Pass your ANZCA fellowship with conviction.

150 MCQs · 150 minutes · computer-based.

During basic training; must pass to progress to advanced training

Primary Examination (PEx): PEx SAQ

15 short-answer questions · 150 minutes · each marked out of 10 from 2026.2.

During basic training; must pass to progress to advanced training

Primary Examination (PEx): PEx vivas

3 vivas · 2 min reading · 20 min each.

During basic training; must pass to progress to advanced training

Final Examination (FEx): FEx MCQ

150 MCQs · 150 minutes · same day as the SAQ paper.

Advanced training, after 26 weeks FTE advanced training and at least 88 weeks FTE clinical anaesthesia

Final Examination (FEx): FEx SAQ

15 short-answer questions · 150 minutes.

Advanced training, after 26 weeks FTE advanced training and at least 88 weeks FTE clinical anaesthesia

Final Examination (FEx): FEx vivas

10 vivas · 15 min each: 8 anaesthesia vivas (days 1–2) and 2 medical vivas (day 3).

Advanced training, after 26 weeks FTE advanced training and at least 88 weeks FTE clinical anaesthesia

Read a full marked case →Or start the free trial →

Fellowship Ready is independent and is not affiliated with, or endorsed by, the ANZCA or any examining body.

How written marking works

You write the answer. Here it comes back marked.

The commonest way to lose marks is a generic answer: good medicine, for a different patient or a different question. The marking rewards only what the rubric rewards.

Your answer, typed under timingFEx SAQ

An 84-year-old woman with severe aortic stenosis (valve area 0.7 cm², mean gradient 48 mmHg) needs a hemiarthroplasty for a fractured neck of femur. Outline your plan for induction of general anaesthesia. (4 marks)

A gentle, cardiostable induction with careful titration of drugs. I would maintain her blood pressure with metaraminol and avoid hypotension and tachycardia. Post-op HDU.

Examiner-style marking, seconds later1 / 4

✗Invasive arterial monitoring established before induction0/1
✗Named agents with doses reduced for age and fixed output (e.g. propofol 0.5–1 mg/kg titrated, fentanyl, rocuronium)0/1
✓Vasopressor (metaraminol or phenylephrine) prepared or running before induction1/1
✗Stated haemodynamic target, e.g. mean arterial pressure within 20% of baseline, heart rate 60–80, sinus rhythm preserved0/1

Marking note: "Gentle" and "cardiostable" score nothing. The marker wants the arterial line before induction, the drugs and doses you would give this patient, and the target you are defending. Examiners flag these phrases in every Final report.

Why Fellowship Ready

Knowing the medicine isn't the same as passing the exam.

Candidates who fail are rarely told which sentence lost the mark. The commonest causes are not gaps in knowledge: a generic answer, a different question answered, an examination done out of order, the clock run out. Each is fixed by practice that is timed and marked.

Specific beats general

Every SAQ rubric point is a named drug, dose, number or step, so "good analgesia" scores what it scores on the day: nothing. You see exactly which point you missed.

Vivas on the real clock

Primary vivas run 2 minutes reading and 20 minutes; Final vivas 15 minutes each. Examiners probe in order, and an unsafe answer fails the viva just as it does in Melbourne or Brisbane.

Applied, not recited

Primary questions tie physiology, pharmacology and equipment to the anaesthetised patient; Final questions demand consultant-level justification. Results roll up into the curriculum areas so you know what to fix next.

The exam, on the clock.

Most candidates who fail know the medicine. They run out of time, answer a different question, or are not specific enough. Practice under the clock, marked the way examiners mark, is the fix.

01 · PEx vivas

3 stations, on the real clock.

2:00 reading, then 20:00 in the station, as on the day. Patients, relatives and examiners are played by an AI so you can practise alone, or a colleague runs the station with the script, the findings and the marking sheet.

Open the stations →Primary Examination (PEx)

Primary · Live · vivaReading · 2:00

Oxygen stores, preoxygenation and the oxyhaemoglobin dissociation curve

This is a Primary physiology viva. You are about to anaesthetise a healthy 30-year-old man weighing 70 kg for an elective laparoscopic appendicectomy. Your consultant asks why you preoxygenate every patient and how long he could safely be apnoeic. You will be shown an oxyhaemoglobin dissociation curve. Answer the examiner's questions, relating the physiology to anaesthetic practice. Use numbers where you can.

