Every UKMLA content domain. No cracks to fall through.

The GMC AKT blueprint, mapped cover to cover — 13 clinical presentation groups and 25 knowledge areas. Every topic has questions, flashcards, and references.

13 groups

Clinical presentations

How complaints walk into a consulting room. Every group is represented with AKT-style vignettes.

  • Cardiovascular presentations

    Chest pain, palpitations, syncope and the acutely cold limb — the complaints that hide ACS, arrhythmia and dissection.

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  • Respiratory presentations

    Breathlessness, haemoptysis, wheeze and cough — sorting PE, pneumonia, exacerbations and the quiet pneumothorax.

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  • Gastrointestinal presentations

    Abdominal pain, GI bleeding, jaundice and altered bowel habit — the front door of general surgery and gastro.

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  • Neurological presentations

    Headache, weakness, seizures and the sudden collapse — triaging stroke, meningitis and raised ICP.

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  • Musculoskeletal presentations

    Joint pain, back pain and limb injury — separating mechanical from inflammatory, red-flagging cauda equina.

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  • Dermatological presentations

    Rashes, pigmented lesions and itch — pattern-matching urticaria, SJS, and melanoma against the benign.

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  • Ophthalmic presentations

    The red eye, sudden visual loss and diplopia — knowing which patient needs ophthalmology in the next hour.

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  • ENT presentations

    Hearing loss, sore throat, epistaxis and vertigo — the primary-care presentations and their dangerous mimics.

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  • Genitourinary presentations

    Haematuria, LUTS, testicular pain and incontinence — the stones, the cancers, and the twisted testis.

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  • Women's health presentations

    Bleeding, pelvic pain and pregnancy emergencies — ectopic, pre-eclampsia and the acutely unwell obstetric patient.

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  • Paediatric presentations

    The febrile child, the unwell neonate and the non-accidental injury — paediatric red flags and safeguarding.

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  • Mental health presentations

    Self-harm, psychosis, deliberate overdose and capacity — the Mental Health Act in real clinical use.

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  • General & emergency presentations

    Fever, shock, collapse, polytrauma and end-of-life care — the undifferentiated patient in the ED.

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25 areas

Knowledge areas

The specialty-by-specialty taxonomy. Every AKT content domain, every major pathology.

  • Heart & Vasculature

    ACS, heart failure, valvular disease, arrhythmias and the cardiology exam crunch.

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  • Lungs, Pleura & Airways

    Asthma, COPD, pneumonia, PE and interstitial disease — respiratory from the clinic to the resus bay.

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  • Gastrointestinal Tract

    IBD, peptic ulcer disease, the acute abdomen and colorectal cancer — gastroenterology and general surgery bread-and-butter.

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  • Liver, Pancreas & Biliary

    Cirrhosis, hepatitis, pancreatitis and gallstone disease — reading LFTs and knowing when to escalate.

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  • Kidneys & Urinary Tract

    AKI, CKD, glomerulonephritis and UTIs — fluid, electrolyte and acid-base thinking under pressure.

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  • Brain & Spinal Cord

    Stroke, seizures, MS, Parkinson's and the cord compression you must not miss.

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  • Peripheral Nervous System & NMJ

    Neuropathies, Guillain–Barré and myasthenia — the localisation questions AKT loves to test.

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  • Mental Health

    Depression, anxiety, psychosis, eating disorders and risk assessment — psychiatry as the AKT examines it.

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  • Endocrine & Metabolic

    Diabetes, thyroid disease, adrenal crisis and the fluid-and-electrolyte classics.

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  • Blood & Lymph

    Anaemias, leukaemias, lymphomas and coagulation disorders — haematology from blood film to bone marrow.

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  • Skin & Soft Tissue

    Eczema, psoriasis, skin cancers and cellulitis — dermatology plus the infections that surgeons drain.

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  • Musculoskeletal

    Fractures, osteoarthritis, rheumatoid disease and the acutely hot joint — ortho and rheum together.

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  • Ear, Nose & Throat

    Otitis, sinusitis, epistaxis and head-and-neck cancer — ENT as the GP and the AKT examine it.

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  • Eye

    Glaucoma, retinal detachment, diabetic eye disease and the sight-threatening red eye.

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  • Gynaecological Tract

    Menstrual disorders, endometriosis, PCOS and the gynaecological cancers.

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  • Pregnancy & Puerperium

    Antenatal care, pre-eclampsia, obstetric emergencies and the postnatal checks.

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  • Breast

    Breast cancer, benign breast disease and the two-week-wait referral.

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  • Male Genitourinary Tract

    BPH, prostate cancer, testicular torsion and the urological emergencies.

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  • Child Health

    Paediatric infections, developmental milestones, safeguarding and the neonatal exam.

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  • Genetic & Congenital

    Inheritance patterns, the common chromosomal syndromes and antenatal screening.

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  • Infections

    Sepsis, HIV, TB, meningitis and the notifiable diseases — microbiology and ID for the AKT.

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  • Multi-system Diseases

    SLE, vasculitis, sarcoidosis and the connective-tissue diseases that cross every specialty.

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  • Drugs & Drug Effects

    Prescribing safety, adverse drug reactions, poisoning and the PSA blueprint.

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  • Practical Skills & Procedures

    Cannulation, catheterisation, ABGs and the core procedures foundation doctors need day one.

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  • Other Knowledge

    Ethics, law, end-of-life care, public health and the professionalism threads that run through every station.

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