ANZCA Primary
first time.
196 sourced study notes, 313 mapped learning objectives, AI SAQ grading on the Fail / Borderline / Pass / Distinction tier, voice-interactive viva simulation, 5,466 spaced-repetition flashcards and an unlimited MCQ bank. Built around the four domains of the Primary.
Four domains.
One integrated curriculum.
Feature 01 · SAQ Grader
Marking points. Every time. No guessing.
Write a Primary SAQ and get an examiner-style debrief in seconds: a Fail / Borderline / Pass / Distinction tier on the holistic 1-to-5 ANZCA mark, a marking checklist with every point flagged as hit or missed, an examiner comment in the language of published ANZCA Primary examiner reports, and a full model answer at distinction-pitched standard.
- Fail / Borderline / Pass / Distinction tier on the holistic 1-to-5 mark
- Every marking point checked, not just a grade
- Model answer written at examiner standard
- Topic sessions or random sets from the question bank
- AI question generation in Primary format, no repetition


Feature 02 · MCQ Practice
Primary-style MCQs. Full explanations. Community data.
Single-best-answer MCQs across all four Primary domains, mapped to the ANZCA curriculum. Full explanations for every option, including the distractors. The community answer distribution after each question shows how other candidates responded.
- Primary-format MCQs across physiology, pharmacology, anatomy, equipment
- Explanation for every option, including the distractors
- Community answer distribution after each question
- AI-generated, curriculum-mapped, endless supply
- Timed mock mode replicating real exam conditions


Feature 03 · Viva Simulator
An AI Primary examiner. Day or night.
Sessions run in ANZCA Primary viva format: an opening physiology or pharmacology scenario, five to six examiner exchanges of progressive probing, and a debrief with tier and a specific learning point. Voice mode transcribes spoken answers using medical speech recognition. The examiner persona is calibrated to the language of published ANZCA examiner reports.
- Primary viva format with realistic examiner persona
- Opens on a physiology or pharmacology scenario, then probes deeper
- Voice mode: speak your answer, no typing needed
- Debrief with tier and a specific learning point after each session
- Covers all four Primary domains

Feature 04 · Flashcards
5,466 cards. Spaced repetition. Thirteen card types.
Curriculum-mapped flashcard decks with spaced repetition across all 196 Primary topics: cards you get right come up less often, cards you miss come back sooner. Thirteen card types including mechanism, pharmacokinetics, drug profile, and clinical correlate. MCQ drill mode included.
- 5,466 cards across 196 topics, all curriculum-mapped
- 13 card types: mechanism, kinetics, drug comparison, anatomy, equipment
- MCQ drill mode for rapid-fire practice
- One click from card to full study note
- Image cards: structure diagrams, curves, monitoring waveforms

Feature 05 · Study Notes
196 topics. Sourced. Linked from every result.
Structured study notes for every topic in the Primary curriculum. Written to a consistent seven-section format and aligned to the published ANZCA Primary curriculum, Australian guidelines and primary literature. They surface automatically alongside SAQ and viva debriefs, so you read the note straight from the result. Each LO also has its own focused per-LO note that opens in a single click from the Curriculum tab.
- All 196 Primary curriculum topics covered, average 1,975 words
- Consistent 7-section structure: scannable, not a wall of text
- Aligned to the published ANZCA Primary curriculum and Australian guidelines
- Per-LO focused notes available from the Curriculum tab
- Full-text search across all notes; linked from SAQ debrief, viva feedback, and flashcards

Feature 06 · ANZCA Curriculum Tracker
313 learning objectives. Every ANZCA Primary LO mapped.
The ANZCA Training Program Curriculum (v1.13, December 2024) defines 313 Primary-assessed learning objectives across 25 sections. Primex maps every LO to a study note and to flashcards, with a Curriculum tab showing a checkbox checklist and per-section progress bars so you can see exactly how much of the syllabus you have covered.
- All 313 ANZCA Primary LOs across 25 sections, verbatim from the v1.13 curriculum document
- Checkbox completion persisted across sessions
- Click any LO to jump to the relevant study note or open a focused per-LO note
- Per-section and overall progress bars at a glance

