MRCGP AKT (MRCGP Applied Knowledge Test (RCGP)) — Free Online Mock Test
Major Oct 2025 redesign: 160 Q single CBT paper / 160 min (60 sec/Q). Content-weighted ~80% clinical medicine + 10% EBM + 10% organisation/informatics — not separately timed. Single Angoff-derived pass mark across whole paper. 4 sittings/year. · Official language: English.
MRCGP AKT exam at a glance
MRCGP AKT full-length mock tests
Attempt 50 full-length MRCGP AKT mock tests, each a distinct question set built on the real 160-question, 160-minute pattern — with instant scoring and section-wise analysis. The first 3 are free.
MRCGP AKT key facts & eligibility
| Conducting body | The Royal College of General Practitioners (RCGP), UK; delivered via Pearson VUE. |
|---|---|
| Official website | rcgp.org.uk ↗ |
| Mode | A computer-based single-best-answer exam; from October 2025 it is 160 questions in 2 hours 40 minutes (previously 200 questions in 3 hours). |
| Frequency | Three sittings a year (typically January, April and October). |
| Scoring & marking | 160 single-best-answer questions weighted roughly 80% clinical medicine, 10% evidence-based practice (data and critical appraisal) and 10% primary-care organisation and management. The pass mark is set each sitting by a modified Angoff method; there is no fixed percentage. |
| Score validity | A pass counts toward completion of the MRCGP and GP training. |
| Language | English. |
Who is eligible for MRCGP AKT?
You must be a GP specialty trainee (usually ST2/ST3) with active MRCGP membership and GMC registration. It is one component of the MRCGP.
Last verified July 2026 against RCGP — Applied Knowledge Test (AKT). Always confirm current details on the official website before you register.
MRCGP AKT section breakdown
The MRCGP AKT mock test on Wrexa Edge replicates the real exam's section structure — same names, same question count per section, same time limits. Inter-section breaks are enforced.
-
MRCGP AKT — Single Paper (160 Q · 60s per Q)
MRCGP AKT scoring & marking scheme
Strategy: MRCGP AKT has no negative marking. Attempt every question — blank answers cost you potential marks but cannot pull your score down.
Scale: MRCGP AKT (Angoff pass mark, single threshold).
How MRCGP AKT is conducted
- Mode
- Test format
- Backtracking
- Mark for review
Tools available during the MRCGP AKT exam
-
Lab Values
Wrexa Edge renders these tools inside the mock test exactly as they appear on the real MRCGP AKT exam — same shortcuts, same behaviour.
MRCGP AKT time strategy
With 160 questions in 160 minutes, you have about 60 seconds per question on average. Successful candidates aim for the following pacing on each section:
- MRCGP AKT — Single Paper (160 Q · 60s per Q)
Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.
MRCGP AKT topics covered
Across the 50 Wrexa Edge variants of MRCGP AKT, the following topics appear most often (sample distribution from one variant):
MRCGP AKT — Single Paper (160 Q · 60s per Q)
- Obstetrics · 10
- Neonatology · 9
- Obstetric Emergencies · 8
- Respiratory · 7
- Endocrinology · 7
- Schizophrenia & Psychosis · 7
- Cardiovascular · 7
- Gastroenterology · 6
MRCGP AKT difficulty calibration
Advanced tier. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep.
Major Oct 2025 redesign: 160 Q single CBT paper / 160 min (60 sec/Q). Content-weighted ~80% clinical medicine + 10% EBM + 10% organisation/informatics — not separately timed. Single Angoff-derived pass mark across whole paper. 4 sittings/year. · Official language: English.
Verified content — Wrexa Edge's MRCGP AKT bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).
How Wrexa Edge prepares you for MRCGP AKT
- Real test-day interface
- 50 distinct variants
- Detailed analytics
- Spaced repetition (Notebook)
- Optional proctoring
- Free to start
Expert take: what MRCGP AKT really tests
The MRCGP AKT tests the applied knowledge behind independent UK general practice, and from October 2025 it is shorter — 160 single-best-answer questions in 2h40m. Its make-up is stable and worth remembering: about 80% clinical medicine, 10% evidence-based practice (statistics and critical appraisal), and 10% primary-care organisation. The evidence/statistics section is small but where many strong clinicians unexpectedly drop marks.
Preparation tips
- Anchor clinical revision to current NICE guidance — that is what the exam tests.
- Do not skip the 10% evidence/statistics section; it is a common weak spot.
- Practise high volumes of SBAs to build accuracy under the tighter timing.
Common mistakes to avoid
- Neglecting the evidence-based-practice and organisation sections as "minor".
- Revising non-UK guidelines instead of NICE-based UK primary-care practice.
MRCGP AKT study plan
A phase-by-phase roadmap from your first concept to test-ready. Stretch or compress each phase to fit the time you have before your attempt.
