OpenExamsFREE PRACTICE — ANY EXAM

MRCGP Applied Knowledge Test (AKT) — Information & Free Practice

100 free questions · Answer explanations · No signup required

Start free practice →

Exam Review

About MRCGP Applied Knowledge Test (AKT)

MRCGP Applied Knowledge Test (AKT) · GB

Key exam facts

Provider
Royal College of General Practitioners (RCGP) owns and develops the MRCGP AKT; Pearson VUE delivers the computer-based examination in UK test centres.
Format
Computer-based knowledge examination, mainly Single Best Answers, with Multiple Best Answers, Free Text and Extended Matching Questions also used; delivered at Pearson test centres.
Exam questions
Total questions: 160.
Time limit
Standard answering time is 2 hours 40 minutes (160 minutes) from October 2025. Approved reasonable adjustments can extend the time. This is answering time, separate from arrival, admission and tutorial; there are no scheduled breaks.
Passing score
Criterion-referenced standard set using modified Angoff and maintained across diets using item response theory equating; the pass mark varies with paper difficulty, rather than a fixed percentage. No negative marking; scores below the diet-specific pass mark fail.
Exam fee
GBP £481 for already booked September–November 2026 examinations; GBP £494 for examinations sat from 1 January through the end of July 2027, including the scheduled 26 January 2027 AKT. RCGP reviews fees each academic year.

Topics covered

  • Clinical medicine (80%)

    • Cardiovascular medicine
    • Endocrine and metabolic medicine
    • Gastroenterology and nutrition
    • Paediatrics
    • Psychiatry
    • Female reproductive health
    • Respiratory medicine
    • Dermatology
    • Ear, nose and throat (ENT)
    • Musculoskeletal medicine
    • Neurology
    • Ophthalmology
    • Renal medicine
    • Male reproductive health
    • Haematology
    • Immunology and allergy
    • Infectious diseases
    • Therapeutics, including indications for prescribing and adverse effects

  • Organisation, management and administration (10%)

  • Evidence-based practice and data interpretation (10%)

How to prepare

Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.

These independent practice questions are not actual exam items and do not guarantee a passing result.

Frequently asked questions

What is the exam format?

Computer-based knowledge examination, mainly Single Best Answers, with Multiple Best Answers, Free Text and Extended Matching Questions also used; delivered at Pearson test centres.

How many questions are on the exam?

Total questions: 160.

How long is the exam?

Standard answering time is 2 hours 40 minutes (160 minutes) from October 2025. Approved reasonable adjustments can extend the time. This is answering time, separate from arrival, admission and tutorial; there are no scheduled breaks.

What is the passing score?

Criterion-referenced standard set using modified Angoff and maintained across diets using item response theory equating; the pass mark varies with paper difficulty, rather than a fixed percentage. No negative marking; scores below the diet-specific pass mark fail.

How much does the exam cost?

GBP £481 for already booked September–November 2026 examinations; GBP £494 for examinations sat from 1 January through the end of July 2027, including the scheduled 26 January 2027 AKT. RCGP reviews fees each academic year.

Official sources and references

Confirm current exam arrangements with the exam provider.