Endocrinology
AKT High-Yield Breakdown
Endocrinology is one of the highest-scoring AKT domains if you know the numbers, thresholds, and treatment logic. The exam is not testing deep physiology — it is testing whether you can apply NICE guidance safely and systematically in primary care.
What You'll Learn
Master diabetes diagnosis thresholds, drug escalation pathways, GLP-1 continuation rules, hypoglycaemia definitions, thyroid disease patterns, osteoporosis T-scores, and the prescribing traps that catch candidates out.
Practise Endocrinology MCQs
From HbA1c targets and GLP-1 indications to thyroid function interpretation, Addison's investigations, PCOS management, and the adrenal crisis steroid sick-day rules — tackle focused MCQs across the full Endocrinology curriculum.
Diabetes Mellitus — Diagnosis (Know These Exactly)
Diabetes is diagnosed if one abnormal result with symptoms, or two abnormal results if asymptomatic:
- HbA1c ≥48 mmol/mol (6.5%)
- Fasting plasma glucose ≥7.0 mmol/L
- Random plasma glucose ≥11.1 mmol/L
- 2-hour OGTT ≥11.1 mmol/L
Do NOT use HbA1c for diagnosis if:
- Age <18
- Pregnancy or ≤2 months postpartum
- Symptoms <2 months
- Acute illness
- Long-term steroid use
- End-stage CKD
- HIV infection
- Acute pancreatic damage
In these cases, use plasma glucose or OGTT.
Register to save your progress
You can preview topic pages for free. Create an account to start your revision setup, then upgrade when you are ready to unlock the complete high-yield notes and exam tips.