PLAB 1 / UKMLA AKT exam pattern 2026 at a glance
The PLAB 1, also known as the UKMLA Applied Knowledge Test (AKT), is a critical examination for international medical graduates seeking registration with the General Medical Council (GMC) in the UK. As of 2024, this exam will be delivered as part of the UKMLA framework. It assesses a candidate's understanding of medical knowledge and their ability to apply this knowledge in clinical scenarios.
Key details about the exam pattern include:
- Mode: Computer-based test (CBT)
- Duration: 180 minutes (3 hours)
- Total Questions: 180
- Marking Scheme: +1 for each correct answer, no negative marking
Always confirm the latest dates, fees and eligibility on the exam provider's official site before applying.
Sections and duration
The PLAB 1 / UKMLA AKT is structured into a single section comprising 180 multiple-choice questions (MCQs). Candidates are allotted a total of 180 minutes to complete the examination, which translates to one minute per question. This format encourages candidates to manage their time efficiently, ensuring they can thoughtfully consider each question before answering.
The questions cover a wide range of medical topics, reflecting the breadth of knowledge required for safe and effective practice in the UK healthcare system. The exam is designed to assess both theoretical knowledge and practical application, ensuring that candidates are well-prepared for the challenges they may face in clinical environments.
Question types and marking scheme
The PLAB 1 / UKMLA AKT consists entirely of multiple-choice questions (MCQs). Each question is designed to test a candidate's knowledge and understanding of various medical principles, clinical practices, and patient management strategies. The marking scheme is straightforward:
- Correct Answer: +1 mark
- Incorrect Answer: 0 marks (no negative marking)
This marking scheme allows candidates to focus on answering as many questions correctly as possible without the fear of losing marks for incorrect responses. This approach encourages candidates to attempt all questions, increasing their chances of achieving a passing score.
Negative marking explained
One of the key features of the PLAB 1 / UKMLA AKT is the absence of negative marking. Candidates should feel encouraged to attempt every question, as incorrect answers will not penalise their score. This aspect of the exam allows candidates to showcase their knowledge without the added pressure of losing marks for mistakes. It is advisable to make educated guesses when uncertain, as every correct answer contributes positively to the overall score.
Sectional vs overall cut-offs
While the PLAB 1 / UKMLA AKT does not employ sectional cut-offs, candidates must achieve a minimum overall score to pass the exam. The specific cut-off score is determined by the GMC and may vary from year to year, based on the overall performance of candidates. It is essential for candidates to prepare thoroughly and aim for a strong overall performance to ensure they meet the required threshold for passing.
Language and medium options
The PLAB 1 / UKMLA AKT is conducted in English. Candidates are required to demonstrate proficiency in the English language as part of the eligibility criteria for the exam. Acceptable forms of evidence include an IELTS Academic score of 7.5 or a B grade in the OET Medicine. This requirement ensures that candidates have the necessary communication skills to interact effectively within the UK healthcare system.
Computer-based vs pen-paper details
The PLAB 1 / UKMLA AKT is exclusively delivered as a computer-based test (CBT) at Pearson VUE test centres. This format offers several advantages:
- Instant Feedback: Candidates receive immediate results following the completion of the exam.
- User-Friendly Interface: The CBT format allows for a more interactive and engaging examination experience.
- Accessibility: The exam is available in major Indian metros and tier-2 cities — see the official portal for the live list of test centres.
Candidates are encouraged to familiarise themselves with the computer-based testing format before the exam day. Practising with mock tests on PractiseExam.com can provide valuable experience and help candidates become comfortable with the exam interface.
In summary, understanding the exam pattern for the PLAB 1 / UKMLA AKT is crucial for effective preparation. Candidates should focus on mastering the content, practising with mock tests, and ensuring they meet the eligibility criteria. For additional resources, consider exploring our pages on syllabus, preparation strategy, and best books to enhance your study plan.