UKMLA (UK Medical Licensing Assessment (UKMLA / AKT)) — Free Online Mock Test

The new (2024-25 onwards) mandatory licensing exam for UK medical graduates — Applied Knowledge Test (AKT) computer-based. · Official language: English.

Advanced United Kingdom Medical Licensing 200 questions 300 min 50 distinct variants
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UKMLA exam at a glance

200
Questions
300
Minutes total
2
Sections
50
Variants

UKMLA section breakdown

The UKMLA 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.

UKMLA scoring & marking scheme

+1
Per correct answer
0
Per wrong answer
0
Per blank / skipped
0–100
Scaled score range

Strategy: UKMLA has no negative marking. Attempt every question — blank answers cost you potential marks but cannot pull your score down.

Scale: UKMLA AKT (% accuracy, pass mark per cohort).

How UKMLA is conducted

Tools available during the UKMLA exam

Wrexa Edge renders these tools inside the mock test exactly as they appear on the real UKMLA exam — same shortcuts, same behaviour.

UKMLA time strategy

With 200 questions in 300 minutes, you have about 90 seconds per question on average. Successful candidates aim for the following pacing on each section:

Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.

UKMLA topics covered

Across the 50 Wrexa Edge variants of UKMLA, the following topics appear most often (sample distribution from one variant):

AKT Paper 1 (100 Q)

AKT Paper 2 (100 Q)

Sample UKMLA questions

A preview of real practice questions from the Wrexa Edge UKMLA bank — the same style, phrasing and difficulty you'll face on test day. Full solutions unlock free inside the mock.

AKT Paper 1 (100 Q) · Step 2 — SAH Workup
Q1. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
AKT Paper 2 (100 Q) · Step 2 — SAH Workup
Q2. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
AKT Paper 1 (100 Q) · Step 2 — PE Workup
Q3. A patient with suspected pulmonary embolism, hemodynamically stable, Wells score = 5 (high) should undergo:
Why: Correct answer: A — CT pulmonary angiography (gold standard). Topic: Step 2 — PE Workup.
AKT Paper 2 (100 Q) · Step 2 — PE Workup
Q4. A patient with suspected pulmonary embolism, hemodynamically stable, Wells score = 5 (high) should undergo:
Why: Correct answer: A — CT pulmonary angiography (gold standard). Topic: Step 2 — PE Workup.
AKT Paper 1 (100 Q) · Step 2 — Pulmonary TB
Q5. A homeless man presents with weight loss, night sweats, hemoptysis, and cavitary upper-lobe infiltrates on CXR. Next step:
Why: Correct answer: B — Isolate in negative-pressure room, collect 3 sputum samples for AFB smear/culture, start empiric 4-drug TB therapy if confirmed. Topic: Step 2 — Pulmonary TB.
AKT Paper 2 (100 Q) · Step 2 — Pulmonary TB
Q6. A homeless man presents with weight loss, night sweats, hemoptysis, and cavitary upper-lobe infiltrates on CXR. Next step:
Why: Correct answer: B — Isolate in negative-pressure room, collect 3 sputum samples for AFB smear/culture, start empiric 4-drug TB therapy if confirmed. Topic: Step 2 — Pulmonary TB.

These are a handful of the 10000 unique UKMLA questions across all 50 Wrexa Edge variants — start a free mock to attempt the full set with instant scoring.

UKMLA difficulty calibration

Advanced tier. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep.

The new (2024-25 onwards) mandatory licensing exam for UK medical graduates — Applied Knowledge Test (AKT) computer-based. · Official language: English.

Verified content — Wrexa Edge's UKMLA bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).

How Wrexa Edge prepares you for UKMLA

UKMLA 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.

1 Phase 1 — Learn the syllabus Weeks 1–4
  • Work through every section — AKT Paper 1 (100 Q), AKT Paper 2 (100 Q) — from your core study material
  • Make short notes and a formula/fact sheet you can revise quickly
  • Attempt topic questions right after finishing each area
2 Phase 2 — Practice & sectionals Weeks 5–8
  • Solve previous-year and practice questions section by section
  • Time yourself on AKT Paper 1 (100 Q) and your weakest areas
  • Keep an error log and revisit every mistake weekly
3 Phase 3 — Full-length mocks Weeks 9–12
  • Take full-length UKMLA mocks in the real test interface
  • Analyse accuracy, time per question and silly mistakes after each mock
  • Revise from notes and re-attempt only weak-topic questions

Where UKMLA can take you

A strong UKMLA result opens up these careers and higher-study paths:

Frequently asked questions

What is the UKMLA exam pattern?
UK Medical Licensing Assessment (UKMLA / AKT) contains 200 questions across 2 sections: AKT Paper 1 (100 Q), AKT Paper 2 (100 Q). Total duration is 300 minutes (about 90 seconds per question).
Does UKMLA have negative marking?
No — UKMLA has no negative marking. Each correct answer is worth 1 mark, so attempt every question.
How is UKMLA scored?
Scaled score range: 0 to 100. UKMLA AKT (% accuracy, pass mark per cohort).
How can I practise UKMLA online for free?
Wrexa Edge gives you 10 free full-length UKMLA mock tests — with instant scoring, detailed explanations and analytics — plus 40 more with Pro. Start practising in under a minute, no card required.
What is the difficulty level of UKMLA?
UKMLA is rated Advanced difficulty on Wrexa Edge. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep. The new (2024-25 onwards) mandatory licensing exam for UK medical graduates — Applied Knowledge Test (AKT) computer-based. · Official language: English.
How long is the UKMLA exam?
UKMLA runs for 300 minutes total across 2 sections. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.
What topics are covered in UKMLA?
UKMLA is split into: AKT Paper 1 (100 Q), AKT Paper 2 (100 Q). Each section is timed and weighted separately. The new (2024-25 onwards) mandatory licensing exam for UK medical graduates — Applied Knowledge Test (AKT) computer-based. · Official language: English.
What tools or aids are allowed during UKMLA?
Built-in lab values reference table (USMLE-style).
Is the UKMLA test adaptive?
No — UKMLA is a fixed-form (linear) test. Every candidate sees the same number of questions per section.
How many UKMLA mock tests does Wrexa Edge offer?
Wrexa Edge generates 50 distinct UKMLA variants — each with different question content, not just shuffled options — the first 10 free for everyone and 40 more with Pro. That's 10000 unique practice questions in the real test-day interface.
Is there a free UKMLA test series 2026?
Yes. The Wrexa Edge UKMLA test series for 2026 gives you 10 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.
Are UKMLA previous year question–style papers included?
Every UKMLA mock is modelled on the official exam pattern and the style of previous years' papers — the same 200-question structure, sections and marking — so your practice mirrors the real paper you'll sit.
Which is the best free UKMLA mock test online?
Wrexa Edge's UKMLA 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 UKMLA mock test on mobile?
Yes. UKMLA 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 UKMLA syllabus?
The UKMLA syllabus maps to its 2 sections: AKT Paper 1 (100 Q), AKT Paper 2 (100 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 UKMLA?
Eligibility for UKMLA — age, qualification and number of attempts — is set by the official conducting body and can change each cycle, so always confirm the current official notification before applying. Wrexa Edge focuses on realistic UKMLA practice: 10 free full-length mocks in the exact exam pattern, ready whenever you are.
When is the UKMLA exam and how should I prepare?
Official UKMLA 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 10 free UKMLA mocks with instant scoring so you can track your readiness week by week.

Related exams & practice tests

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