MRCGP International
AKT Preparation
The most comprehensive free resource for the MRCGP International Applied Knowledge Test (AKT). MCQ bank, 12-week study plan, full AKT blueprint breakdown, biostatistics formula sheet, and 30+ RCGP-aligned specialty modules — completely free.
MRCGP AKT Exam Blueprint
The AKT is split across three domains. Understanding the weighting helps you prioritise your revision time.
Clinical Medicine
All major specialties — cardiovascular, respiratory, endocrinology, neurology, mental health, paediatrics, gynaecology, dermatology, MSK, infectious diseases, and more.
Evidence Interpretation
Biostatistics, NNT/ARR, sensitivity/specificity, critical appraisal of trials, GRADE evidence, forest plots, and data interpretation.
Organisational & Administrative
Prescribing safety, DVLA fitness to drive, confidentiality, consent, safeguarding, NHS structure, and health systems knowledge.
6 High-Impact AKT Tips
Insights from candidates who scored in the top quartile of the MRCGP International AKT.
Don't neglect biostatistics
The evidence domain (10%) is where many candidates lose easy marks. NNT, ARR, sensitivity/specificity, and forest plots are predictably tested every sitting.
Learn DVLA rules cold
DVLA fitness to drive questions appear in almost every AKT. Epilepsy, diabetes, visual fields, and cardiac conditions are the most commonly tested.
Master prescribing safety
Drug interactions, contraindications in renal/hepatic impairment, and pregnancy prescribing are high-yield organisational domain topics.
Pace yourself — 63 seconds/question
200 questions in 3.5 hours = 63 seconds per question. Practice under timed conditions from week 8 onwards to build exam stamina.
Use NICE guidelines, not textbooks
AKT questions are written from NICE guidelines. When in doubt, the NICE-recommended answer is almost always correct.
Scenario-based thinking
Every question presents a clinical scenario. Read the question stem carefully — the answer is usually in the details of the presentation, not just the diagnosis.
12–14 Week MRCGP AKT Study Plan
A week-by-week schedule designed around the AKT blueprint, used by candidates who passed on their first attempt.
Cardiovascular, Respiratory, Endocrinology & Diabetes
30–40 MCQs/day + NICE guideline summaries
Gastroenterology, Neurology, Mental Health
30–40 MCQs/day + BNF prescribing review
Paediatrics, Gynaecology, Infectious Diseases
30–40 MCQs/day + safeguarding & consent revision
Dermatology, MSK, Ophthalmology, ENT
30–40 MCQs/day + referral criteria review
Biostatistics, EBM, Critical Appraisal (Evidence 10%)
NNT/ARR, sensitivity/specificity, forest plots, GRADE
DVLA, Prescribing Safety, Organisational Topics + Mock Papers
Full mock AKT papers under timed conditions
GPs Who Passed the AKT with GPManual
“GPManual's clinical modules are exactly what the AKT tests. I used it every day for 12 weeks. The biostatistics section is the best free resource I found — clear, concise, and exam-focused.”
Dr. Rania Al-Hassan
MRCGP International AKT — Dubai, UAE
AKT — 82nd percentile“I failed my first AKT attempt because I ignored the evidence interpretation domain. Second time I used GPManual's biostatistics module intensively for 2 weeks. Passed comfortably.”
Dr. Syed Imran
MRCGP International — Riyadh, KSA
Passed AKT — 2nd attempt“The emergency protocols and drug database on GPManual are brilliant for AKT prescribing questions. The fact that it's completely free is incredible. Every GP trainee should know about this.”
Dr. Priya Menon
MRCGP International — Singapore
AKT — 76th percentileAlso sitting MCPS Family Medicine?
Our dedicated MCPS Family Medicine (CPSP Pakistan) guide covers the Part I blueprint, 8-week study plan, and MCPS vs MRCGP comparison.
MRCGP International AKT FAQ
Ready to Ace the MRCGP AKT?
Join thousands of GP trainees worldwide using GPManual to prepare for the MRCGP International AKT. Free, evidence-based, RCGP-aligned, and built by GPs for GPs.
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