The MLA Prep blog
UKMLA guides, strategy & clinical masterclasses.
Deep, practical articles for UK medical students and IMGs preparing for the UKMLA. Written by clinicians, reviewed against the 2026 GMC content map.
- Preparation strategy10 min read
How Many Practice Questions Do You Need to Pass UKMLA?
There's no magic number — but there is an honest answer. How many SBAs UKMLA candidates really need, why blueprint coverage and the review loop beat raw volume, and the signals that tell you you're ready for the AKT.
2 June 2026
- Preparation strategy11 min read
Free UKMLA Question Bank & Resources (2026): What's Genuinely Free
An honest guide to genuinely free UKMLA revision in 2026 — free question banks, flashcards and notes that actually help, where the 'free' catches are, and how to build a no-cost AKT study week.
2 June 2026
- Preparation strategy10 min read
How to Use Mock Exams to Pass UKMLA (Scores, Cadence & Review)
Mocks are the best predictor of your AKT result and the most misused tool in UKMLA prep. When to start, how many to sit, how to review them properly, and how to read your score against the pass mark.
1 June 2026
- Preparation strategy9 min read
Best UKMLA Flashcards & Anki Decks (2026)
An honest comparison of UKMLA flashcard options for 2026 — Anki and community decks, pre-made mega decks, and integrated app flashcards — with the setup-cost and quality trade-offs nobody mentions.
1 June 2026
- Preparation strategy11 min read
The IMG UKMLA Study Plan: A Realistic 6-Month Timeline
A month-by-month UKMLA study plan built for international medical graduates — closing the NICE-guideline gap, covering the blueprint around a job, and pivoting from AKT to CPSA over six months.
31 May 2026
- Exam fundamentals10 min read
UKMLA Pass Rate 2026: First-Attempt Stats (UK Grads vs IMGs)
What the UKMLA pass rate actually means — pass rate vs pass mark, why UK graduates and IMGs differ so much on first attempt, and how to put yourself firmly in the passing group.
31 May 2026
- Clinical skills11 min read
UKMLA Statistics & Evidence-Based Medicine: High-Yield Guide
The complete high-yield EBM set for the AKT — sensitivity and specificity, PPV/NPV, RR vs OR, ARR/RRR, NNT, confidence intervals, the study-design hierarchy and bias — with the exam trap for each.
30 May 2026
- Exam technique10 min read
Clinical Reasoning for UKMLA: How to Think Like an Examiner
The UKMLA rewards reasoning over recall. Illness scripts, Bayesian updating, the cognitive biases that catch you out, and a question-by-question framework for choosing the next best step under exam pressure.
30 May 2026
- Exam technique9 min read
UKMLA AKT Exam-Day Playbook: Pacing 200 Questions in 3 Hours
Whole-paper pacing and exam-day logistics for the UKMLA AKT — the time maths, the three-pass method, the test-centre environment, the morning routine, and how to keep your head when questions get hard.
29 May 2026
- Exam technique12 min read
UKMLA Ethics & Law: The 12 Most-Tested SBA Scenarios
Ethics and law is the most predictable domain on the AKT. The 12 recurring scenarios — consent, capacity, Gillick, confidentiality, DVLA, candour, DNACPR, MHA vs MCA — with the rule and the trap for each.
29 May 2026
- Exam technique21 min read
Breaking Bad News & Difficult Conversations: CPSA Guide
A UKMLA CPSA communication masterclass — SPIKES and BREAKS for breaking bad news, Calgary-Cambridge consultation structure, sudden death and DNACPR conversations, angry-patient de-escalation, duty of candour, and 10 practice scenarios.
20 April 2026
- Exam technique20 min read
UKMLA Myths Debunked: 25 Misconceptions
A clean-up of the 25 most persistent UKMLA myths — exam structure, pass-mark rumours, Q-bank dogma, study-method folklore, IMG-specific traps and PLAB-era leftovers — with the actual rules and a trust hierarchy for advice sources.
20 April 2026
- Preparation strategy21 min read
Best UKMLA Apps 2026: The Honest Comparison
An honest comparison of the ten apps UK medical students and IMGs are using for UKMLA revision in 2026 — blueprint alignment, explanation quality, offline performance, pricing, and recommended app stacks at 6 months and 6 weeks out.
20 April 2026
- Exam fundamentals17 min read
UKMLA vs PLAB: What Actually Changed for IMGs
The clearest plain-English breakdown of what the UKMLA means for IMGs: what's new, what's the same, cost, timeline, and how to prep for it.
