituitarism post-radiation Follow-Up and Monitoring Biochemical Targets GH <1 µg/L after OGTT or random GH <2.5 µg/L Age-normalised IGF-1 within reference range Comorbidity Screening Annual cardiovascular assessment (ECG, echocardiogram if needed), as cardiomyopathy is a major mortality factor Diabetes or glucose intolerance monitoring (HbA1c or fasting glucose) Repeat colonoscopy if polyps found or based on guidelines (some patients require 3-5 yearly scopes) Periodic pituitary MRI if residual tumour or rising IGF-1 Specific Management Points Address sleep apnoea, including CPAP if severe Monitor blood pressure and treat hypertension aggressively Evaluate for hypopituitarism (e.g. secondary adrenal insufficiency, hypothyroidism) Educate on signs of tumour recurrence (headache, visual changes) Notes Suspect acromegaly in patients with slowly evolving facial feature changes, enlarged hands/feet, or jaw malocclusion Elevated IGF-1 is the best initial screening test Confirm diagnosis with lack of GH suppression on OGTT Early transsphenoidal surgery can be curative, but medical therapy often needed if not fully resected Comorbidities (hypertension, DM, sleep apnoea, arthropathy) significantly impact quality of life and mortality risk Long-term follow-up ensures control of GH/IGF-1, detection of tumour recurrence, and management of complications Bookmark Failed! 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