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Author: Admin | 2025-04-28
Tool. If you’re reading about Methotrexate, then consider its use in Crohn’s, Rheumatoid arthritis and Psoriasis.Step Four: Special circumstancesThis includes prescribing in pregnancy, breastfeeding, renal disease and hepatic disease. The AKT is an application-based exam; although there will be plenty of first-line medications, consider alternative scenarios. Your newly diagnosed diabetic patient has CKD; how would this affect your management?Step Five: I’m not an obstetricianAsk yourself, how comfortable am I prescribing in pre and post-natal care? This is a clear example of where you need to explore beyond primary guidance. NICE, Hypertension in pregnancy recommends offering enalapril to treat hypertension during the postnatal period, which is unexplained in the BNF.Step Six: Drug monitoringKnow your monitoring requirements well. The WellMedic admin course summarises the common medications that often appear in the AKT. It’s important to know which parameter needs monitoring (this extends beyond blood tests) and how frequently they may need to be monitored.Step Seven: InteractionsThere are far too many interactions for any given drug! Focus on the severe/red drug interactions. In addition to this, focus on commonly prescribed medications that may interact, e.g. SSRIs, Antibiotics, Antihypertensives etc. And finally, look for themes. Check out my Amiodarone summary for a specific example!Step Eight: Working in teamsI would highly advise that pharmacology is a regular feature within your revision plan. Summarising the BNF is a good start, but the key is to practice exam scenarios replicated in the exam. Work in small groups, and create scenarios from within your BNF summary revision.If you’d like to see how this all applies to my BNF summary, fill out our email form below and I will email you a copy of our summary guide!Get your hands on this guide which covers pharmacology examples for the MRCGP AKT.
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