19 April 2026
- Exam fundamentals18 min read
What is UKMLA? The Complete Exam Guide
Everything UK medical students and IMGs need to know about the UK Medical Licensing Assessment — structure, timeline, costs, registration, and how to prepare.
19 April 2026
- Exam fundamentals24 min read
UKMLA for IMGs: Eligibility, Routes & 2026 Timeline
The complete IMG playbook for UKMLA in 2026: who's eligible, IELTS/OET thresholds, document verification, AKT + CPSA mechanics, full cost breakdown, and the NICE knowledge gap.
19 April 2026
- Exam fundamentals22 min read
UKMLA Exam Structure: AKT vs CPSA Explained
A granular walkthrough of UKMLA's two components — AKT question anatomy, CPSA station types, UK school vs IMG centralised CPSA differences, scoring mechanics, and the end-to-end timeline.
19 April 2026
- Exam fundamentals19 min read
UKMLA Content Map 2026: 430 Conditions Explained
A practical guide to the UKMLA content map — the three overarching themes, 24 clinical domains, 212 presentations, and a 50-condition prioritisation framework for 2026.
19 April 2026
- Exam fundamentals17 min read
UKMLA Pass Mark Explained: How Scoring Works
The modified Angoff method explained, historical UKMLA and PLAB pass marks, realistic mock-score targets, retake rules, and how Q-bank accuracy predicts exam performance.
19 April 2026
- Exam fundamentals16 min read
UKMLA Exam Dates 2026: Booking Windows & Deadlines
The full UKMLA 2026 booking calendar — UK medical school windows, IMG AKT sittings, Manchester CPSA slots, document verification timelines, and how to work backwards from graduation.
19 April 2026
- Preparation strategy20 min read
The Ultimate 12-Week UKMLA Study Plan (AKT + CPSA)
A week-by-week operational UKMLA plan — daily schedules, specialty-hour allocation, weekly mocks, post-AKT CPSA pivot, failure-recovery contingencies, and wellness non-negotiables.
19 April 2026
- Preparation strategy17 min read
UKMLA Question Bank Showdown: Passmedicine vs Quesmed vs MLA Prep
An honest feature-by-feature comparison of the major UKMLA question banks — Passmedicine, Quesmed, Pastest, UWorld and MLA Prep — with pricing, best-fit profiles and recommendations.
19 April 2026
- Preparation strategy20 min read
Active Recall + Spaced Repetition: The Evidence-Based UKMLA Method
The cognitive-science backbone of modern UKMLA prep — the forgetting curve, five active-recall techniques, Anki setup, interleaving, and how to integrate with the 12-week study plan.
19 April 2026
- Preparation strategy20 min read
The CPSA Strategy: Mock Prep + OSCE Communication
The complete post-AKT CPSA prep plan — 18-station format, Calgary-Cambridge and SPIKES frameworks, peer practice setup, video self-review, common station scenarios, and a 12-week schedule.
19 April 2026
- Preparation strategy22 min read
NICE Guidelines + UK Prescribing for UKMLA: The IMG Gap
The UKMLA's biggest IMG trap decoded — how AKT stems test NICE ladders, the top 20 high-yield conditions, BNF drug interactions, UK-vs-US naming, renal dosing, and a 12-minute CKS extraction protocol.
19 April 2026
- Preparation strategy20 min read
Last-Minute UKMLA Prep: Honest 4-Week Intensive Plan
Honest guide to cramming UKMLA in four weeks — baseline prerequisites, red/amber/green triage, daily 8-hour schedule, mock cadence, explanation-review protocol, sleep rules, and retake contingencies.
19 April 2026
- Clinical specialties17 min read
UKMLA Cardiology Masterclass: ACS, Arrhythmias & HTN
The complete UKMLA cardiology revision pillar — ACS, AF with CHA₂DS₂-VASc, NICE hypertension ladder, HFrEF quadruple therapy, valves, arrhythmias, ECG patterns, and the six AKT question templates.
19 April 2026
- Clinical specialties17 min read
UKMLA Acute & Emergency: 10 Must-Master Presentations
The 10 acute presentations that dominate AKT emergency stems — ABCDE framework, ACS/PE/dissection, sepsis six, DKA, stroke thrombolysis, anaphylaxis (2021 update), major haemorrhage, acute abdomen, with time-critical thresholds.
