Write your own AKT questions, get AI feedback, and build a personal question bank you can practise from.
Writing your own multiple-choice questions is one of the more underused study techniques for the MRCGP. The cognitive science is reasonably robust — the generation effect describes how material you produce yourself tends to be recalled more reliably than material you only read. Writing a five-option MCQ with per-option reasoning also forces you to articulate why each plausible-looking wrong answer is wrong, which is the discrimination the AKT actually tests.
Mosaic adds an AI feedback layer. You write a question; the model rates it for clinical accuracy, distractor quality, alignment to the RCGP curriculum, and likeness to AKT examiner style, then tells you specifically what could be improved. The aim isn't to publish polished items — it's to surface what you don't yet know clearly enough to test.
Write a new AKT question and get detailed AI feedback on its clinical accuracy, distractor quality, and alignment to the RCGP curriculum.
Take a 10-question quiz drawn from the community or your own question bank. Test yourself, track your score, and see how well you know the material.
Browse and practise questions created by other registrars. See how peers approach different topics, read AI feedback, and join the discussion.
Take a 10-question quiz drawn from existing questions. Choose your question source and filter below.
Browse questions shared by other registrars. Read AI feedback, see how peers approach different topics, and join the discussion.
Writing your own exam questions is one of the most effective ways to prepare for the AKT. It forces you to think about what's being tested and why, to consider plausible alternatives, and to engage with reasoning at a deeper level than simply answering someone else's questions.
Pick a topic and decide on the single clinical decision point, statistical concept, or organisational principle you want to test. The best questions test one thing clearly, not several things at once.
Set the scene with enough information to reach the answer. For clinical questions, write a realistic primary care vignette with relevant demographics, history, and findings. For evidence-based practice questions, present a study or dataset. For organisational questions, describe a practice scenario or ethical dilemma. Keep it focused — unnecessary detail is a distraction, not a challenge.
Ask for the single best answer. Good lead-ins include: "What is the most appropriate next step in management?", "What is the most likely diagnosis?", "Which investigation should be performed first?", "What is the number needed to treat?" Avoid vague phrasing like "Which of the following is true?"
One correct answer, four distractors. The distractors are where the real learning happens — they should be plausible enough that someone without full understanding might choose them. When you struggle to write good distractors, that often reveals a gap in your own knowledge.
Vignettes set in UK primary care. Test diagnosis, investigation, management, prescribing, prevention, or screening decisions.
Test understanding of study design, critical appraisal, sensitivity and specificity, PPV and NPV, NNT and NNH, absolute vs relative risk, confidence intervals, bias, audit, and levels of evidence.
Test knowledge of NHS structures, CQC, GMC duties, consent and capacity (including Mental Capacity Act and Gillick competence), safeguarding, confidentiality, complaints, significant event analysis, sickness certification, DVLA reporting, and controlled drugs.
Ask yourself: could I defend this answer with reference to a current UK guideline, a statistical principle, or a legal framework? If you're not sure, that's fine — one of the most valuable things this tool does is flag when your intended answer might not be right. That's a learning moment, not a failure.
prescribing-safety, red-flags, health-inequalities. Type to filter existing tags or create a new one. Press Enter or comma to add; Backspace removes the last chip when the box is empty.Generating your questions...
Turn this question into a single-fact flashcard you can revise later. Write the front and back yourself — the synthesis is where the learning happens. The reference pane on the right shows the question and AI review for context.