The previous edition of this book for the Membership of the Royal College of General Practitioners examination proved to be hugely popular since publication in 2005. But now the MRCGP exam and Summative Assessment have merged to become the compulsory nMRCGP, and with this has come a change in the format of the written exam. Rather than Paper 1 and Paper 2 there is now a single Applied Knowledge Test consisting of one three hour exam. This new edition reflects all these changes. In addition, updates include revised guidelines and questions on relatively new topics such as practice based commissioning. This book will continue to familiarise you with the types of questions found in the new exam and also covers good exam technique to optimise your results with the knowledge you have. The questions have been divided into papers, so you can practice exam timing, and you can also use the book to test yourself on specific subjects by referring to the topic-based question index. Compared with the limited alternative preparation material for this examination, this book gives far better explanations of answers, and the information is presented more accessibly. It is essential for all examination candidates.