19 April 2026
- Clinical specialties17 min read
UKMLA Respiratory Masterclass: Breathlessness Deep Dive
UKMLA's #1 presentation decoded — the breathlessness differential algorithm, PE Wells pathway, 2024 NG245 asthma guideline, COPD + NIV, CURB-65 pneumonia, pneumothorax (2023 BTS update), and full ABG interpretation.
19 April 2026
- Clinical specialties19 min read
UKMLA Neurology Essentials: Stroke, Seizures, Headache
The high-yield UKMLA neurology pillar — stroke thrombolysis windows, TIA pathway, SAH, NG217 epilepsy drug choice, status epilepticus algorithm, headache red flags, GCA, Parkinson's, dementia subtypes, and six AKT templates.
19 April 2026
- Clinical specialties20 min read
UKMLA Psychiatry + Mental Health Act: Legal-Clinical Guide
Integrated psychiatry + law pillar — depression/bipolar, psychosis, anxiety, CIWA-Ar alcohol withdrawal, delirium vs dementia, eating disorders, MHA Sections 2/3/5(2)/136, MCA capacity, DoLS, and safeguarding triggers.
19 April 2026
- Clinical specialties17 min read
UKMLA Obstetrics & Gynaecology: Pregnancy Emergencies
The RCOG-aligned O&G emergency pillar — pre-eclampsia/eclampsia with magnesium sulphate, HELLP, ectopic, miscarriage, anti-D, previa vs abruption, PPH 4Ts, CTG interpretation, cord prolapse, ovarian torsion, and PID.
19 April 2026
- Clinical specialties18 min read
UKMLA Renal & Electrolyte Emergencies: AKI, Hyperkalaemia
The renal + electrolyte pillar — KDIGO-staged AKI, contrast nephropathy prophylaxis, NICE NG203 CKD with SGLT2 inhibitors, hyperkalaemia emergency ladder, hyponatraemia/SIADH workup, ABG interpretation, fluid-status assessment.
19 April 2026
- Clinical skills15 min read
UKMLA ECG Interpretation Masterclass: Every Pattern
The UKMLA ECG pillar — systematic 6-step reading, AF/flutter/SVT/VT, heart blocks, WPW, LBBB/RBBB, STEMI territories with reciprocal changes, pericarditis vs PE, electrolyte ECGs, and 15 exam-pattern traces paired with UK guideline-aligned management.
19 April 2026
- Clinical specialties17 min read
UKMLA Paediatrics Essentials: High-Yield Pillar
The UKMLA paediatrics pillar — NICE traffic-light fever triage, bronchiolitis vs wheeze vs asthma, croup vs epiglottitis, Kawasaki CRASH+BURN, NAI flags (TEN-4-FACES), Holliday–Segar fluids, Gillick/Fraser consent, UK immunisation schedule 2026, and paediatric SBA archetypes.
19 April 2026
- Clinical specialties17 min read
UKMLA Gastroenterology & Hepatology: High-Yield Pillar
The UKMLA GI and hepatology pillar — upper GI bleed (Glasgow-Blatchford / Rockall), peptic ulcer and H. pylori, IBD, IBS, coeliac, acute pancreatitis, cholangitis, viral hepatitis, and cirrhosis complications.
19 April 2026
- Clinical specialties18 min read
UKMLA Endocrinology Masterclass: Diabetes to Addison
The UKMLA endocrinology pillar — NICE NG28 diabetes, DKA (JBDS 2023) and HHS, hypoglycaemia, insulin pitfalls, thyroid storm and myxoedema, Addisonian crisis, Cushing's, phaeochromocytoma, PCOS, and SIADH vs DI.
19 April 2026
- Clinical specialties18 min read
UKMLA Infectious Diseases: Sepsis to Stewardship
The UKMLA infectious diseases pillar — NEWS2 and sepsis six, UK antimicrobial stewardship, meningitis cover, UTI and CAUTI rules, CAP/HAP with CURB-65, TB, HIV, malaria, C. difficile, and necrotising fasciitis.
19 April 2026
- Clinical skills18 min read
UKMLA Prescribing Safety (PSA-Aligned): Complete Guide
The UKMLA + PSA prescribing pillar — I-C-I-D-M reflex, BNF lookup, renal and hepatic dose adjustments, sick-day rules, insulin pitfalls, warfarin vs DOAC reversal, opioid conversions, and antibiotic stewardship.
