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 male presents to the emergency department with severe chest pain radiating to his left arm. He has a history of hypertension and type 2 diabetes mellitus. On examination, he is diaphoretic and appears anxious. An ECG shows ST-segment elevation in leads II, III, and aVF. His initial troponin level is significantly elevated. Given these findings, what is the most appropriate immediate management for this patient?
TestResult
ECGST-segment elevation in leads II, III, and aVF
TroponinSignificantly elevated
1.
Administer oxygen
2.
Administer beta-blockers
3.
Administer aspirin
4.
Administer morphine
5.
Primary percutaneous coronary intervention
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.
Anaemia of chronic disease, refer to specialist
2.
Iron deficiency anaemia, recommend dietary changes
3.
Anaemia of chronic disease, start erythropoietin
4.
Iron deficiency anaemia, start oral iron supplements
5.
Pernicious anaemia, start vitamin B12 injections
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.
Tranexamic acid
2.
Intravenous fluids
3.
Nasal packing
4.
Topical vasoconstrictors
5.
Cauterisation
Example topic: Medicine of older adult
A 75-year-old woman visits the clinic with her daughter, who mentions that her mother has been facing memory problems over the last year. She frequently loses items, has trouble recalling recent activities, and finds it challenging to handle tasks like managing her finances. On examination, the patient is alert and knows who and where she is, but is unsure of the date. There are no specific neurological abnormalities. Her Mini-Mental State Examination (MMSE) score is 23 out of 30. Blood tests including full blood count, electrolytes, liver function tests, and thyroid function tests are all normal. What is the most likely diagnosis?
1.
Frontotemporal dementia
2.
Vascular dementia
3.
Normal ageing
4.
Alzheimer's disease
5.
Lewy body 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.
Blood transfusion
2.
Dietary modification
3.
Intravenous iron therapy
4.
Oral iron supplements
5.
Vitamin B12 injections

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.