- Cover the breadth of UK general practice — clinical medicine is ~80% of the exam
- Anchor learning to NICE guidance and the RCGP curriculum
- Start high-volume SBA practice to learn the style
- Study evidence-based practice and critical appraisal (statistics)
- Learn primary-care organisation, ethics and regulatory frameworks
- Keep an error log across all three sections
- Take full-length timed mocks (160 SBAs, 2h40m from Oct 2025)
- Drill the statistics/evidence questions, a common weak spot
- Consolidate high-yield clinical topics against NICE
Where MRCGP AKT can take you
A strong MRCGP AKT result opens up these careers and higher-study paths:
- GP qualification (MRCGP)
- Independent general practice
- NHS primary care
- Portfolio GP roles
Best books & official prep for MRCGP AKT
- AKT question banks (Pastest, StudyPRN, RCGP resources) — Various
- RCGP curriculum & guidance — RCGP
- NICE guidelines & evidence-based practice — NICE
- Statistics & critical-appraisal review — Various
Official practice: RCGP publishes the AKT content guide and feedback reports; high-volume SBA practice mapped to NICE guidance, plus statistics revision, is the reliable route.
Previous-year papers: RCGP does not release past papers; feedback reports and reputable SBA banks are the best preparation.
Frequently asked questions
- What is the MRCGP AKT exam pattern?
- MRCGP Applied Knowledge Test (RCGP) contains 160 questions across 1 section: MRCGP AKT — Single Paper (160 Q · 60s per Q). Total duration is 160 minutes (about 60 seconds per question).
- Does MRCGP AKT have negative marking?
- No — MRCGP AKT has no negative marking. Each correct answer is worth 1 mark, so attempt every question.
- How is MRCGP AKT scored?
- Scaled score range: 0 to 100. MRCGP AKT (Angoff pass mark, single threshold).
- How can I practise MRCGP AKT online for free?
- Wrexa Edge gives you 3 free full-length MRCGP AKT mock tests — with instant scoring, detailed explanations and analytics — plus 47 more with Pro. Start practising in under a minute, no card required.
- What is the difficulty level of MRCGP AKT?
- MRCGP AKT is rated Advanced difficulty on Wrexa Edge. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep. Major Oct 2025 redesign: 160 Q single CBT paper / 160 min (60 sec/Q). Content-weighted ~80% clinical medicine + 10% EBM + 10% organisation/informatics — not separately timed. Single Angoff-derived pass mark across whole paper. 4 sittings/year. · Official language: English.
- How long is the MRCGP AKT exam?
- MRCGP AKT runs for 160 minutes total. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.
- What topics are covered in MRCGP AKT?
- MRCGP AKT is split into: MRCGP AKT — Single Paper (160 Q · 60s per Q). Each section is timed and weighted separately. Major Oct 2025 redesign: 160 Q single CBT paper / 160 min (60 sec/Q). Content-weighted ~80% clinical medicine + 10% EBM + 10% organisation/informatics — not separately timed. Single Angoff-derived pass mark across whole paper. 4 sittings/year. · Official language: English.
- What tools or aids are allowed during MRCGP AKT?
- Built-in lab values reference table (USMLE-style).
- Is the MRCGP AKT test adaptive?
- No — MRCGP AKT is a fixed-form (linear) test. Every candidate sees the same number of questions per section.
- How many MRCGP AKT mock tests does Wrexa Edge offer?
- Wrexa Edge generates 50 distinct MRCGP AKT variants — each with different question content, not just shuffled options — the first 3 free for everyone and 47 more with Pro. That's 8000 unique practice questions in the real test-day interface.
- Is there a free MRCGP AKT test series 2026?
- Yes. The Wrexa Edge MRCGP AKT test series for 2026 gives you 3 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.
- Are MRCGP AKT previous year question–style papers included?
- Every MRCGP AKT mock is modelled on the official exam pattern and the style of previous years' papers — the same 160-question structure, sections and marking — so your practice mirrors the real paper you'll sit.
- Which is the best free MRCGP AKT mock test online?
- Wrexa Edge's MRCGP AKT mock test replicates the real exam interface, timing and marking scheme, with instant score, section-wise analysis and 50 fresh variants — a strong free choice for 2026 preparation.
- Can I take the MRCGP AKT mock test on mobile?
- Yes. MRCGP AKT mock tests run in any browser on mobile, tablet or desktop — no app or download needed. Start on your phone and your progress and analytics sync when you sign in.
- What is the MRCGP AKT syllabus?
- The MRCGP AKT syllabus maps to its 1 section: MRCGP AKT — Single Paper (160 Q · 60s per Q). Wrexa Edge's mock tests cover the complete syllabus topic by topic — see the topics-covered breakdown above — so you practise every area at real exam difficulty.
- What is the eligibility for MRCGP AKT?
- You must be a GP specialty trainee (usually ST2/ST3) with active MRCGP membership and GMC registration. It is one component of the MRCGP. Wrexa Edge focuses on realistic MRCGP AKT practice: 3 free full-length mocks in the exact exam pattern, ready whenever you are.
- When is the MRCGP AKT exam and how should I prepare?
- Official MRCGP AKT exam dates are announced by the conducting body for each cycle — check the latest notification for the current schedule. To be ready, follow a phased study plan and take full-length timed mocks; Wrexa Edge gives you 3 free MRCGP AKT mocks with instant scoring so you can track your readiness week by week.
Related exams & practice tests
Candidates preparing for MRCGP AKT also practise these on Wrexa Edge:
Browse more: All Medical Licensing exams → · All United Kingdom exams → · Full exam catalog →
Ready to ace MRCGP AKT?
Join thousands of candidates practising on Wrexa Edge. Free signup, 50 variants per exam, instant scoring.
Start practising free →