Part of the MedRevisions family · Trusted by 30,000+ doctors since 2019

A MedRevisions product · Trusted by 30,000+ doctors since 2019

Everything you need to pass the UKMLA.

The only preparation platform that combines a decade of GMC-exam experience with advanced AI analysis. Aligned to the 2026 MLA Content Map, continuously updated to current NICE guidelines.

4.9/5verified rating30,000+ doctors worldwideSince 2019
09 May 2026
Q 23 / 50Cardiology

A 62-year-old man with atrial fibrillation presents with acute onset left-sided weakness 2 hours ago. CHA₂DS₂-VASc is 4. CT head shows no haemorrhage. What is the most appropriate immediate management?

AAspirin 300 mg
BAlteplase (IV thrombolysis)
CApixaban 5 mg BD
DMechanical thrombectomy
EHeparin infusion

Explanation

B is correct — IV alteplase is indicated within 4.5 hrs of acute ischaemic stroke onset with no contraindications.

Anticoagulation and antiplatelet therapy are not started acutely. Aspirin is only given when thrombolysis is contraindicated. Mechanical thrombectomy is reserved for confirmed large vessel occlusion.

NICE NG128Updated Jan 2026

Doctors worldwide

30,000+

Have prepared with our platform and passed since 2019

Exam-style questions

5,000+

Expert-written stems with guideline-aligned explanations

Verified rating

4.9/5

From candidates who passed and shared their experience

Trusted since

2019

Over a decade of UK licensing exam expertise

What makes us different

Built to the GMC standard. Calibrated to you.

Two ideas shaped this platform: the GMC's MLA Content Map decides what you study, and your real answers decide how it's taught back to you. Here's where each shows up.

Aligned to the 2026 MLA standard

Every question, every note — mapped to the MLA blueprint.

The GMC's Medical Licensing Assessment Content Map defines exactly what you will be tested on. We rebuild our question bank against it every year so you can practise with the confidence that nothing on your exam is something you haven't seen.

  • Full coverage across all MLA conditions of clinical importance and presentations
  • Track coverage specialty-by-specialty — see what you've practised and what's left
  • Re-mapped continuously as the GMC updates the blueprint
MLA Content Map

Coverage overview

MLA Content Map 2026

2026 Standard
Cardiovascular142 topics

95%

Respiratory118 topics

92%

Gastroenterology104 topics

90%

Neurology96 topics

88%

Musculoskeletal82 topics

85%

Endocrinology78 topics

91%

Renal & Urology74 topics

87%

Psychiatry68 topics

93%

Every question and note mapped to the 2026 MLA blueprint

Personalised revision notes

Revision notes written for you, about you.

After every practice block, open a revision note built from three sources: our medical team's study material, your exact answers on the topic, and current UK guidelines. The clinical content is doctor-written; your performance is what shapes which gaps the note focuses on.

  • Combines our medical team's study material with your answers and current UK guidelines (NICE, BNF, CKS, SIGN)
  • Depth-calibrated to your score — beginners get foundational coverage, strong candidates get edge-case refinement
  • Every clinical claim cited to a guideline source — verify in one tap, no unreferenced AI prose
Personalised revision note

Personalised revision note

Acute coronary syndrome

62%calibrated to your score
Strengths to maintain
  • Correctly identified STEMI criteria on ECG
  • Recognised when troponin rises after onset
Red flag gaps you missed

You missed 4/5 questions where the first step was give aspirin 300 mg before further workup. Revise the immediate-management ladder for suspected ACS.

Your next action

1.Redo 12 ACS stems filtered to “first-line management”

2.Review NICE CG95 — chest pain of recent onset

Built from your last 38 attemptsUpdated just now

The core toolkit

Practice, notes, mocks, maps.

The day-to-day toolkit — written by our medical team, anchored to current UK guidelines, and built around how candidates actually study between rotations and revision blocks.

Question bank

5,000+ expert-written stems. Every one explains why.

Questions written by doctors with over a decade of UK licensing exam experience. Every stem carries a High-Yield or Essential tag, and every option includes an explanation — so you learn why the distractor was wrong, not just what the right answer was.

