BMJ OnExamination provides 2,000+ MLA-aligned questions free for BMA members — making it the best editorial-quality free Q-bank available. The BMJ brand provides confidence in clinical accuracy. Performance feedback, daily leaderboards, and mobile app with offline access add engagement features.
Passmedicine provides 4,500+ questions mapped to the RCGP AKT curriculum with Knowledge Tutor spaced repetition, peer benchmarking, and full mock exams. Approximately £35 for 4 months.
The Key Difference
BMJ OnExamination is MLA-mapped — designed for medical student finals and the UKMLA, not specifically for the MRCGP AKT. The clinical domain (80% of the AKT) is well-covered. The organisational domain (10%) and evidence-based practice domain (10%) are underrepresented. These two domains are where AKT candidates commonly lose marks — and where BMJ OnExamination's MLA alignment creates gaps.
Passmedicine is RCGP-mapped — designed specifically for the MRCGP AKT with coverage across all three domains. The Knowledge Tutor and peer benchmarking provide feedback loops that BMJ OnExamination lacks.
Recommendation
If budget is genuinely constrained: BMJ OnExamination (free via BMA) plus iatroX (free adaptive revision) provides substantial clinical knowledge drilling at zero cost. Supplement with RCGP resources for organisational and EBP domains.
If budget allows £35: add Passmedicine as your primary AKT Q-bank. The RCGP mapping, spaced repetition, and peer benchmarking justify the investment. Continue using BMJ OnExamination for additional clinical question exposure.
BMA membership is free in your first UK year — make sure you are claiming access to BMJ OnExamination alongside all other BMA benefits.
Where iatroX Fits
BMJ OnExam covers clinical knowledge for free. Passmedicine covers the full AKT. iatroX adds free adaptive revision with NICE/CKS/BNF explanations. The three free resources together provide substantial AKT preparation at zero cost.