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STEP 1 OF 4 · UK MEDICAL STUDENTS

AKT format at a glance

Two papers of single-best-answer questions.

  • ⏱ 3 min read
  • UK medical students
  • Step 1 of 4
  • Reviewed 27 October 2026
Paper 1100 questionsPaper 2100 questions=200questionsone best answerfrom the options
The AKT: 200 questions across two papers.
  • Every question has one best answer. Others may be partly right.
  • Questions are clinical stories: read the whole stem before the options.
  • Your school confirms your date, venue and any adjustments.

How questions are built

  • A short clinical stem, sometimes with results or an image, then a question and a list of options.
  • Several options may be reasonable. The task is to pick the most appropriate one for this patient now.
  • Topics span medicine, surgery, general practice, mental health, prescribing and professional practice.

Questions to ask your school

  • When and where will I sit it, and on what device?
  • What adjustments are available and how do I apply?
  • What happens if I am ill on the day?

Your checklist

  • Read the GMC AKT guidance
  • Noted my AKT date

This page is general education, reviewed 27 October 2026. Rules, fees and dates change: always confirm with the official sources below. It is not medical, legal or immigration advice.