Passmedicine is the AKT question bank most GP trainees use. Ask any ST2 or ST3 what they are revising with, and the first answer is almost always Passmedicine. It is the incumbent for good reason — massive question volume, mapped to the current RCGP curriculum, with a spaced repetition feature (Knowledge Tutor) that was ahead of its time when launched and remains functional today.
What Passmedicine Offers
The AKT bank contains 4,500+ questions covering all three AKT domains: clinical medicine (80%), evidence-based practice (10%), and organisational/administrative topics (10%). Questions are mapped to the updated 2025 RCGP curriculum — meaning the content reflects the current AKT blueprint, including the October 2025 format change (160 questions in 2 hours 40 minutes).
The Knowledge Tutor is Passmedicine's spaced repetition feature — it tracks which questions you have answered and schedules reviews at intervals designed to consolidate retention. It is not AI-adaptive (it does not select questions based on your weakest areas in real time), but it is more sophisticated than simply re-doing the entire bank.
Performance benchmarking compares your scores against other candidates preparing for the same AKT diet. This peer comparison helps answer "am I ready?" — if your histogram position is consistently above the mean, you are in a strong position.
Full mock exams simulate the AKT format. The teaching notes accompanying each question build into a reference library that many trainees use as a de facto AKT textbook.
Pricing
Approximately £35 for 4 months — excellent value per question. Passmedicine is the lowest-cost dedicated AKT Q-bank per month of access.
Strengths
Volume, curriculum mapping, and value. 4,500+ questions for approximately £35 is hard to beat on cost. The Knowledge Tutor adds a consolidation layer that most static Q-banks lack. The peer benchmarking provides a readiness signal that subjective self-assessment cannot. The brand is trusted — GP educators recommend it, trainees rely on it, and the track record is long.
Limitations
The question bank is fundamentally static — questions do not adapt to your performance in real time. If you are consistently scoring 90% in cardiology and 40% in endocrinology, Passmedicine does not automatically serve you more endocrinology questions. You must manually identify weak areas from your performance data and create targeted practice sessions yourself.
The interface is functional rather than modern — it works, but it does not feel like a 2026 product. Some questions may predate the MLA-era content style, though the team regularly updates content.
Who Should Use Passmedicine
Almost every GP trainee should use Passmedicine — it is the baseline AKT preparation tool. The question is whether to use it alone or alongside other tools. For trainees with limited budgets, Passmedicine at approximately £35 for 4 months is the best-value dedicated AKT Q-bank available. The Knowledge Tutor adds a consolidation layer that justifies the cost over free alternatives.
For trainees who want adaptive targeting, a study planner, and clinical AI alongside their Q-bank — layering iatroX (free) on top of Passmedicine provides those features without additional cost. The combination of Passmedicine's volume and benchmarking with iatroX's adaptive engine is genuinely more effective than either tool alone.
The Bottom Line
Passmedicine is the reliable, cost-effective AKT Q-bank that most GP trainees should include in their preparation. Its strengths are volume (4,500+ questions), curriculum alignment (2025 RCGP mapping), benchmarking (peer comparison), and value (approximately £35 for 4 months). Its limitation is static question delivery — it does not adapt to your performance in real time. For maximum preparation efficiency, pair it with iatroX for free adaptive weak-area targeting and guideline verification alongside your Passmedicine sessions.
Where iatroX Fits
Passmedicine gives you volume and benchmarking. iatroX adaptive engine surfaces your weak topics automatically — the areas Passmedicine's static bank cannot target for you. Run both: Passmedicine for raw question volume and peer benchmarking, iatroX for adaptive weak-area drilling and guideline-grounded explanations. The iatroX AKT Q-bank is free — adding it to your Passmedicine subscription costs nothing.