  • High-Yield and Essential tags on every question so you can prioritise
  • Explanation-first rationale for every option, grounded in guidelines
  • Filter to wrong answers or unanswered questions from any practice session
MLA filter — practice

Filter by MLA Content Map

412 questions

Acute coronary syndrome

Presenting: Chest pain

High-yield

Aortic dissection

Presenting: Chest pain

Essential

Infective endocarditis

Presenting: Fever + new murmur

High-yield

Heart failure

Presenting: Dyspnoea on exertion

Essential
Aligned to the 2026 MLA Content MapUpdated quarterly

Expert notes

Concise, guideline-linked notes — right where you need them.

When you get a question wrong, the linked note is a single tap away. Written and maintained by our medical team against NICE, BNF, CKS, and SIGN guidelines, with explicit common-confusion boxes and MCQ tips embedded throughout.

  • Every note anchors to the exam-testable concept — no filler
  • Side-by-side comparison boxes for look-alike conditions
  • Revised when UK guidelines change — no stale protocols
Expert notes · Heart failure

Guideline-aligned note

Heart failure — immediate management

NICE NG106

Key points

  • First-line: ACEi + β-blocker (titrate to target dose)
  • Add MRA if symptoms persist (NYHA II–IV with LVEF ≤35%)
  • Offer SGLT2i (dapa / empa) regardless of diabetes status

Common confusion

HFrEF (reduced EF) vs HFpEF (preserved) — the drug ladder above applies to HFrEF only. HFpEF management focuses on diuretics + comorbidity control.

💡

MCQ tip

If the stem mentions ejection fraction above 50% — think HFpEF, not HFrEF. The answer is usually diuretics, not ACE inhibitors.

Last reviewed 14 Mar 2026✓ NICE verified

Unlimited timed mocks

Practise the real thing. As many times as you want.

Sit a full UKMLA AKT mock — Paper 1, Paper 2, or both — configured to the exact GMC spec. Resets are unlimited, so you can run as many full papers as you need to build the two-paper stamina the AKT demands.

  • UKMLA AKT Paper 1 and Paper 2 — 100 SBAs and 2 hours each, to GMC spec
  • Custom blocks — set your own question count and timer for focused mocks between full papers
  • Unlimited resets — no monthly mock cap
Mock Exam

2:33

UKMLA AKT Paper 1 — 100 SBAs · 2 hours

Mind maps

See how every topic connects to the next.

Published mind maps let you zoom through entire specialties as an explorable graph. Click any node to open the MCQs and notes attached to it, or follow the NICE search link to verify the guideline in one tap.

  • Pan, zoom, and click any node — explore an entire specialty as one connected canvas
  • Every node links to its MCQs, expert note, and the relevant NICE guideline
  • Useful from week one to map a specialty, and again in the final week to lock connections
Mind Maps
Heart Failure

Smart revision

The intelligence layer that ties it all together.

After your first few practice blocks, the platform has enough signal to start adapting. From here on, sessions, mocks, and reviews are shaped by what you've actually answered — not a generic curriculum.

Weakness mocks

Mocks built from your own mistakes.

Every weakness mock is generated from your personal answer history. The system pulls together the questions you've previously got wrong, the ones you're due to revisit, and a fill of new questions to close blind spots — so every block of practice rebuilds the weakest links in your knowledge.

  • Built from your answer history — not a generic question pool
  • Re-surfaces questions you previously got wrong, plus those due for review per the spaced-repetition schedule
  • Selection breakdown is visible on every mock so you can see why each question was chosen
Smart revision · Weakness mock

Weakness analysis

Your 4 weakest topics

Below 65%
Acute kidney injury44%
Heart failure management52%
Thyroid emergencies58%
Diabetic ketoacidosis61%

34-question mock generated

Timed to your pace · 45 min · Covers all 4 weak topics

Exam debrief

Finish a mock. Find out exactly what broke.

