100+ Free ANZCA Final Exam Practice Questions
Pass your ANZCA Final Examination (Anaesthesia Training Program) exam on the first try — instant access, no signup required.
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Key Facts: ANZCA Final Exam Exam
150 MCQs
The ANZCA Final Exam written paper has 150 single-best-answer MCQs in 150 minutes
ANZCA - Anaesthesia exams
15 SAQs
The Final Exam SAQ paper has 15 short-answer questions in 150 minutes, held the same day as the MCQ
ANZCA - Anaesthesia exams
8 + 2 vivas
The viva component has 8 anaesthesia vivas and 2 medical vivas, each 15 minutes
ANZCA - Anaesthesia exams
40% MCQ + 40% SAQ
Candidates need at least 40% in both MCQ and SAQ sections to be invited to the vivas
ANZCA - Anaesthesia exams
A$7,330
2026 ANZCA Final Examination fee in Australia (tax free)
ANZCA - Anaesthesia exams
88 weeks FTE
Minimum clinical anaesthesia time required before eligibility to sit the Final Exam
ANZCA - Anaesthesia exams
3 viva days
From the 2026.1 FEx, anaesthesia and medical vivas are held across 3 separate days
ANZCA - Final examination: Change of viva schedule
100
Free original MCQ practice questions in this bank
OpenExamPrep
The ANZCA Final Examination is the exit exam of the anaesthesia training program: a written day of 150 MCQs and 15 SAQs (150 minutes each), followed months later by 8 anaesthesia vivas and 2 medical vivas (15 minutes each) over 3 days. Candidates need at least 40% in the MCQ and SAQ to reach the vivas, then an overall 50% with a pass in the anaesthesia viva section and at least 4 of 8 anaesthesia vivas passed. The 2026 exam fee is A$7,330 in Australia. This 100-question bank gives original advanced-level MCQ practice across general/regional anaesthesia, perioperative medicine, cardiac/thoracic/vascular, obstetric, paediatric, and neuroanaesthesia, intensive care/crisis management, pain medicine, applied pharmacology, and professionalism/ethics.
Sample ANZCA Final Exam Practice Questions
Try these sample questions to test your ANZCA Final Exam exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1Difficult Airway Society (DAS) guidelines - after failed intubation and failed facemask/supraglottic airway ventilation (a true CICO scenario), what is the recommended next step?
2What is the mechanism of action of sugammadex?
3A patient develops sudden hypotension, tachycardia and perioral numbness shortly after an interscalene brachial plexus block, progressing to seizure. What is the immediate priority?
4Which volatile anaesthetic agents and depolarising muscle relaxant are absolute triggers to avoid in a patient with known malignant hyperthermia susceptibility?
5What is the first-line pharmacological treatment for a confirmed malignant hyperthermia crisis?
6During spinal anaesthesia for a lower-limb procedure, block height rises rapidly with bradycardia, hypotension and difficulty breathing. What complication is most likely?
7A patient reports explicit recall of intraoperative events with pain during a general anaesthetic. Which factor is a well-established risk factor for accidental awareness during general anaesthesia (AAGA)?
8Which airway adjunct is most useful for confirming correct tracheal tube placement immediately after intubation?
9In rapid sequence induction for a patient at high aspiration risk, which manoeuvre is now considered a matter of individualised judgement rather than mandatory, given current evidence?
10An ultrasound-guided interscalene brachial plexus block is most likely to cause which recognised side effect due to phrenic nerve proximity?
About the ANZCA Final Exam Exam
The ANZCA Final Examination (FEx) is the capstone exit examination of the ANZCA anaesthesia training program, sat during advanced training once a trainee has completed introductory and basic training, at least 26 weeks FTE of advanced training, and at least 88 weeks FTE of clinical anaesthesia time. The written component (150 MCQs in 150 minutes and 15 SAQs in 150 minutes) is held on a single day at exam centres across Australia and New Zealand; candidates who reach the required MCQ and SAQ thresholds are invited to a viva voce examination held months later, comprising 8 anaesthesia vivas and 2 medical vivas of 15 minutes each across a 3-day schedule. The exam assesses the knowledge, applied knowledge, and clinical judgement expected of a trainee ready to practise as a specialist anaesthetist, drawing on the ANZCA Roles in Practice, Clinical Fundamentals, and Specialised Study Units across the full anaesthesia training curriculum. This bank provides original single-best-answer practice questions at a comparable advanced level, spanning general and regional anaesthesia, perioperative medicine, cardiac/thoracic/vascular anaesthesia, obstetric and paediatric anaesthesia, neuroanaesthesia, intensive care and crisis management, acute and chronic pain medicine, applied pharmacology and physiology, and professionalism/ethics/patient safety.
Assessment
A single written exam day with 150 single-best-answer MCQs (150 minutes) and 15 short-answer questions (150 minutes), followed months later by a 3-day viva schedule comprising 8 anaesthesia vivas and 2 medical vivas (15 minutes each). This bank provides original MCQ-style practice items in the same advanced-anaesthesia style.
Time Limit
150 minutes for the MCQ paper and 150 minutes for the SAQ paper on the written exam day; each viva is 15 minutes, with anaesthesia and medical vivas held across 3 separate days.
Passing Score
Candidates need at least 40% in both the MCQ and SAQ to be invited to vivas, then an overall mark of at least 50%, a pass in the anaesthesia viva section, a pass in at least one other section, and a pass (5/10 or higher) in at least 4 of the 8 anaesthesia vivas.
