180 single best answer questions in 3 hours. Each is a short scenario, a question and five possible answers.
Questions
180 single best answer, five options each
Time
3 hours
Pass mark
Set for each sitting
Sittings
February, May, August, November
On the day
A written exam: you mark a paper answer sheet in HB pencil.
Expect to be at the centre for at least four hours. More than half an hour late, and you cannot enter.
No phones, calculators, watches or smart wearables. The time is shown in the hall.
Where
In the UK: Belfast, Birmingham, Cardiff, Edinburgh, London and Manchester. In the EU: Dublin and Madrid. Also at overseas centres run with the British Council.
From 2027, Dhaka, Alexandria, Accra, Chennai, Hyderabad and Kolkata no longer run it, and the February sitting is in the UK and EU only.
Try 3 questions
Question 1MLA content map: Acute glaucoma
A 68-year-old woman comes to the emergency department 3 hours after the lights dimmed in a cinema, with severe pain in her left eye, frontal headache, vomiting and blurred vision with haloes around lights. The left eye is red with a hazy cornea, a fixed mid-dilated pupil, and feels hard. Left visual acuity is 6/60. The ophthalmologist is on the way. What is the most appropriate initial treatment?
Question 2MLA content map: Antepartum haemorrhage
A 25-year-old woman at 31 weeks' gestation has had a painless bright red vaginal bleed of about 100 mL. She recently moved to the UK and has no scan reports. Pulse 88, blood pressure 120/74 mmHg. The uterus is soft and non-tender, and the fetal head is high. The cardiotocograph is normal. Which is the most appropriate next step in her assessment?
Question 3MLA content map: Soft tissue injury
A 46-year-old man felt as if someone kicked the back of his left ankle while playing squash. He can walk with a limp. Lying prone, there is a palpable gap 4 cm above the heel, and squeezing the left calf produces no plantarflexion of the foot, unlike the right. What is the most likely diagnosis?