Describe the body's oxygen stores breathing air and after preoxygenation.
Explain the factors that determine the time to desaturation during apnoea, and the mechanism of apnoeic oxygenation.
Describe the oxyhaemoglobin dissociation curve, its shifts and their clinical relevance.

Marking guide

100%

02 · PEx SAQ

Write the answer. Get it marked.

15 short-answer questions · 150 minutes · each marked out of 10 from 2026.2. Every answer is marked point by point against a rubric that rewards what ANZCA examiners reward: specific points, the exact question answered, safe advice.

Try a case →Primary Examination (PEx)

FEx SAQ · marked against the rubric

“A gentle, cardiostable induction with careful titration of drugs. I would maintain her blood pressure with metaraminol and avoid hypotension and tachycardia. Post-op HDU.”

✗Invasive arterial monitoring established before induction0/1
✗Named agents with doses reduced for age and fixed output (e.g. propofol 0.5–1 mg/kg titrated, fentanyl, rocuronium)0/1
✓Vasopressor (metaraminol or phenylephrine) prepared or running before induction1/1
✗Stated haemodynamic target, e.g. mean arterial pressure within 20% of baseline, heart rate 60–80, sinus rhythm preserved0/1

Examiner note: "Gentle" and "cardiostable" score nothing. The marker wants the arterial line before induction, the drugs and doses you would give this patient, and the target you are defending. Examiners flag these phrases in every Final report.

03 · PEx MCQ

Mocks weighted to the blueprint.

150 MCQs · 150 minutes · computer-based. Every option explained, including why the wrong ones are wrong, and your weakest areas come back first.

Practise by area →Primary Examination (PEx)

PEx MCQ mock · 150 questions · 2 h 3071%

Physiology80%

Pharmacology55%

Anatomy75%

Equipment84%

Safety62%

Periop79%

Airway62%

Weighted to the blueprint. Your weakest areas go to the top of next week’s drills.

04 · Scores and doses

Maximum doses are per kilogram, per drug.

ASA physical status, Mallampati and Cormack–Lehane, local anaesthetic maximum doses with lipid rescue, Apfel, RCRI, STOP-Bang, Aldrete, Bromage and train-of-four, each with the trap examiners set.

Open the scales →Included with every plan

Reference library

ASA Physical Status Classification

Modified Mallampati classification (Samsoon and Young)

Cormack–Lehane grade of laryngoscopic view

Local anaesthetic maximum doses and systemic toxicity rescue

Apfel simplified risk score for postoperative nausea and vomiting

Revised Cardiac Risk Index (Lee)

STOP-Bang questionnaire for obstructive sleep apnoea

Modified Aldrete score (post-anaesthesia recovery)

05 · Crisis reference

Anaphylaxis, MH, CICO: the doses, cold.

ANZAAG anaphylaxis, malignant hyperthermia, can't intubate can't oxygenate, caesarean anaesthesia, pre-eclampsia, neuraxial anticoagulation timings, one-lung ventilation and more.

Open the reference →Included with every plan

Reference library

ASA Physical Status Classification

Modified Mallampati classification (Samsoon and Young)

Cormack–Lehane grade of laryngoscopic view

Local anaesthetic maximum doses and systemic toxicity rescue

Apfel simplified risk score for postoperative nausea and vomiting

Revised Cardiac Risk Index (Lee)

STOP-Bang questionnaire for obstructive sleep apnoea

Modified Aldrete score (post-anaesthesia recovery)

06 · Study plan

Your exam date, turned into weeks.

Tell it when you sit and how many hours you have. It spreads the curriculum by blueprint weight, slots in mocks, written papers and station circuits, and moves your weakest areas forward as your results come in.

Build your plan →Free with an account

Primary Examination (PEx) in 14 weeks10 h / week

Week 9 · this week

PhysiologyPharmacologyAnatomyMock

Week 10

EquipmentPhysiologySafetyStations ×3

Week 11

PeriopAirwayPharmacologyWritten ×2

The biggest blueprint areas come round most often; your weakest move to the front.

Primary · Live · vivaReading · 2:00

Oxygen stores, preoxygenation and the oxyhaemoglobin dissociation curve

Describe the body's oxygen stores breathing air and after preoxygenation.
Explain the factors that determine the time to desaturation during apnoea, and the mechanism of apnoeic oxygenation.
Describe the oxyhaemoglobin dissociation curve, its shifts and their clinical relevance.

Marking guide

100%

FEx SAQ · marked against the rubric

“A gentle, cardiostable induction with careful titration of drugs. I would maintain her blood pressure with metaraminol and avoid hypotension and tachycardia. Post-op HDU.”

