When do you sit the MRCGP AKT?

The AKT is usually taken during ST2 of GP training. It is one of the components of the MRCGP, alongside the clinical skills assessment and the trainee e-portfolio.

How hard is the MRCGP AKT?

Pass rates vary, and the exam increasingly tests applied clinical reasoning through vignettes. Consistent question practice and timed mocks are the most reliable preparation.

Is MedReadyUK linked to the RCGP?

No. MedReadyUK is an independent study resource and is not affiliated with or endorsed by the RCGP. Exam names are used for identification only.

MRCGP AKT Question Bank & Revision

What is the MRCGP AKT?

The Applied Knowledge Test is the written component of the MRCGP, the membership exam for doctors training as GPs in the UK. It is a computer-based, multiple-choice exam usually sat during ST2. Questions span three areas: clinical medicine (the large majority), evidence interpretation and critical appraisal, and organisational/administrative topics relevant to UK general practice.

Because the AKT tests current UK general-practice standards, guideline currency matters: strong preparation is anchored in NICE, CKS and the BNF, with attention to the statistics and admin topics candidates often underestimate.

How to prepare for the MRCGP AKT

The AKT increasingly tests clinical reasoning through vignettes rather than isolated facts. To prepare:

Drill clinical questions to volume

Cover the breadth of general practice with exam-style SBAs, reviewing the reasoning behind each answer.

Don't neglect stats and admin

Evidence interpretation and organisational topics are a small but very scoreable slice — practise them deliberately rather than hoping for the best.

Use timed mocks

Full mocks in the AKT style build pacing and surface the topics you still need to firm up.

What MedReadyUK gives you for the MRCGP AKT

SBA-style questions across clinical, evidence and organisational topics
Guideline-based explanations grounded in NICE, CKS and the BNF
An AI tutor to work through clinical reasoning and statistics
Timed mock exams in the AKT style
Spaced repetition that targets your weak domains
Revision notes and flashcards, including evidence-based practice and GP management

Ready to start?

Create a free account and start practising the MRCGP AKT today.

Start free on MedReadyUK

the MRCGP AKT — frequently asked questions

When do you sit the MRCGP AKT?: The AKT is usually taken during ST2 of GP training. It is one of the components of the MRCGP, alongside the clinical skills assessment and the trainee e-portfolio.
What does the AKT cover?: The AKT covers clinical medicine (the large majority of questions), evidence interpretation and critical appraisal, and organisational/administrative topics relevant to UK general practice.
How hard is the MRCGP AKT?: Pass rates vary, and the exam increasingly tests applied clinical reasoning through vignettes. Consistent question practice and timed mocks are the most reliable preparation.
Is MedReadyUK linked to the RCGP?: No. MedReadyUK is an independent study resource and is not affiliated with or endorsed by the RCGP. Exam names are used for identification only.

Other UK licensing exams

MedReadyUK is part of StudyCoach AI. We are an independent study resource and are not affiliated with, endorsed by, or connected to the General Medical Council (GMC), the RCGP, the NHS, or any medical school. Exam names are used for identification only.