After you submit a mock, a structured debrief breaks down your accuracy by specialty, flags decision-error patterns, and recommends a specific next block to practise. Stop wondering why the score is what it is — know exactly what to practise tomorrow.

  • Specialty-by-specialty accuracy breakdown, weakest first
  • Automatic pattern detection for common failure modes (e.g. management-order or diagnosis errors)
  • A specific 20-40 question block recommended as your next session
Exam debrief

UKMLA AKT mock · Paper 1

108 min · 74/100 correct

Pass

Time per question

1m 5s

7s ahead of target pace

Accuracy

74%

Above passing threshold

Decision errors

8

Management-ladder stems

Pattern detected

You hesitated on stems asking for “what is the most appropriate next step?” — 6 of those went wrong, all on management-order ladders.

Recommended next session

24-question block on management-ladder reasoning across your 3 weakest specialties.

Flashcards

Lock concepts into long-term memory.

Flashcard sets generated for any topic you've practised, with a flip UI and collections that you can build up as the weeks progress. Ideal for the last-week push when you need to retrieve facts, not re-read them.

  • Generate a flashcard set from any topic in one click
  • Organise into collections by specialty or weak area
  • High-yield facts only — no filler cards that waste a review
Flashcards
RheumatologyCard 1 of 3

First-line treatment for acute gout?

NSAIDs (e.g. naproxen) or colchicine. NOT allopurinol acutely.

Spaced repetition scheduling

Readiness dashboard

Know when you're ready. With real evidence.

Your dashboard tracks the things that actually predict exam performance: your accuracy across the bank, your topic-by-topic mastery, your 30-day performance trend, and how consistent you've been. Every input is visible — so you can book your exam date with evidence, not a hunch.

  • Readiness score built from your real accuracy across the bank — no black-box formula
  • Topic-level accuracy so you can see what's still weak
  • 30-day performance chart and revision streak counter to keep practice consistent
Readiness dashboard

76

Readiness

Accuracy · last 30 days

78%

Questions attempted this week

412

Revision streak

14 days 🔥

30-day trend

+28%

Bookmarks

Save anything. Revise from one place.

Bookmark any question, note, or mind-map node with a single tap. Everything you've saved lives in one clean list, filterable by week or topic — your final-week revision pack, built throughout your preparation.

  • One-tap bookmarking on questions, notes, and mind-map nodes
  • Filter bookmarks by topic, week added, or status
  • Turn your bookmark list into a flashcard set in one click
Bookmarks · Final-week revision

Saved for review

48 bookmarks

AllThis week

Diabetic ketoacidosis — fluid plan

Endocrine · added 2 days ago

Sepsis six within first hour

Acute care · added 3 days ago

Anaphylaxis — adrenaline dosing

Emergency · added 6 days ago

Upper GI bleed — Glasgow-Blatchford score

Gastro · added 1 week ago

Bookmark once, revise anytime. Your saved stems, notes, and mind-map nodes stay together until exam day.

Continuously updated

We don't just follow the syllabus. We mirror the exam.

NICE, BNF, CKS, and SIGN guidelines change multiple times a year. Our medical team reviews every change and updates the affected questions, notes, and explanations — so you never lose marks from content that's gone out of date.

  • NICE guideline revisions applied within weeks of publication
  • New exam-style questions added after every UKMLA AKT sitting
  • Full public update history — see exactly what changed, when, and why
Platform Updates

Update cadence

Continuously updated since 2019

Jan 2026guideline

NICE Guideline Update

Dec 2025feature

AI Tutor launch — voice-based clinical reasoning

Nov 2025content

120+ new exam-style questions added

Aug 2025content

Key exam topics and insights added

May 2025guideline

NICE Guideline Update — all notes revised

Feb 2025content

Nephrology, Dermatology & EM notes overhauled

Nov 2024content

Haematology, Cardiology & Respiratory refresh

Aug 2024guideline

MLA content map alignment complete

Every question, note, and explanation reflects the latest UK guidelines

Showing testimonial 1 of 5 from Dr Waqar MehmoodPassed PLAB 1 · First exam based on the MLA content map · 08 August 2024 · 12-month plan

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Verified review · 3-month plan

“I did not need to refer to any external books”

“With the help of this Qbank, I did not need to refer to any external books. The library is good enough and covers everything you need to know. I highly recommend this.”

