PEx · ANZCA Primary Examination

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.

313 LOs mapped AI SAQ grading Voice viva simulation 7-day free trial
Pass rate
~65%
per sitting (2024–25)
Sittings per year
2
Feb (written) · May (viva) · Aug (written) · Oct (viva)
Format
Written + Clinical Viva
MCQ, SAQ, then Viva
Topics covered
196
study notes · 313 curriculum LOs
Organising college
ANZCA
Not affiliated with Primex
· Exam domains ·

Four domains.
One integrated curriculum.

~40%
Physiology
Cardiovascular, respiratory, renal, neurological, endocrine, acid-base, and cell physiology relevant to anaesthetic practice.
Cardiac output · Ventilation-perfusion · Renal tubular physiology · Acid-base · Neuromuscular junction
~40%
Pharmacology
Inhalational and IV anaesthetic agents, opioids, neuromuscular blockers, local anaesthetics, and adjuncts. Mechanisms, kinetics, and clinical use.
Inhalational agents · Propofol · Opioid pharmacology · NMBA reversal · Local anaesthetic toxicity
~10%
Anatomy
Clinically relevant regional anatomy: airway, thorax, neuraxial structures, brachial plexus, and ultrasound-guided regional landmarks.
Airway anatomy · Neuraxial anatomy · Brachial plexus · Thoracic anatomy · Vascular access landmarks
~10%
Equipment & Measurement
Anaesthetic equipment, monitoring principles, gas laws, physics of measurement, and safety concepts underlying clinical practice.
Anaesthetic machine · Gas laws · Pulse oximetry · Neuromuscular monitoring · Vaporisers

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
Primex SAQ grader showing a Distinction tier, 5/5 score and examiner comment praising structure, mechanistic detail and clinical relevance
Primex SAQ grader marking grid showing every required point with a green Present tick or red Missing flag, plus structure and priority action feedback

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
Primex MCQ showing a clinical stem with the correct answer revealed and a community answer distribution bar across all five options
Primex MCQ explanation panel breaking down why the correct answer is correct and why each distractor is wrong, ending with a take-home candidate pearl

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
Primex viva simulator screenshot for the ANZCA Primary, showing live examiner question and candidate response for a respiratory physiology scenario

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
Primex spaced-repetition flashcard screenshot for the ANZCA Primary, with the answer revealed and Again, Hard, Good, Easy rating buttons

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
Primex sourced study note screenshot for the ANZCA Primary, showing acid-base physiology in the seven-section structure with a key values table and referenced citations

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
Primex curriculum tracker screenshot for the ANZCA Primary, showing the 313 learning objectives grouped by section with checkboxes and per-section progress bars

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
Primex ANZCA Primary study plan dashboard showing days to exam, percent complete, exam readiness score out of 100 with coverage, accuracy, retention and consistency breakdowns, plus a Study this next card
· About this exam ·

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 candidate reading
  • Standard physiology references at registrar level
  • Standard anaesthetic pharmacology references
  • Standard general anaesthesia references
  • Standard applied respiratory physiology references
Useful free resources
  • ANZCA Primary Examination curriculum document
  • Anaesthesia MCQ (derangedphysiology.com)
  • Deranged Physiology; Physiology for the Primary
· Primex by the numbers ·

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.

· Pricing ·

Every plan starts with
a 7-day free trial.

Starter
$9.99
7 days free, then $9.99/mo
  • 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
Start free trial
Monthly
$24.99
7 days free, then $24.99/mo
  • 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
Start free trial
3 Months
$59.99
7 days free, then $59.99/3mo
= $19.99/mo · 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 20% vs monthly
Start free trial
Important: Step 2 of 2

After payment, you'll land on a confirmation page. Click the button there to create your account and your subscription links automatically. If you pay with Apple Pay or Google Pay, use the button on that confirmation page before closing it. No email matching needed; it connects via a one-time link.

Free trial on every plan (7 days) Cancel anytime before trial ends Not affiliated with ANZCA
· Questions ·

Frequently asked

The viva simulator runs Primary-format sessions: 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, and the examiner persona is calibrated to the language of published ANZCA Primary examiner reports.
The ANZCA Primary has a written paper (150 MCQs and 15 SAQs), and a clinical viva for candidates who pass the written. Sittings are typically February and August. Most candidates train consistently across 6 to 12 months and use the last 8 to 12 weeks for daily SAQ writing and viva drilling. Primex maps every topic to a study plan with pace tracking against your sitting date.
Each SAQ is graded on a holistic Fail / Borderline / Pass / Distinction tier with a marking checklist, examiner comment, and a model answer at examiner standard. The grader is calibrated to ANZCA Primary examiner-report language and the standard 1-to-5 holistic mark used by ANZCA. After every graded answer, candidates can vote the grade too lenient, too harsh, or about right; those votes are used to recalibrate the grader.
Yes. Primary MCQs are written as single-best-answer questions with five options, distractor types that appear in the real paper, and a focus on physiology, pharmacology, anatomy and measurement. Every option has a written explanation, and a community answer distribution shows how other candidates responded after each question.
Yes. Primex maps all 313 learning objectives from the ANZCA Training Program Curriculum (v1.13, December 2024) to study notes and flashcards across 25 sections. The Curriculum tab shows every LO with checkboxes and per-section progress bars, and each LO has its own focused study note in addition to the broader topic notes.
Anki and similar flashcard apps are spaced-repetition only; Primex includes spaced-repetition flashcards plus AI-graded long-form SAQ feedback, a voice-interactive viva, and a model answer surfaced alongside every result. Deranged Physiology is an excellent open reference text but does not run timed practice or grade your written reasoning. Pastest is built primarily for UK exam pathways and does not map to the ANZCA curriculum. Primex maps every question and study note to the official ANZCA Primary learning objectives.
Yes. Open the site in Safari on iPhone, tap Share, then Add to Home Screen. On Android, open in Chrome and tap Install app. The app works offline once opened and updates automatically.
Email primex.study.ai@gmail.com and we'll get back to you.