UK Medical Licensing Assessment

UKMLA (AKT)
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Welcome to the ultimate online resource for the Medical Licensing Assessment (MLA) UK Medical School Exam, designed to equip aspiring medical professionals with comprehensive study materials and practice tests.

Our questions are designed to follow the content map as outlined by the GMC here.

UKMLA (AKT) example questions:

Example topic: Acute and emergency
A 58-year-old man comes to the emergency department experiencing intense chest pain that extends to his left arm. He has a medical history of hypertension and type 2 diabetes mellitus. Upon examination, he is sweating profusely and seems anxious. An ECG displays ST-segment elevation in leads II, III, and aVF. His initial troponin level is markedly elevated. Considering these findings, what is the most suitable immediate treatment for this patient?
TestResult
ECGST-segment elevation in leads II, III, and aVF
TroponinSignificantly elevated
1.
Administer oxygen
2.
Primary percutaneous coronary intervention
3.
Administer aspirin
4.
Administer morphine
5.
Administer beta-blockers
Example topic: General practice and primary healthcare
A 45-year-old woman visits your GP practice with symptoms of tiredness, rapid heartbeats, and breathlessness during physical activities. She also reports experiencing menorrhagia in recent months. On physical examination, she is pale, and her heart rate is recorded at 100 beats per minute. You decide to order blood tests for further investigation. Results indicate her haemoglobin level is 9 g/dL, MCV is 70 fL, and ferritin level is 10 ng/mL. What is the most probable diagnosis and the initial management plan?
TestResult
Haemoglobin90 g/L
MCV70 fL
Ferritin10 µmol/L
1.
Iron deficiency anaemia, recommend dietary changes
2.
Pernicious anaemia, start vitamin B12 injections
3.
Anaemia of chronic disease, refer to specialist
4.
Iron deficiency anaemia, start oral iron supplements
5.
Anaemia of chronic disease, start erythropoietin
Example topic: Clinical haematology
A 52-year-old male presents to the emergency department with a severe nosebleed that has been ongoing for 45 minutes. He has a known history of hypertension, for which he is taking medication. On examination, his blood pressure is found to be 180/100 mmHg and his heart rate is 98 bpm. Despite initial interventions, including pinching his nose and leaning forward, the bleeding has not stopped. Laboratory tests reveal a haemoglobin level of 120 g/L and a platelet count of 150,000/µL. What is the most appropriate action to take next in managing this patient?
TestResult
Haemoglobin120 g/L
Platelet Count150,000/µL
1.
Topical vasoconstrictors
2.
Tranexamic acid
3.
Cauterisation
4.
Nasal packing
5.
Intravenous fluids
Example topic: Medicine of older adult
A 75-year-old woman presents to the clinic with her daughter, who reports that her mother has been increasingly forgetful over the past year. She often misplaces items, struggles to remember recent events, and has difficulty with complex tasks such as managing finances. On examination, the patient is alert and oriented to person and place, but not to time. There are no focal neurological deficits. A Mini-Mental State Examination (MMSE) score is 23/30. Blood tests, including full blood count, electrolytes, liver function tests, and thyroid function tests, are within normal limits. What is the most likely diagnosis?
1.
Frontotemporal dementia
2.
Lewy body dementia
3.
Normal ageing
4.
Alzheimer's disease
5.
Vascular dementia
Example topic: Clinical haematology
A 45-year-old woman presents to the clinic with complaints of fatigue, palpitations, and shortness of breath on exertion. She has a history of menorrhagia and her last menstrual period was two weeks ago. On examination, she appears pale and has a heart rate of 110 beats per minute. Her blood tests reveal a haemoglobin level of 8 g/L, mean corpuscular volume (MCV) of 72 fL, and ferritin level of 10 µmol/L. What is the most appropriate initial management for her condition?
TestResult
Haemoglobin8 g/L
MCV72 fL
Ferritin10 µmol/L
1.
Vitamin B12 injections
2.
Blood transfusion
3.
Dietary modification
4.
Intravenous iron therapy
5.
Oral iron supplements

Try a free sample of UKMLA (AKT) questions:

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The Applied Knowledge Test (AKT) is a crucial multiple-choice exam within the UK Medical Licensing Assessment (MLA), mandatory for graduates from UK medical schools starting in the 2024-25 academic year. To join the medical register, students must also pass the Clinical and Professional Skills Assessment (CPSA), the practical component of the MLA.

The AKT, part of the MLA, features two papers with 100 single best answer (SBA) questions each, designed nationally by the Medical Schools Council. This exam, akin to the Prescribing Safety Assessment (PSA), is delivered online under exam conditions with in-person invigilation at each medical school. Despite its national design, local medical schools handle the logistical aspects, ensuring consistent delivery across institutions.

Overall, the MLA exam series serves as a rigorous evaluation ensuring medical graduates meet the standards required to practice safely and effectively within the UK healthcare system.