UKMLA applied knowledge test practice from your own material
The medical school AKT is 100 percent single best answer with five options and no penalty for wrong answers. A question generated from your own teaching is structurally the same object as a real item, which is rare among these exams.
Take the ten question sample exam
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500 verified questions a month with a confirmed account, 200 a month as a guest with no account
UKMLA AKT pass mark, pass rate, format and who sets the exam date
UKMLA AKT fee: nothing for a UK medical student, because the MLA is part of the degree. UKMLA AKT exam dates: set by each medical school, with no national date list published. The pass mark ran from 115 out of 200 to 117 out of 200 across the exams of September 2024 to August 2025, which is 57.5 to 58.5 percent of the 200 items by this page's arithmetic, and the pass rate over that period was 98.3 percent of 10,437 students at 40 medical schools, with the full tables in the blog post on the UKMLA AKT pass mark.
| UKMLA AKT fact | Number | Applies to |
|---|---|---|
| Questions and time | 200 single best answer items in two papers of 100, 2 hours per paper on sequential days, five options, no negative marking | Every sitting, 2026 Student Handbook |
| Seconds a question | 72, from 7,200 seconds divided by 100 items | Computed from the handbook figures |
| Exam date | Set by each medical school, in the final year or in the summer of the penultimate year | Every cohort; no national date list is published |
| Results | Pass or fail with a score, around 5 weeks at most, and no national ranking | Every sitting, 2026 Student Handbook |
| Fee | None for UK medical students | 2026, Medical Schools Council FAQ |
| Pass mark | 115 to 117 out of 200, set for each paper by the Modified Angoff method | September 2024 to August 2025, final and penultimate year sittings |
| Pass mark | 115 to 116 out of 200 | June and August 2024, penultimate year sittings |
| Pass rate | 98.3 percent of 10,437 students at 40 medical schools | September 2024 to August 2025, final and penultimate year sittings, main sit only |
| Pass rate | 96.4 percent of 1,580 students at 8 medical schools | June and August 2024, penultimate year sittings |
| Attempts | Normally no more than 4 valid attempts, and no more than 2 actual sits in one academic year | Medical Schools Council recommendation, 2026 Student Handbook |
| Validity of a pass | 2 years while still at medical school; no expiry after graduation | 2026 Student Handbook |
Source: MS AKT Student Handbook 2026, MLA AKT Board Report 2024-25, AKT Board Report 2024-25 FAQs, MLA frequently asked questions, MLA AKT Board reports, checked on September 22, 2026.
UKMLA AKT breakdown: minimum questions by area of clinical practice
UKMLA AKT breakdown for UK medical students: the Medical Schools Council sampling grid sets a minimum number of questions for each of 24 areas of clinical practice, in four clusters of 50 across the two papers of 100. The minimums add up to 40 in every cluster, so 160 of the 200 questions are fixed by area and 40 are not, by this page's arithmetic. General practice, acute medicine, surgery and clinical imaging have no quota of their own and are covered across all four clusters. The grid applies to UK medical students only.
| Area of clinical practice | Paper and cluster of 50 | Minimum questions |
|---|---|---|
| Cardiovascular | Paper 1, cluster 1 | 10 |
| Respiratory | Paper 1, cluster 1 | 10 |
| Gastrointestinal | Paper 1, cluster 1 | 10 |
| Medicine of older adult | Paper 1, cluster 1 | 10 |
| Neurosciences | Paper 1, cluster 2 | 8 |
| Ophthalmology | Paper 1, cluster 2 | 2 |
| Endocrine | Paper 1, cluster 2 | 8 |
| Renal and urology | Paper 1, cluster 2 | 10 |
| Infection | Paper 1, cluster 2 | 8 |
| Dermatology | Paper 1, cluster 2 | 4 |
| Cancer | Paper 2, cluster 3 | 8 |
| Breast | Paper 2, cluster 3 | 2 |
| Hematology | Paper 2, cluster 3 | 4 |
| Palliative care | Paper 2, cluster 3 | 2 |
| Perioperative medicine and anesthesia | Paper 2, cluster 3 | 2 |
| Musculoskeletal | Paper 2, cluster 3 | 10 |
| Emergency medicine | Paper 2, cluster 3 | 8 |
| Ear, nose and throat | Paper 2, cluster 3 | 4 |
| Child health | Paper 2, cluster 4 | 12 |
| Mental health | Paper 2, cluster 4 | 12 |
| Obstetrics and gynecology | Paper 2, cluster 4 | 10 |
| Sexual health | Paper 2, cluster 4 | 2 |
| Social and population health and research methods | Paper 2, cluster 4 | 2 |
| Medical ethics and law | Paper 2, cluster 4 | 2 |
| General practice, acute medicine, surgery and clinical imaging | All four clusters | No quota of their own |
Source: Medical Schools Council MS AKT sampling grid, checked on September 26, 2026.
