Mapped to the UKMLA content map & NICE guidance

Medflow Learning: the UKMLA question bankbuilt for clinical reasoning.

Medflow Learning is a UKMLA question bank for UK medical students. Practise expert-vetted single best answer questions, see each answer as a clinical decision flowchart, and get a fresh patient case on anything you miss.

  • Expert-verified questions

    Clinician-written UKMLA & AKT questions aligned to NICE guidance.

  • AI-generated fresh cases

    Miss a question and AI writes a brand-new patient testing the same concept.

  • Interactive flowcharts

    See exactly where your reasoning branched off.

Acute and emergency · Difficulty 3

A 24-year-old woman attends the emergency department with worsening breathlessness and wheeze over six hours. She is unable to complete full sentences. Respiratory rate 28/min, heart rate 118/min, peak expiratory flow 42% of predicted, oxygen saturations 95% on air.

Which severity classification best describes this presentation?

Pick an answer to see the explanation and the clinical pathway.

Live from the Medflow bank
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Vetted UKMLA AKT questions
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Clinical conditions covered
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Specialties
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British English, guideline-aligned

A UKMLA question bank that tests reasoning, not recall

The UKMLA Applied Knowledge Test rarely asks you to repeat a fact. It gives you a patient and asks what you would do next. Medflow's questions are written the same way: a realistic scenario, five plausible options and an explanation for every one, including why the wrong answers are wrong.

When you miss a question, you don't just reread the answer. Medflow writes a fresh case on the same principle, with a new patient and new numbers, so you have to reason through it again. Bank questions are never repeated, which keeps your scores honest.

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The Medflow Learning method: clinical reasoning over rote recall

Three steps that turn a wrong answer into a concept you actually own.

Answer expert-vetted questions

Single best answer questions written by UK clinicians and mapped to the GMC content map, each tagged by specialty, condition, learning objective and a 1–5 difficulty level.

Deconstruct it with a flowchart

Every explanation comes with a decision tree showing the investigation and management pathway, so you see how a clinician actually thinks rather than reading dense prose.

Retry a fresh scenario, then repeat

Get one wrong and Medflow writes a new patient case on the same principle, then schedules it to return at growing intervals until the concept is properly mastered.

Visual decision trees

Interactive clinical flowcharts

These are real flowcharts from the Medflow textbook. Pick a condition and follow the decision points exactly as they appear while you revise.

BTS / SIGN severity criteria

Acute asthma severity assessment
Tap a branch to follow it
Acute breathlessness and wheeze
Measure peak expiratory flow, saturations, respiratory rate and heart rate
DecisionPeak flow below 33%, silent chest, saturations below 92% or exhaustion?
DecisionPeak flow 33–50%, respiratory rate 25 or more, heart rate 110 or more, cannot complete sentences?
Repeat peak flow 15–30 minutes after treatment and escalate if not improving
Admit if severe features persist, otherwise discharge with a written asthma plan
How the revision schedule works

Anki-style retention, built from real exam questions

Flashcard apps like Anki work because they bring facts back just before you forget them. But the exam doesn't ask you to recall a fact — it asks you to apply it to a patient. Medflow keeps Anki's spacing and swaps the flashcard for a clinical case.

1. You miss a concept

Every answer is tagged to a learning objective. Get one wrong (or guess right slowly) and that concept enters your revision schedule.

2. It's scheduled to return

Like Anki, each concept is given a review date. Get it right and the gap grows; get it wrong and it resets to tomorrow.

3. It comes back as a new case

When it's due, you get a fresh question on the same concept — a new patient, new numbers — so you learn the principle, not the answer.

A concept's journey through your schedule

Day 1

Missed

Day 2

Review

Day 5

Review

Day 12

Review

Day 30

Mastered

Anki on its own

Great spacing, but you review the same card until you memorise its wording — and you have to write the cards yourself.

Medflow

The same spacing, applied automatically to your weak concepts, tested with new exam-style cases each time. Expert-vetted bank questions are never repeated.

Our medical safety promise

AI never becomes official content on its own

AI-generated questions are clearly labelled while you answer them and pass through a human expert review before joining the vetted bank. The expert-written bank remains the authoritative source.

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Frequently asked questions about Medflow Learning

What is Medflow Learning?

Medflow Learning is a UKMLA question bank and revision platform for UK medical students. It pairs expert-vetted single best answer questions with clinical decision flowcharts, a clinical textbook and targeted AI practice.

Who is Medflow Learning designed for?

Medical students in the UK preparing for the UKMLA Applied Knowledge Test (AKT) and their medical school finals.

How does Medflow Learning differ from traditional question banks?

Every answer is explained as a clinical decision flowchart, and when you miss a question Medflow gives you a fresh case on the same principle instead of repeating the old one, so you practise reasoning rather than memorising stems.

Is Medflow Learning aligned with the UKMLA syllabus and NICE guidance?

Yes. Questions and textbook content are mapped to the UKMLA content map and written in line with current NICE guidance and UK practice.

How does the 3-day free trial work?

Choose a plan and start a 3-day free trial with full access. You can cancel before the trial ends and you won't be charged.