The AKT format changed in October 2025. If your revision resources still reference "200 questions in 3 hours 10 minutes," they are out of date.
What Changed
Questions: 200 → 160. Time: 3 hours 10 minutes → 2 hours 40 minutes. Domain split: Unchanged — 80% clinical (128 questions), 10% EBP (16 questions), 10% organisational (16 questions). Time per question: Approximately 1 minute per question — unchanged from the previous format.
What This Means for Preparation
Each question now represents approximately 0.625% of the total mark, up from 0.5% previously. You can afford fewer mistakes. The margin between pass and fail narrows.
The EBP and organisational domains now represent 16 questions each. Missing half the organisational questions (8 questions) loses 5% of the total mark — potentially the difference between pass and fail. These domains matter more than ever.
Mock Exam Implications
Ensure your Q-bank's mock exams are set to 160 questions in 2 hours 40 minutes — not the old 200/3h10m format. Practising at the wrong length gives you false timing calibration.
Confirmed updated: Passmedicine (160-question mocks), Pastest (updated format), Emedica (mock exams updated).
Check yourself: FourteenFish AKT package, i-Medics mocks, any older resources.
Strategy Adjustment
The format change makes targeted revision more important. With fewer questions, each topic area carries more weight. Broad but shallow revision (doing thousands of questions without learning from wrong answers) is riskier than focused revision targeting your weakest areas.
iatroX's adaptive engine is designed for exactly this — it identifies your weakest topics and concentrates practice there, maximising the impact of each revision session.
Time Management
1 minute per question remains the benchmark. With 160 questions, you have slightly less total exam time but the same pace per question. If you were finishing the 200-question exam with time to spare, the new format should feel comfortable. If you were consistently not finishing, the new format is slightly easier on time pressure — but only slightly.
Where iatroX Fits
iatroX's adaptive quiz adjusts to your performance regardless of exam format — it identifies weak areas per topic, not per question count. The format change makes targeted revision more important, and adaptive targeting is exactly what delivers targeted revision.