Exam Fee
The 2026 Final Examination fee is A$7,330.00 (tax free) in Australia and NZ$9,195.00 (plus GST) in New Zealand; a withdrawal fee of A$870.00 / NZ$1,095.00 applies if the candidate withdraws. (Australian and New Zealand College of Anaesthetists (ANZCA))
ANZCA Final Exam Exam Content Outline
General and Regional Anaesthesia
Difficult airway algorithm and CICO management, rapid sequence induction, regional/peripheral nerve blocks, local anaesthetic systemic toxicity, malignant hyperthermia, neuromuscular blockade/reversal, and accidental awareness.
Perioperative Medicine
Cardiac risk stratification, perioperative medication management (anticoagulants, SGLT2 inhibitors, statins), fasting guidelines, ERAS, VTE prophylaxis, postoperative delirium, frailty, CPET, and perioperative myocardial injury (MINS).
Cardiac, Thoracic and Vascular Anaesthesia
Cardiopulmonary bypass and weaning, protamine reactions, one-lung ventilation and lung isolation, aortic stenosis, EVAR versus open AAA repair, carotid endarterectomy, TOE monitoring, and pacemaker/device management.
Obstetric Anaesthesia and Analgesia
Physiological changes of pregnancy, aortocaval compression, preeclampsia and eclampsia, labour epidural analgesia, spinal anaesthesia for caesarean section, postpartum haemorrhage, amniotic fluid embolism, and obstetric failed intubation.
Paediatric Anaesthesia
Paediatric airway anatomy, weight-based fluid/drug dosing, laryngospasm, caudal blocks, neonatal circulatory transition, PONV prophylaxis, inhalational induction, croup versus epiglottitis, and neonatal surgical emergencies.
Intensive Care Medicine and Crisis Management
Sepsis and septic shock, ARDS lung-protective ventilation, anaphylaxis, gas embolism, cardiac arrest algorithms, LAST-related arrest, operating theatre fires, CICO front-of-neck access, and transfusion reactions (TRALI/TACO).
Neuroanaesthesia
Intracranial pressure and cerebral perfusion pressure management, venous air embolism in the sitting position, awake craniotomy, neuromonitoring, autonomic dysreflexia, traumatic brain injury targets, aneurysm surgery, and cerebral autoregulation.
Acute and Chronic Pain Medicine
Multimodal analgesia, PCA safety features, opioid-induced respiratory depression, neuropathic pain pharmacology, opioid-induced hyperalgesia, the biopsychosocial pain model, and ketamine as an analgesic adjunct.
Applied Pharmacology and Physiology
Volatile anaesthetic blood-gas partition coefficients, propofol/remifentanil pharmacokinetics, neuromuscular blocker onset/offset and organ-independent elimination, acid-base interpretation, and the oxygen-haemoglobin dissociation curve.
Professionalism, Ethics and Patient Safety
Informed consent and capacity assessment, the WHO Surgical Safety Checklist, open disclosure after adverse events, crisis resource management, and incident reporting/just culture.
How to Pass the ANZCA Final Exam Exam
What You Need to Know
- Passing score: Candidates need at least 40% in both the MCQ and SAQ to be invited to vivas, then an overall mark of at least 50%, a pass in the anaesthesia viva section, a pass in at least one other section, and a pass (5/10 or higher) in at least 4 of the 8 anaesthesia vivas.
- Assessment: A single written exam day with 150 single-best-answer MCQs (150 minutes) and 15 short-answer questions (150 minutes), followed months later by a 3-day viva schedule comprising 8 anaesthesia vivas and 2 medical vivas (15 minutes each). This bank provides original MCQ-style practice items in the same advanced-anaesthesia style.
- Time limit: 150 minutes for the MCQ paper and 150 minutes for the SAQ paper on the written exam day; each viva is 15 minutes, with anaesthesia and medical vivas held across 3 separate days.
- Exam fee: The 2026 Final Examination fee is A$7,330.00 (tax free) in Australia and NZ$9,195.00 (plus GST) in New Zealand; a withdrawal fee of A$870.00 / NZ$1,095.00 applies if the candidate withdraws.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
ANZCA Final Exam Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the ANZCA Final Examination?
The written component has 150 single-best-answer MCQs (150 minutes) and 15 short-answer questions (150 minutes) on the same day, followed by 8 anaesthesia vivas and 2 medical vivas of 15 minutes each on a separate viva schedule.
What mark do I need to pass the ANZCA Final Exam?
You need at least 40% in the MCQ and 40% in the SAQ to be invited to vivas. To pass overall you need at least 50% overall, a pass in the anaesthesia viva section, a pass in at least one other section, and a pass (5/10 or higher) in at least 4 of the 8 anaesthesia vivas.
How much does the ANZCA Final Examination cost?
The 2026 Final Examination fee is A$7,330.00 (tax free) in Australia and NZ$9,195.00 (plus GST) in New Zealand. A withdrawal fee of A$870.00 / NZ$1,095.00 applies if you withdraw after applying.
Who is eligible to sit the ANZCA Final Exam?
Trainees must have completed introductory and basic training, at least 26 weeks FTE of advanced training, and at least 88 weeks FTE of clinical anaesthesia time, with a satisfactory Clinical Progress Assessment report and all fees paid.
Do SIMGs sitting the ANZCA exam need to do the written component?
Specialist international medical graduates (SIMGs) required to sit the Final Exam generally only need to complete the medical and anaesthesia viva sections, not the written MCQ/SAQ components.
Are these official ANZCA practice questions?
No. These are original OpenExamPrep questions modelled on the ANZCA anaesthesia training program curriculum's Clinical Fundamentals and Specialised Study Units. ANZCA provides its own curriculum, past FEx reports, and preparation resources separately.