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“Passed on my second attempt by adding MedRevisions”

“I used another resource in my first attempt and failed. I passed on my second attempt by adding MedRevisions. I only wish I had started MedRevisions earlier — it was so much easier and faster to cover everything. It builds you step-by-step.”

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“With comprehensive coverage of topics, MedRevisions helped me build a clear understanding of the exam route and content. I used MedRevisions as a source of questions and their explanations on a daily basis. In 3 months I gained the confidence and knowledge to succeed in the exam.”

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“Definitely increased confidence”

“Very helpful since it gave an insight into tricky questions. Definitely increased confidence. I did the questions by category, then the smart revision on a regular basis along with short 45–60 question mocks when I was at work. Before the exam I did 180-question mocks with the aim of finishing in two hours. I went through the revision notes in the later days where I was doing smart revision only.”

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Verified review

Simple pricing

One platform. Three timelines.

Every plan includes the full platform — 5,000+ questions, 30+ mocks, AI Professor, expert notes, and continuous guideline updates.

1 Month Plan

Flexible short-term access

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Billed $33.00 every 1 month

  • 5 personalised subject notes + 5 mock debriefs per month · top up with $35/30 or $60/60
  • Every mock debrief includes a personalised revision note — post-mortems, pearls, and a per-question teaching deck, free
  • 5,000+ exam-style questions with full explanations
  • Guideline-aligned notes (NICE, BNF, CKS, SIGN)
  • 30+ unlimited timed mocks
  • AI Professor — 24/7 medical tutor
  • Study Essential mode (1,800+ core questions)
  • Readiness Score & weakness mocks
  • Flashcards and bookmarks
  • Regular guideline updates
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Save 52%

Balanced prep timeline

$15.67/month

Billed $47.00 every 3 months

  • Everything in 1 Month Plan
  • 5 personalised notes + 5 mock debriefs per 3-month period · top up with $35/30 or $60/60
  • Personalised revision note bundled with every mock debrief
  • Priority support from our medical team
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Billed $65.00 every 6 months

  • Everything in 3 Month Plan
  • 5 personalised notes + 5 mock debriefs per 6-month period · top up with $35/30 or $60/60
  • Personalised revision note bundled with every mock debrief
  • Six full months of guideline updates included
  • Unlimited AI Professor usage
  • Deep-dive + Essential question paths
  • Full mock library with resets
  • Best for candidates early in their prep
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Optional add-on packs

Need more personalised notes or mock debriefs?

Every subscription includes 5 subject notes and 5 mock debriefs per billing period. If you burn through those, top up with a one-time pack — never expires, stacks with your subscription, and purchases are final.

30-generation starter pack
15 subject notes · 15 mock debriefs
$35· $1.17/gen
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30 subject notes · 30 mock debriefs
$60· $1.00/gen

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Frequently asked

Questions? Answers.

How much does MedRevisions cost, and what do I get?+

Plans are subscription-based and give you access to the full web platform on supported browsers, with tiered access depending on the product you choose (for example, Study Essential versus the full question bank). Pricing is shown at checkout in your currency where available, and you can compare features on each product page before you subscribe.

Is there a free trial or a way to try before I pay?+

We offer free resources and limited-access experiences so you can explore the interface and sample content before committing. Exact trial length and eligibility can change with promotions, so check the signup or pricing page for the current offer.

Where do I access the platform after I subscribe?+

You sign in through the MedRevisions website with the account you created at purchase. Your subscription unlocks the relevant sections in your dashboard; use the same login on any supported device where you study.

When in my final year should I start UKMLA AKT prep?+

If your med school's finals revision is grounded in the MLA Content Map (most UK schools' is now), the two largely overlap and you can start dedicated AKT prep around 8–12 weeks before your AKT window. Plan the final 4 weeks for chained Paper 1 + Paper 2 mocks and weakness mocks. The AKT-specific work — two-paper pacing, decision-order stems, ethics-integrated questions — is roughly a 30% top-up on top of solid finals revision, not a separate 100% effort.