✗Invasive arterial monitoring established before induction0/1
✗Named agents with doses reduced for age and fixed output (e.g. propofol 0.5–1 mg/kg titrated, fentanyl, rocuronium)0/1
✓Vasopressor (metaraminol or phenylephrine) prepared or running before induction1/1
✗Stated haemodynamic target, e.g. mean arterial pressure within 20% of baseline, heart rate 60–80, sinus rhythm preserved0/1

PEx MCQ mock · 150 questions · 2 h 3071%

Physiology80%

Pharmacology55%

Anatomy75%

Equipment84%

Safety62%

Periop79%

Airway62%

Weighted to the blueprint. Your weakest areas go to the top of next week’s drills.

Reference library

ASA Physical Status Classification

Modified Mallampati classification (Samsoon and Young)

Cormack–Lehane grade of laryngoscopic view

Local anaesthetic maximum doses and systemic toxicity rescue

Apfel simplified risk score for postoperative nausea and vomiting

Revised Cardiac Risk Index (Lee)

STOP-Bang questionnaire for obstructive sleep apnoea

Modified Aldrete score (post-anaesthesia recovery)

Reference library

ASA Physical Status Classification

Modified Mallampati classification (Samsoon and Young)

Cormack–Lehane grade of laryngoscopic view

Local anaesthetic maximum doses and systemic toxicity rescue

Apfel simplified risk score for postoperative nausea and vomiting

Revised Cardiac Risk Index (Lee)

STOP-Bang questionnaire for obstructive sleep apnoea

Modified Aldrete score (post-anaesthesia recovery)

Primary Examination (PEx) in 14 weeks10 h / week

Week 9 · this week

PhysiologyPharmacologyAnatomyMock

Week 10

EquipmentPhysiologySafetyStations ×3

Week 11

PeriopAirwayPharmacologyWritten ×2

The biggest blueprint areas come round most often; your weakest move to the front.

Pricing

Pay monthly, or once until your exam.

An exam pass lasts until the day after your exam, up to six months, and never renews.

Written papers

A$39/mo

or A$249 once, until your exam

Primary and Final SAQs with examiner-style marking, both MCQ banks and timed 150-question mocks.

Choose Written papers

Vivas

A$39/mo

or A$249 once, until your exam

Primary vivas on the 20-minute clock and Final anaesthesia and medical vivas on the 15-minute clock, with spoken-answer feedback.

Choose Vivas

Everything

A$59/mo

or A$399 once, until your exam

Written and vivas for the Primary and Final, plus the reference tools and study plan.

Choose Everything

Prices include GST. Every plan starts free, no card required.

Try it before you decide.

Start free: 2 written cases, 20 MCQs and 3 stations, no card required.

Start free →Read a sample

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Preparing for12 specialties

● Anaesthesia · ANZCA

Pass your ANZCA fellowship
with conviction.

Primary · PEx MCQ Primary · PEx SAQ Primary · PEx vivas Final · FEx MCQ Final · FEx SAQ Final · FEx vivas

Start free: 2 written cases, 20 MCQs and 3 stations, no card required.

Start free →or read a full marked case first

1500+

MCQs

Written cases

Stations

Curriculum areas

Reference topics

What we do

Every ANZCA exam, done thoroughly.

Each part of each exam, on its real format and clock, on the same engine trainees already use for the psychiatry fellowship.

Primary Examination (PEx): PEx MCQ

150 MCQs · 150 minutes · computer-based.

During basic training; must pass to progress to advanced training

Primary Examination (PEx): PEx SAQ

15 short-answer questions · 150 minutes · each marked out of 10 from 2026.2.

During basic training; must pass to progress to advanced training

Primary Examination (PEx): PEx vivas

3 vivas · 2 min reading · 20 min each.

During basic training; must pass to progress to advanced training

Final Examination (FEx): FEx MCQ

150 MCQs · 150 minutes · same day as the SAQ paper.

Advanced training, after 26 weeks FTE advanced training and at least 88 weeks FTE clinical anaesthesia

Final Examination (FEx): FEx SAQ

15 short-answer questions · 150 minutes.

Advanced training, after 26 weeks FTE advanced training and at least 88 weeks FTE clinical anaesthesia

Final Examination (FEx): FEx vivas

10 vivas · 15 min each: 8 anaesthesia vivas (days 1–2) and 2 medical vivas (day 3).

Advanced training, after 26 weeks FTE advanced training and at least 88 weeks FTE clinical anaesthesia