Feature N · Study Plan & Readiness
One readiness score. Always know where you stand.
An adaptive study plan that counts down to your ANZCA Primary exam date and tells you what to study next. A single readiness score blends coverage, accuracy, retention and consistency into one number out of 100, so you can see at a glance whether you are tracking ahead or behind pace.
- Days-to-exam countdown and pace tracking, ahead or behind
- Readiness score out of 100, blended from four signals
- Coverage, accuracy, retention and consistency broken out
- Streak counter and weekly attempt target
- Study this next: the topic queued for today, one tap to open
The Primary Examination
The ANZCA Primary Examination tests the scientific foundations of anaesthetic practice: physiology, pharmacology, anatomy and equipment. It is the gateway to the Fellowship examination and to training progression. Approximately 60–70% of candidates pass at each sitting.
- OrganiserAustralian and New Zealand College of Anaesthetists (ANZCA)
- FormatWritten paper (MCQs + SAQs), followed by a clinical viva for candidates who pass the written component
- DomainsPhysiology (~40%), Pharmacology (~40%), Anatomy (~10%), Equipment & Measurement (~10%)
- SittingsTwice yearly, typically February/March and August/September
- Pass rateApproximately 65% per sitting
- Standard physiology references at registrar level
- Standard anaesthetic pharmacology references
- Standard general anaesthesia references
- Standard applied respiratory physiology references
- ANZCA Primary Examination curriculum document
- Anaesthesia MCQ (derangedphysiology.com)
- Deranged Physiology; Physiology for the Primary
ANZCA Primary, in numbers.
- Curriculum learning objectives mapped
- 313
- Sourced study notes
- 196
- Spaced-repetition flashcards
- 5,466
- Curriculum sections covered
- 25
- SAQ grading tier
- Fail / Borderline / Pass / Distinction
- Viva exchanges per session
- 5–6
- Curriculum version
- v1.13 (December 2024)
- Trial
- 7 days, free
· How Primex compares ·
Primex differs from Anki and other flashcard apps for the ANZCA Primary by adding AI-graded long-form SAQ feedback on the holistic Fail / Borderline / Pass / Distinction tier, a voice-interactive viva simulator with five to six examiner exchanges, and a model answer at examiner standard surfacing alongside every result. Spaced-repetition flashcards are still included, so an Anki workflow is not needed.
It differs from Deranged Physiology, which is an excellent open-access reference text, by running timed exam-format practice (MCQ, SAQ, viva), grading written reasoning, and tracking coverage against the official ANZCA syllabus. It differs from Pastest and BMJ OnExamination, which are built for UK exam pathways, by mapping every question and study note to the ANZCA Training Program Curriculum (v1.13, December 2024).
The 313 ANZCA Primary learning objectives are taken verbatim from the v1.13 curriculum document. Each LO is mapped to a study note and to flashcards, and each LO has its own focused per-LO note that opens in a single click from the Curriculum tab. The Curriculum tab persists checkbox progress across sessions and shows per-section progress bars so candidates can see exactly how much of the syllabus they have covered.
Every plan starts with
a 7-day free trial.
- ✓ One specialist exam (your choice)
- ✓ Study notes for every curriculum topic
- ✓ Flashcards with spaced repetition
- ✓ 10 MCQs per topic (sampler)
- ✓ Study plan with pace tracking
- ✗ MCQ drill mode
- ✗ SAQ question bank & sessions
- ✗ SAQ Grader & AI marking
- ✗ AI Viva simulation
- ✗ Community feed
- ✓ All 21 specialist exams: SAQ, MCQ, Viva & Voice
- ✓ Flashcards with spaced repetition & MCQ drill
- ✓ Study notes for every curriculum topic
- ✓ SAQ question bank & sessions
- ✓ Study plan with pace tracking
- ✓ Community feed
- ✓ All 21 specialist exams: SAQ, MCQ, Viva & Voice
- ✓ Flashcards with spaced repetition & MCQ drill
- ✓ Study notes for every curriculum topic
- ✓ SAQ question bank & sessions
- ✓ Study plan with pace tracking
- ✓ Save 20% vs monthly
- ✓ All 21 specialist exams: SAQ, MCQ, Viva & Voice
- ✓ Flashcards with spaced repetition & MCQ drill
- ✓ Study notes for every curriculum topic
- ✓ SAQ question bank & sessions
- ✓ Study plan with pace tracking
- ✓ Save 40% vs monthly plan
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