The one exam on this list whose format a generator matches exactly
The 2026 student handbook is unusually plain about the format: two papers of 100 items taken on sequential days, all of them single best answer with five options, no penalty for wrong answers, two hours a paper. There is no image dependency to work around and no proprietary item type. A single best answer item written from your own teaching material has the same shape as the exam you will take.
What no generator can promise is coverage. The MLA content map has six domains, and the two that carry the exam, patient presentations and conditions, are wider than any set of lecture notes. The map is also live: it was republished in October 2025 after a content review and changed again in September 2026. Practice from your own file is practice on your own file.
One question, as it arrives
A 17-year-old male presents to the GP with a 2-day history of fever, headache, and neck stiffness. He recently moved into a university dormitory. What is the most likely diagnosis?
- A. Encephalitis
- B. Meningococcal meningitis correct answer
- C. Pneumonia
- D. Viral meningitis
- E. Influenza
double-checked
Written on September 15, 2026 on the free lane, job 242, question 13578, from Meningococcal: the green book, chapter 22 (UK Health Security Agency), page 1, published under the Open Government Licence v3.0. The quote is the line the check found on that page, and a second model, given the quote and not the key, picked the same answer. Nothing here was edited by hand.
A practice recipe for UKMLA applied knowledge test
Ask for 50 questions from two modules and set a 60 minute timer, which is the pace of a 100 item paper in two hours.
Paste this into the extra instructions box on the generate form, or let the button carry it there:
Use this recipe in the generate form
The extra instructions box overrides the general guidance the model is given, so the wording above is followed on every question in the set.
What this cannot do
- This is not an MLA item bank and it has no connection to the GMC or the Medical Schools Council. It writes items in that format from the file you upload.
- Coverage of the six domain content map cannot be promised. Personal notes rarely cover the professional knowledge domain or the clinical and professional capabilities domain at all.
- The map's three underpinning themes, readiness for safe practice, managing uncertainty and delivering holistic person centered care, are hard to write from factual notes and will be thin in a generated set.
- The content map is revised. Questions reflect the edition of the material you uploaded, which is why every item prints its page.
Format facts, and where each one comes from
- The AKT is two 100 item papers taken on sequential days. The questions are all single best answer with five options, wrong answers are not penalized, and the standard time for each paper is two hours.Source: https://www.medschools.ac.uk/wp-content/uploads/2025/10/MS-AKT-Student-Handbook-2026.pdf
- For UK medical students the medical school AKT is constructed centrally by medical schools working through the Medical Schools Council and delivered locally, with a common format and test standard quality assured by the GMC.Source: https://www.gmc-uk.org/education/medical-licensing-assessment/uk-medical-schools-guide-to-the-mla/applied-knowledge-test-akt
- The MLA content map has six domains: areas of clinical practice, areas of professional knowledge, clinical and professional capabilities, practical skills and procedures, patient presentations, and conditions.Source: https://www.gmc-uk.org/education/medical-licensing-assessment/mla-content-map/about-the-mla-content-map
- The current content map applies to all MLA exams and assessments taken from September 2026 onward, and the GMC calls it a live document.Source: https://www.gmc-uk.org/education/medical-licensing-assessment/mla-content-map
Format checked on September 12, 2026. These pages are reviewed once a quarter by the person who runs MedUni Exam, and the review is what moves the date above. If a number here is out of date, write to support@meduniexam.com and it gets fixed.
What it costs in UKMLA applied knowledge test units
With a confirmed account the allowance is 500 verified questions a month, which in this exam's units is 5 runs of one 100 item paper, or more than both AKT papers, 200 items across two days, every month, at no cost. A guest workspace with no account gets 200 questions a month, which is 2 such runs.
The Exam Pass, £39.99 once, is one payment that puts the priority models on your jobs for 90 days and then stops on its own.
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Works in any language, and quality varies by language: the questions come out in the language of your document, or in the one you pick from a list of every living language.
Questions students ask
Is the AKT the same as PLAB 1?
They are both applied knowledge tests compliant with the MLA. UK students take the medical school AKT; international medical graduates take PLAB 1, which is 180 items in three hours. There is a page for PLAB 1 as well.
What should I upload?
Your own year's teaching: the case based learning packs, the lecture handouts and the condition summaries your school issued. Those are the pages your school will examine you against.
Does it write items with the no-penalty scoring in mind?
Item writing does not change with the scoring scheme, but the recipe on this page keeps stems short and single answer, which is the format the AKT uses.
Can it tell me my likely score?
No. There is no equating and no national cohort here. You get a grade on the set you generated, per chapter mastery and a review queue for what you missed.
No account needed to try it. Registering keeps your library, grades and review queue across devices.
Published , updated .