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10,000+ SBAs, each one dissected.
Every question follows the same editorial structure so you always know what to look for — and every answer is referenced, not asserted.
- Clinical stem with realistic vignette length and vitals.
- Five options — plausible distractors, no trick answers.
- Explanation grounded in the single best reference.
- Click-through to the underlying NICE guideline or BNF entry.
- Difficulty label and UKMLA content domain tag.
A 55 year old man has diarrhoea and weight loss for 9 months. He has an intensely itchy red rash on his buttocks and thighs.
Haemoglobin 108 g/L (130–175) · Blood film: anisocytosis
Which is the most likely histological appearance on small bowel biopsy?
- AHyperplasia of Brunner's glands
- BIncreased intraepithelial macrophages
- CIncreased lymphocytes in submucosa
- DUlceration
- EVillous atrophy
Explanation
The itchy rash with diarrhoea and weight loss points to dermatitis herpetiformis and underlying coeliac disease. Small bowel biopsy in coeliac disease classically shows villous atrophy with crypt hyperplasia and intraepithelial lymphocytosis.
Referenced · NICE NG20 — Coeliac disease: recognition, assessment and management
10,766 cards that remember what you forget.
SM-2 scheduling surfaces the cards you're most likely to miss next. No rote review; no wasted minutes on what you already know cold.
The review cycle in one sentence:
You rate each card Again, Hard, Good, or Easy. The interval widens when you're confident and shrinks when you're not.
What is the first-line antihypertensive for a 50-year-old Black British patient without comorbidities?
Calcium channel blocker (e.g. amlodipine). Per NICE NG136, CCB is first-line over ACEi/ARB in people of Black African or African–Caribbean family origin.
Unlimited 200-question mocks, true to the real thing.
Same length. Same pacing. Same blueprint weighting. The examiner's surprises are not yours.
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Endocrinology
A 42-year-old woman has fatigue, weight gain, and cold intolerance. TSH is 12.4 mU/L. Which is the single most appropriate next step?
- A. Free T4
- B. Thyroid ultrasound
- C. TRAb antibodies
- D. Repeat TSH in 3 months
- E. Start levothyroxine
Navigation
Two modes, same question bank.
Switch between them any time. Tutor for understanding. Timed for rehearsal. Neither is the default — you pick.
| Attribute | Tutor mode | Timed mode |
|---|---|---|
| Explanations | Visible after each question | Hidden until you submit |
| Timer | None — study at your pace | Exam-pace countdown |
| Flagging | Available | Available + review queue |
| Best for | Learning new content | Rehearsing exam stamina |
Know your weakest specialty before the examiner does.
Per-specialty accuracy, pacing, and mock exam trending — the numbers that matter, visualised so you can act.
- Per-specialty accuracy over rolling 30 days.
- Average time-per-question flagged vs your target pace.
- Streak counter + total days studied.
- Mock exam trend line — is your score climbing?
Accuracy by specialty
Last 30 days- Cardiology82%
- Respiratory74%
- Gastro68%
- Endocrine61%
- Renal54%
- Neurology48%
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Your daily target is computed from three inputs — not guessed. No half-empty plans, no impossible ones.
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- 25
Questions
Tutor mode · Respiratory focus
- 40 due
Flashcards
SM-2 queue
- 10 SBAs
Weak-spot drill
Renal + Endocrine
Every answer referenced to NICE and BNF.
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NICE Clinical Guidelines
Primary source for diagnostic and treatment pathways.
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Direct link to the exact guideline + paragraph where possible.
British National Formulary
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Royal College syllabi
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GMC Good medical practice
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International graduate
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