19 April 2026
- Clinical skills17 min read
UKMLA ABG Interpretation Algorithm: Five-Step Method
The UKMLA ABG pillar — 5-step algorithm, VBG vs ABG indications, Winter's formula and compensation rules, MUDPILES vs USED CAR anion gap disorders, A-a gradient for PE, respiratory vs metabolic acidosis/alkalosis, mixed disorders with delta ratio, and 10 worked UKMLA-style cases.
19 April 2026
- Exam technique15 min read
How to Dissect a UKMLA SBA: Technique Masterclass
The UKMLA SBA technique pillar — anatomy of an SBA, lead-in taxonomy, option elimination, red-herring detection, 90-second pacing, flag-and-return discipline, cognitive bias countermeasures, and 10 worked specialty SBAs.
19 April 2026
- Exam technique19 min read
What To Do If You Fail UKMLA: Complete Retake Guide
A caring, practical UKMLA retake guide — first 48 hours, reading your score report, GMC 4-attempt rule, appeals and reasonable adjustments, NHS support routes, strategy reset, and IMG cost and visa implications.
19 April 2026
- Clinical skills15 min read
UKMLA Chest X-ray Interpretation: Systematic Guide
A UKMLA chest x-ray masterclass — systematic ABCDE/RIPE reading, pneumonia patterns, pulmonary oedema, pneumothorax (BTS 2023), pleural effusion with Light's criteria, lung cancer follow-up, and 10 exam-pattern CXRs.
19 April 2026
- Clinical specialties17 min read
UKMLA Musculoskeletal & Rheumatology: High-Yield Guide
A UKMLA MSK and rheumatology masterclass — septic arthritis, cauda equina, compartment syndrome, NICE-aligned RA and OA, gout vs pseudogout, SLE, vasculitis, GCA/PMR, common fractures, and back-pain red flags.
19 April 2026
- Clinical specialties17 min read
UKMLA Haematology Essentials: High-Yield Revision Guide
A UKMLA haematology masterclass — iron-deficiency anaemia with 2WW, B12 deficiency, sickle-cell crises, leukaemias and lymphomas, myeloma, DVT/PE Wells, warfarin and DOAC reversal, transfusion reactions, and neutropenic sepsis.
19 April 2026
- Clinical specialties17 min read
UKMLA Surgery: Acute Abdomen & Peri-op Masterclass
A UKMLA surgery masterclass — acute abdomen by quadrant, Alvarado-scored appendicitis, cholecystitis vs cholangitis, bowel obstruction, AAA, ASA and CPEX, post-op pyrexia, NG89 VTE prophylaxis, and the WHO analgesic ladder.
19 April 2026
- Clinical specialties19 min read
UKMLA Geriatrics & Frailty: High-Yield Revision Guide
A UKMLA geriatrics and frailty masterclass — Comprehensive Geriatric Assessment, Rockwood scale, NICE-aligned falls and STOPP/START, 4AT delirium, FRAX osteoporosis, atypical UTI/pneumonia, and end-of-life planning.
19 April 2026
- Clinical specialties20 min read
UKMLA Dermatology Red Flags: High-Yield Revision Guide
A UKMLA dermatology masterclass — meningococcal rash, SJS/TEN, necrotising fasciitis, melanoma triage, NICE-stepped eczema and psoriasis, acne, cellulitis, shingles, drug eruptions, and the topical steroid ladder.
19 April 2026
- Exam technique22 min read
Consent, Capacity & MCA 2005 for UKMLA
A UKMLA medical-law masterclass — Montgomery consent, Gillick and Fraser, the Mental Capacity Act principles and two-stage test, best-interests checklist, ADRTs and LPAs, DoLS, MCA vs MHA, and confidentiality exceptions.
19 April 2026
- Exam technique21 min read
UKMLA Exam Anxiety & Mental Health: A UK Guide
A UKMLA mental-health and exam-performance guide — distinguishing anxiety, burnout and depression, evidence-based CBT tools, sleep and caffeine baselines, panic management in AKT and CPSA, and where to find NHS support.
19 April 2026
- Clinical specialties20 min read
UKMLA Ophthalmology & ENT: High-Yield Guide
A combined UKMLA ophthalmology and ENT masterclass — red-eye triage, sudden painless vision loss, orbital cellulitis, otitis media and externa, epistaxis, tonsillitis and quinsy, Bell's palsy, BPPV vs Ménière's, and button-battery emergencies.
19 April 2026