Respiratory Medicine
AKT High-Yield Breakdown
Respiratory questions in the AKT are rarely subtle. They test whether you know objective diagnostic thresholds, stepwise treatment escalation, who needs referral vs reassurance, and driving, work, and public health rules. This is one of the easiest domains to score well in if you memorise the patterns.
What You'll Learn
Master asthma diagnosis and MART therapy, COPD inhaler escalation, LTOT criteria, lung cancer red flags, and the respiratory exam traps that catch candidates out.
Practise Respiratory Medicine MCQs
From asthma step-up therapy and SABA overuse to COPD exacerbation management, lung cancer 2WW criteria, pleural effusion differentials, and obstructive versus restrictive spirometry patterns — tackle focused MCQs across the full Respiratory Medicine curriculum.
Asthma (Adults & Children ≥12)
Asthma is heavily tested — especially diagnosis, step-up therapy, and poor control.
Diagnosis — Know the Objective Tests
AKT rarely accepts "clinical asthma" without evidence.
- FeNO: ≥40 ppb (adults), ≥35 ppb (children 5–16)
- Spirometry: FEV₁/FVC <0.7 = obstructive
- Bronchodilator reversibility: ≥12% AND ≥200 ml improvement (adults)
- Peak Flow Variability: ≥20% variability supports diagnosis
Asthma Management (2024 NICE / BTS-aligned)
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