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UK Licensing · GMC
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Start with a question
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Sample question · UKMLA
A 30-year-old woman has continuing postpartum haemorrhage 45 minutes after a vaginal birth at 39 weeks. Blood loss is 1,600 mL and rising. Despite bladder emptying, uterine massage, an oxytocin infusion, ergometrine, carboprost and intravenous tranexamic acid, her uterus remains poorly contracted. Examination under anaesthetic confirms an empty uterus, and a vaginal tear has been repaired. The obstetric and anaesthetic teams continue resuscitation, including blood products. Which intervention should be considered before proceeding directly to surgical haemorrhage control?
Your iatroX preparation
Try a real question, explore your reasoning with Tutor and choose your next practice session.
Blueprint topics to explore
Try a question from the UKMLA bank and read the explanation.
Try the questionWork through a question you have attempted. Keep your answer alongside the conversation as you explore the key distinction.
Explore TutorChoose a timed set in your question bank and review your answers after the session.
Practise at this paper’s question count and pace. Official delivery, topic weighting and marking may differ. Official exam format ↗
Know your exam
Delivered within the medical degree by each medical school; students do not pay an extra GMC fee to take the MLA.
180 single-best-answer MCQs · 3 hours · PLAB remains MLA-compliant and is still called PLAB by the GMC.
Practical OSCE-style assessment after PLAB 1; fee and booking handled through GMC Online.
UK medical schools set their own MLA assessment windows in 2026. PLAB 1 is offered four times a year in February, May, August and November; eligible candidates book dates through GMC Online.
Choose a topic for focused revision and check your plan against the official specification.
Areas that dominate MLA/PLAB items based on the 2026 content map weighting and recent sitting feedback.
Areas where 2025–26 candidates have reported under-performance.
Candidate-reported observations — not official guidance.
Designed to cover the 430 conditions across 16 weeks with a final 2-week mock-focused phase.
Content map audit + baseline. Download the 2026 MLA content map. Run an iatroX diagnostic across all content areas. Identify your weakest presentation clusters.
Systematic content coverage by body system. 50–80 questions/day. Review current authoritative clinical guidance for each weak topic. Track topic mastery on the iatroX dashboard.
Targeted weak-area drilling using spaced repetition. Use askiatroX for referenced clarification when an explanation needs more depth.
Six to eight full mock exams under timed conditions. Review every incorrect answer in detail. Final week: light review of bookmarked items only.
Dedicated UKMLA question practice with answer explanations, guided Tutor review and study planning.
Choose the relevant bank and use the official exam guidance to plan your preparation.
Read with a purpose
choose your preparation resources
Compare AKT explanation quality and mock practice separately from CPSA/OSCE support. Use your medical school’s teaching and the Medical Schools Council’s official materials to plan coverage, then choose extra tools for the tasks you need.
Scroll across the table to compare all columns →
| Resource | What it helps you do | Access |
|---|---|---|
| Medical Schools Council AKT preparation ↗Official guidance | Candidate handbook, sampling grid, webinars and official practice papers for understanding the medical-school AKT. | The MSC provides free practice papers and says private resources are optional. |
| PassMedicine finals / UKMLA ↗Question bank | Finals and UKMLA question practice with textbooks and timed tests; the package also lists OSCE and prescribing-assessment resources. | Inspect each included resource against the tasks you need to practise. |
| Quesmed MLA ↗Question bank | Clinical questions, flashcards, video tutorials and mock tests, with separate or bundled CPSA/OSCE resources and group-study tools. | AKT-only and AKT/CPSA packages differ; check the selected plan. |
| iatroXQuestion bank and Socratic Tutor | Practise questions, review explanations and explore your reasoning with Tutor. One subscription includes every premium bank. | $29/month or $99/year (USD)Free sample questions; full bank and Socratic Tutor with a subscription. Up to 10 sample questions daily, shared across exams. |
No account needed for samples. The daily 10-question allowance is shared across exams.
Published by iatroX. We checked the linked exam-body and provider pages for their advertised purpose and access. The suggestions compare uses, not pass rates or results from hands-on testing. Check each provider for current prices and inclusions.
A few useful answers
Functionally yes, for IMGs. The PLAB exam has been aligned to the MLA content map since August 2024. From September 2026 all PLAB sittings are fully on the updated 2026 content map. Booking portals may still say "PLAB" — the exam content matches UKMLA standards.
The GMC recommends a maximum of four valid attempts. For UK students, specific university policies may vary.
No. There is no penalty for incorrect answers. Attempt every question.
No. The MLA is pass/fail and is not used for national Foundation Programme ranking. Your medical school may use scores internally for prizes or honours.
Full UKMLA bank access is included in all-access. Up to 10 new sample questions per day are shared across exams, with no account required. A verified free account includes one guided Tutor session; continued Tutor use is included in all-access.
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