The AKT tests applied clinical knowledge across general practice — but the format and content distribution require specific preparation strategy.
Format
Since October 2025 the standard MRCGP AKT has 160 items in 160 minutes. The RCGP introduction describes its three content domains: clinical knowledge (80%), evidence-based practice (10%), and primary care organisation/management (10%). Protect review time for each domain rather than assuming a generated practice set guarantees those exact proportions.
Weeks 1-4: Foundation
Systematic clinical topic coverage using NICE CKS as your primary reference — CKS is free and covers every major GP presentation with evidence-based management pathways. Start with the highest-yield GP clinical areas: cardiovascular (hypertension, AF, CHD, heart failure), mental health (depression, anxiety, serious mental illness), musculoskeletal (back pain, osteoarthritis, RA, gout), women's health (contraception, menopause, cervical screening), and respiratory (asthma, COPD). Do 30-40 questions daily. Begin EBP/stats revision alongside clinical content — the statistics topics (sensitivity, specificity, NNT, study design, bias) are finite and highly scoreable.
Use the iatroX MRCGP AKT bank for a manageable knowledge-practice session if it fills a learning need. Full access is paid; protect time for explanation review.
Weeks 5-8: Application
Increase to 50-60 questions daily. Focus on weak clinical areas. Add organisational content: GP contract structure, QOF, referral pathways, practice management, NHS structure. This content feels dry but represents reliable marks. Practice exam at end of week 8.
Weeks 9-12: Performance
Timed blocks. Final practice exam. Targeted revision of persistent gaps. High-yield review: cardiovascular, mental health, MSK, women's health, prescribing, statistics, organisational topics.
Resource Stack
Use current applicable clinical guidance and the official RCGP material as reference. Select a primary question resource and check the chosen package; full iatroX MRCGP AKT access is paid, with shared daily samples. A second bank is optional.
Inspect MRCGP AKT sample questions →
Current iatroX access
Full MRCGP AKT bank access, mocks and the planner are paid. Up to 10 new sample questions per day, shared across exams and subject to availability, with explanations and no account required. One complete guided Tutor session is included with a verified free account; continued Tutor use is included in all-access.