Are all your questions and notes mapped to the 2026 MLA Content Map?+

Yes. Every question, expert note, and personalised revision note carries its MLA Content Map specialty and presentation tag, visible on the question card. Re-tagging completed in our Q1 2026 release. Your dashboard shows coverage and accuracy per specialty and per presentation, so you can find your real gaps in seconds rather than reading the GMC's PDF cover-to-cover.

How is your platform different from Pastest, Quesmed, or Passmedicine for UKMLA?+

We're the only UKMLA bank built and maintained by the same medical team that has served PLAB candidates since 2019 — same exam-question discipline, applied to the AKT. Every stem is mapped to the MLA Content Map, every explanation cites NICE / BNF / CKS / SIGN, and the exam debrief plus personalised revision notes (post-mortem of your wrong answers, citation-grounded) are unique to our platform. Fair comparison: try the free questions, sit one mock, and compare explanations side-by-side.

How does Paper 1 differ from Paper 2 in the UKMLA AKT?+

Both papers are 100 SBAs over 2 hours. Paper 1 weights more heavily toward acute medicine, surgery, and clinical reasoning under uncertainty. Paper 2 emphasises chronic disease management, ethics, communication, and professional standards. They're sat sequentially in a single exam window — so stamina across both matters. Our mocks let you practise each separately or chain them back-to-back.

Can I use this platform alongside my med school's e-learning resources?+

Yes — most UK final-year students do. Our platform is a high-yield SBA practice and revision layer on top of whatever your school provides. It complements (rather than replaces) school placements, e-learning modules, and your university's question bank. Most students use us in the final 8–16 weeks before AKT for dedicated SBA practice, two-paper mocks, and exam debrief on their weakest specialties.

Will my preparation here help with both finals and the UKMLA AKT?+

Yes — they overlap by about 70–80%. Both are grounded in the MLA Content Map, so the clinical content, decision-making style, and guideline-aware management you practise here translates directly to finals SBAs and OSCEs. The AKT-specific 20–30% (two-paper pacing, decision-order stems, ethics-integrated questions, professional-standards stems) is what separates good finals revision from good AKT preparation.

What study approach does MedRevisions support?+

The platform is built around active recall—questions, explanations, notes, and mocks—so you can cycle through topics, identify gaps, and revisit weak areas. You can combine daily question practice with timed mocks closer to your exam date.

Is the content aligned with current UK licensing exam expectations?+

Content is written and curated for UK licensing-style clinical reasoning, guideline-aware management, and communication themes relevant to UKMLA AKT, PLAB 1, and PLAB 2. We refresh items as clinical guidance and exam emphasis evolve, but you should always cross-check critical facts with current national guidance.

Can I study on my phone or tablet?+

Yes. The site is responsive and works in mobile browsers on common phones and tablets. For the most reliable experience, use an up-to-date browser and a stable connection; some features may be easier on a larger screen for long review sessions.

How often is the question bank and platform content updated?+

We add and revise questions, notes, and supporting material on a rolling basis rather than in a single annual drop. Major guideline shifts or exam-relevant themes are prioritised when the editorial team updates explanations and answer rationales.

How does MedRevisions compare to other UK licensing question banks?+

MedRevisions combines a large UK-focused item set with integrated study tools such as Expert Notes, AI Professor, and mock exams in one account where your plan includes them. The best fit depends on how you learn; many candidates use one primary bank and supplement with official guidance and clinical experience.

What is your refund or cancellation policy?+

You can manage renewal from your account or payment provider according to the terms shown at purchase. Refund eligibility depends on the plan, jurisdiction, and payment method rules in force when you subscribed, so review the checkout terms or contact support with your order details. One-time generation packs (for example, 30- and 60-generation packs used for personalised subject notes and mock debriefs) take effect immediately and are final and non-refundable. Unused pack generations never expire while your subscription remains active, and any generation that fails on our side is automatically credited back to your balance.

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