The AKT changed format in October 2025 — now 160 questions in 2 hours 40 minutes instead of 200 in 3 hours 10 minutes. The domain split remains 80% clinical, 10% evidence-based practice, 10% organisational. Every question now carries more weight, making targeted revision more important than ever.
Self-Directed Q-Banks
Passmedicine (4,500+ questions, ~£35/4 months). The market leader. Mapped to the 2025 RCGP curriculum. Knowledge Tutor spaced repetition. Peer benchmarking against candidates sitting the same diet. Full mock exams. The safe, proven choice for volume and benchmarking.
Pastest (3,300+ questions, ~£50-100/3-6 months). The depth leader. Explanation quality widely regarded as the best — teaches clinical reasoning rather than confirming answers. SBA, EMQ, SAQ, FTM, MBA formats. Searchable textbook, podcasts, Tutor On-Demand. The choice for trainees who learn by understanding why.
FourteenFish AKT (1,000+ questions). Integrated into your portfolio platform. Useful for diagnostic mocks and performance reports. Often provided free by deaneries. Not sufficient as a primary Q-bank — too few questions.
Structured Programmes
Emedica Pass Guarantee (~£1,095). 90-day programme with 225+ hours, daily tasks, 10 webinars, 2 full-day courses, 4,500+ questions, 4 mock exams. Pass guarantee safety net. The most comprehensive and most expensive option.
Arora AKT Course. Expert-led teaching with question bank, flashcards, mock exams, and community. Personality-driven brand led by Dr Aman Arora.
Free Options
i-Medics (3,000+ free questions). The largest free AKT question bank. Good for volume exposure. Paid tiers add podcasts and videos.
BMJ OnExamination (2,000+ MLA questions, free for BMA members). Trusted publisher, clinical domain strong. MLA-mapped not RCGP-mapped — organisational and EBP domains underrepresented.
iatroX adaptive quiz (free). The only free AKT tool with AI-adaptive targeting and built-in spaced repetition. NICE/CKS/BNF-grounded explanations. Maps to UK postgraduate curricula. The ideal free foundation to pair with any paid bank.
Adjacent/Supplementary
Geeky Medics (3,000+ MLA-mapped questions). Strong brand, good flashcards and summaries. MLA-mapped not RCGP-mapped.
Quesmed. MLA-native platform from medical school. Useful for clinical domain but does not cover AKT organisational or EBP content.
Recommended Stacks by Budget
£0: iatroX (adaptive) + i-Medics (volume) + BMJ OnExamination (BMA) + RCGP example questions.
~£35: Above + Passmedicine (primary Q-bank).
~£135: Passmedicine + Pastest (depth + volume).
~£1,100+: Emedica Pass Guarantee + iatroX (adaptive supplement).
Where iatroX Fits
iatroX is the free adaptive foundation. The adaptive engine surfaces your weakest topics automatically. Ask iatroX provides NICE/CKS/BNF-grounded explanations for every wrong answer. Free to pair with any paid bank — the combination is always more effective than either alone.