MKSAP vs Pastest (2025): US Knowledge vs UK Practice

Last reviewed: 2025-12-19 · Reviewed by

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At a Glance

Who is it for?

MKSAP:Physicians

Pastest:Exam Candidates

Why choose MKSAP?

**Content**: The definitive text for Internal Medicine.
**CME**: Earn credits while reading.
**Updates**: Rolling updates from the ACP.

Why choose Pastest?

**Drill**: Rapid-fire question practice.
**Past Papers**: Access to recalled questions from UK exams.
**Format**: Matches the Royal College exam interface.

Feature Comparison

Capability	MKSAP	Pastest
Goal	Knowledge Base	Exam Technique
Region	USA	UK / International

In-Depth Analysis

Overview

Pastest teaches you how to pass the exam. MKSAP teaches you the medicine. Most UK candidates will use Pastest for the questions, but might read MKSAP (or UpToDate) to understand the difficult topics.

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Use-Cases

Studying for MRCP

When to choose MKSAP

Great for reading.

When to choose Pastest

**Winner.** Essential for passing the test.

Studying for ABIM (US Boards)

When to choose MKSAP

**Winner.**