MICGP CKT study materials
MICGP CKT study resources

MICGP CKT case studies

MICGP CKT · Put your knowledge to work in context.

The MICGP Computer-Based Knowledge Test (CKT) is the written knowledge component of the Irish College of General Practitioners' membership pathway for doctors training in general practice in Ireland. It is designed for GP trainees who have completed or are nearing the end of their structured training and need to demonstrate the breadth of knowledge expected of an independent general practitioner. The test samples the full curriculum of general practice: consulting and communication, cardiovascular and respiratory medicine, gastroenterology, endocrinology, musculoskeletal and rheumatological problems, mental health and neurology, women's health and paediatrics, geriatric and palliative care, dermatology, ENT and ophthalmology, plus the principles of general practice and clinical governance, ethics and practice management. Questions are applied rather than purely factual, so the emphasis falls on safe decision-making in undifferentiated presentations, appropriate referral and investigation, and recognition of red flags. The MICGP CKT case studies are 5 cases and about 3,058 words.

1

Anticoagulation in an older woman with AF, falls and a bleeding bereavement

An 82-year-old woman attends with her daughter. She has permanent atrial fibrillation diagnosed six years ago, hypertension, and type 2 diabetes.

679 words, about 3 min
2

Intensifying treatment in type 2 diabetes with chronic kidney disease

Mr O'Sullivan is 58 and has had type 2 diabetes for nine years. His BMI is 34 kg/m².

583 words, about 3 min
3

Combined hormonal contraception in migraine with aura

A 27-year-old woman has had migraine with aura since age 16, with three to four attacks per month. She takes propranolol 80 mg modified release daily.

593 words, about 3 min
4

Advance care planning and symptom control in severe COPD

A 79-year-old man has severe COPD with FEV1 36% predicted. He is on salbutamol, umeclidinium/vilanterol, budesonide/formoterol, tiotropium, bisoprolol for atrial fibrillation, ramipril, furosemide, codeine phosphate 30 mg four times daily for breathlessness, and lactulose.

602 words, about 3 min
5

Confidential contraception request from a 16-year-old

A 16-year-old girl attends alone after school and asks for the contraceptive pill. She has been with her 17-year-old boyfriend for six months and they are not using contraception.

601 words, about 3 min