PRIMEX Study Guides: what you actually need to know.
Long-form 2026 study guides for the postgraduate medical and surgical exams sat in Australia and New Zealand. Each one is built from PRIMEX's live curriculum mapping, written for trainees in the next twelve months of preparation, and grounded in the failure modes that catch competent candidates rather than generic advice.
Anaesthetics & Intensive Care
Format breakdown across MCQ, SAQ and the eight cross-table vivas. Realistic 4 / 6 / 9 month timelines and the SAQ writing failure modes that catch competent ICU trainees.
Hot cases, structured viva and the SAQ paper. Curriculum coverage anchored on real CICM examiner-report patterns and ANZICS / Surviving Sepsis guidance.
Emergency Medicine
Integrated four-discipline viva structure, the quantification trap, and the cross-reference between physiology and pharmacology that derails many ED registrars.
10 SAQs in 180 minutes for 360 marks plus the 12-station OSCE at 4+7 minutes. Recurring examiner-report failure modes around doses, disposition and blank sub-parts.
General Practice & Rural
AKT, KFP and CCE format detail, the 2025.2 KFP bubble-sheet change, undercoding and overcoding patterns, and a CCE-first argument with realistic timelines.
StAMPS structure, retrieval decisions, prescribing specificity, and the cultural-safety thread that runs through the whole rural-generalist curriculum.
Internal Medicine
Post-FRACP merge curriculum at 320 LOs across 16 clinical domains. HFrEF quad therapy, AKI on CKD, hypercalcaemia of malignancy, sepsis source identification.
The largest curriculum in the program at 744 mapped objectives across 22 sections. Adult-threshold misapplication, weight-based dosing, child-protection threading.
Obstetrics & Gynaecology
Psychiatry
Radiology
The 24 / 83 / 41 LO split across 2.1 / 2.2 / 2.3 plus 21 anatomy LOs. Units, CTDI / DLP confusion, T1 / T2 mechanism mix-ups: the recurring physics-paper traps.
Case reporting, BI-RADS, LI-RADS, TIRADS, O-RADS lexicons. Viva format and OSCER. Reporting-practice oriented rather than the physics-and-anatomy framing of Part 1.
Pathology
216 LOs across 133 topic areas across 15 curriculum domains. APL emergency, HIT 4T, ADAMTS13, WHO 2022 vs 2016 deltas. Real RCPA viva scenarios.
IHC panel construction, Gleason / ISUP, WHO 2021 CNS, TCGA endometrial, Appendix 13 molecular by MBS item number, frozen-section communication.
Surgery
The pre-SET screening exam: anatomy, physiology and pathology applied to surgery. 60 MCQ + 20 spots, Pearson VUE delivery, no SAQ or viva.
Operative-decision-making framing, five-station viva structure, and named landmark trials (Z0011, MSLT-II, COLOR II, CROSS, FLOT) that match examiner themes.
AOA-specific signal: Hawkins sign nuance, Latarjet glenoid track, Vancouver / AORI / Paprosky for revision, FAITH / HEALTH / SPRINT / DRAFFT / CSAW.
Generalist & Pre-fellowship
For international medical graduates seeking Australian general registration. Blueprint coverage, computer-adaptive format, Australian context (PBS, eTG, NIP).
577 high-yield topics across 30 clinical domains. SPIKES, ICE, SOCRATES, MSE, Calgary-Cambridge, consent and teach-back. Australian context throughout.
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