This fourth edition contains over 500 questions which comprehensively cover the curriculum. The book features questions in all the formats that feature in the AKT exam: single best answers; extended matching questions; rank ordering; picture format; algorithm completion and the recently introduced 'complete the gap' question types. The newly added questions cover important topics such as: management of low back pain contraception and pregnancy the new fit notes diagnosis and management of people with skin problems acute eye problems management of osteoporosis The questions and answers have been comprehensively updated to reflect changes in management of clinical and administrative areas, with references and weblinks updated throughout. 400 extended matching, single best answer questions, rank ordering and free text completion 88 algorithm completion questions 52 picture questions, with all photographs presented in full colour The book has been favourably reviewed by trainees, trainers and programme directors alike and is on the recommended reading lists of a number of VTS schemes. It is essential reading for candidates preparing for the AKT and also for training practices and libraries. It has been used by trainers to plan teaching sessions and tutorials and by established GPs to help them with appraisal and revalidation. IF YOU WANT TO PASS THE AKT PAPER IN THE MRCGP, THEN YOU NEED THIS BOOK From reviews of previous editions: "Just had my AKT results and they were well above the average... This book is clearly laid out and I feel acts as a good supplement to online revision and fills in the gaps online revision can leave." "This is a good road testing for those who face into the AKT... the questions are clear and easily understood. The picture quality is excellent. The answers are informative and provide useful revision..."