UK
Medical Licensing Assessment (MLA) Applied Knowledge Test (AKT)
1000 questions
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About this exam
The Medical Licensing Assessment (MLA) is designed to check that doctors have the knowledge and clinical skills needed to practise safely in the UK. The Applied Knowledge Test (AKT) assesses how candidates apply medical knowledge to clinical situations; it is one part of the MLA, alongside the Clinical and Professional Skills Assessment (CPSA). Students at UK medical schools take the MLA as part of their medical degree, with timing and arrangements set by their school.
MLA AKT questions draw on the GMC’s MLA content map and cover a broad range of clinical presentations and conditions. Important revision areas include clinical history, examination and assessment, cardiovascular medicine, respiratory medicine, and gastrointestinal and hepatobiliary medicine. Preparation involves more than memorising facts: candidates need to interpret information, identify likely diagnoses and choose safe next steps. Reviewing explanations after MCQ practice can help reveal gaps in both clinical knowledge and decision-making.
How to prepare for the MLA AKT
- Use the GMC MLA content map to organise revision, then review core presentations alongside relevant investigations, differential diagnoses and initial management.
- Practise answering clinical scenario questions under timed conditions. After each session, review the reasoning behind both correct and incorrect options rather than relying on recall alone.
- Check your medical school’s MLA guidance for assessment arrangements and use current GMC resources to confirm the expected content and any updates.
FAQ
Who has to take the MLA AKT?
Students at UK medical schools take the MLA as part of their degree. The school determines the timing and arrangements. International medical graduates seeking UK registration should check current GMC guidance on the applicable route; PLAB is aligned with the MLA requirements.
What is the format of the MLA AKT?
The AKT is a computer-based assessment of applied medical knowledge, using questions based on clinical scenarios. It is one component of the MLA; the CPSA assesses clinical and professional skills. Check your medical school or the GMC for current details about delivery and arrangements.
What subjects should I revise for the MLA AKT?
Revision should follow the GMC MLA content map, covering a broad range of presentations and conditions. Areas include history-taking, examination and assessment, cardiovascular and respiratory conditions, and gastrointestinal and hepatobiliary medicine. Use clinical scenarios to practise applying knowledge, not just recalling facts.