5,000+ SBA questions written around the exact guidelines your examiners use. NZ students get BPAC, PHARMAC & HealthPathways. Australian students get eTG, PBS & RACGP. Plus the God Files: real past end-of-year questions from Otago and Auckland.
A 67-year-old Māori man presents with central chest pain radiating to his left arm for 40 minutes. ECG: 3mm ST elevation V1–V4. BP 138/84, HR 94 bpm. Most appropriate immediate management?
Topic Progress
Formulary-accurate
NZ drug choices match PHARMAC. AU drug choices match the PBS. Not the UK BNF or US formularies.
Region-matched guidelines
NZ explanations cite BPAC & HealthPathways. AU explanations cite eTG & RACGP — what your examiners actually quote.
Otago & Auckland
Covers both MBChB curricula, including God Files past exam questions from both schools.
Years 4–6 focus
Pitched at clinical years, not pre-clinical sciences.
See for yourself
A 58-year-old Māori man presents to his GP with 3 months of increasing fatigue and exertional dyspnoea. He has a 15-year history of type 2 diabetes and hypertension managed with metformin and ramipril. Vital signs: BP 148/88 mmHg, HR 92 bpm, RR 18, SpO₂ 96% on room air.
| Investigation | Result | Reference Range |
|---|---|---|
| Haemoglobin | 72 g/L | 130–175 g/L |
| MCV | 68 fL | 80–100 fL |
| Serum ferritin | 6 μg/L | 30–300 μg/L |
| Transferrin saturation | 8% | 20–50% |
What is the most appropriate next step in management?
This patient has iron deficiency anaemia (IDA) confirmed by low Hb, microcytic MCV, markedly low ferritin, and low transferrin saturation. Oral iron (ferrous sulfate 325 mg TDS) is first-line per BPAC NZ guidelines unless the patient cannot tolerate oral iron, has malabsorption, or requires rapid correction. IV iron is reserved for intolerance, malabsorption, or pre-surgical repletion. Blood transfusion is not indicated in chronic compensated anaemia without cardiovascular compromise. Endoscopy to find the source is important but comes after initiating treatment.
Every question in the platform has an explanation exactly like this one, referenced to the NZ guidelines your examiners use.
Get Full Access →What's inside
Passmedicine-style clinical vignettes for NZ and Australian students. NZ questions use PHARMAC drugs and NZ labs. AU questions use PBS drugs and Australian clinical context.
NZ students get BPAC & PHARMAC citations. AU students get eTG & PBS citations. Plus distractor reasoning so you understand why each wrong option is wrong.
Track performance by topic and identify exactly where your gaps are before the exam.
See your improvement over time. Review every incorrect answer in one place.
NZ: BPAC, PHARMAC, Health NZ, HealthPathways & Starship. AU: eTG, PBS, RACGP & RCH Melbourne — what your examiners actually test.
Practice on your phone between placements, on a tablet at the library, or at your desk the night before exams.
5+ years of real NZ MBChB end-of-year exam questions from Otago and Auckland, rewritten as full clinical SBAs with evidence-based explanations. Included with 6-month and 12-month plans.
In practice
Maybe it's Cardiology because your consultant mentioned STEMI management this morning on ward round. Filter to High Yield. Set yourself 15 questions. Hit start.
You pick IV thrombolysis. Wrong, primary PCI is the answer for this presentation and time window. The explanation tells you exactly why, cites the ACS management pathway from Health NZ, and explains what would have to change to make thrombolysis correct.
Your dashboard shows Cardiology at 71%, up from 58% last week. The revision queue has 12 flagged questions from today. One less topic to lose sleep over.
How it works with you
Get a question wrong and it re-enters your queue, coming back until you answer it correctly twice in a row. Real gaps get closed, not glossed over.
Think an explanation is wrong or a guideline has changed? Flag it with a comment. We review everything and post a reply, and correct the question if you're right.
Thumbs up or down on any question. Your ratings help us continuously improve the bank and surface the strongest questions to students after you.
Years of student-collected NZ MBChB end-of-year exam questions from Otago and Auckland, converted into full SBA clinical vignettes with evidence-based explanations and NZ guideline references.
A 19-year-old Māori male university student presents with fever, confusion, and a spreading non-blanching rash. BP 80/50, HR 128 bpm. Most appropriate immediate management?
Correct: B
Meningococcal septicaemia requires immediate IV ceftriaxone before LP. Non-blanching rash + haemodynamic instability = don't wait. Referenced: HealthPathways Meningococcal Disease; BPAC NZ.
Simple, honest pricing
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In their words
"I'd been using another question bank for months and kept getting PHARMAC wrong. Every pharmacology question on MedFinals references what's actually on the formulary and I stopped losing marks on drug questions entirely."
Jamie T.
Year 5 Medical Student
"The God Files section alone changed how I allocated my study time. There are topics that repeat every year and once you see the pattern, it's obvious where to focus in the final weeks."
Sarah M.
Final Year Medical Student
"Went from 51% to 74% in Medicine over six weeks. Reviewing every wrong answer with a proper NZ explanation actually sticks in a way that just reading notes never did."
Alex K.
Trainee Intern
Common questions
Other question banks are built for international or UK audiences — drug options that aren't funded locally, screening guidelines that don't apply, and management pathways your hospitals don't follow. MedFinals fills that gap. NZ students get PHARMAC, BPAC, and HealthPathways. Australian students get PBS, eTG, and RACGP. Every explanation is matched to your region. Many students use both MedFinals and Passmedicine alongside each other.
Reading guidelines and AI chat tools tell you information. They can't simulate the pressure of choosing between five specific options under exam conditions. Exam performance comes from practising decisions, not consuming content. A question about heart failure isn't "summarise the BPAC page", it's a 72-year-old with specific exam findings, and you have to make a call. That's what MedFinals trains.
The God Files are based on student-shared memory-based notes from Otago and Auckland MBChB end-of-year exams, the same source material that's been passed down through NZ medical schools for years. We've reformatted them as proper clinical SBAs with full vignettes, five options, and evidence-based explanations. They're not leaked papers. They're the collective memory of students who sat these exams, made genuinely useful. Included with 6-month and 12-month plans.
No. Year 4 students find MedFinals useful for both clinical attachment preparation and block exams. You can filter by topic and difficulty level, start with Medicine and Surgery, which form the core of Year 4 assessment. The questions are pitched at clinical reasoning, not preclinical sciences.
5,000+ SBA questions across Medicine, Surgery, Obstetrics & Gynaecology, Paediatrics, Psychiatry, Pharmacology, Dermatology, Musculoskeletal, Ear Nose & Throat, Ophthalmology, Ethics & Law, and Statistics. New questions are added regularly as the platform grows.
Yes, MedFinals is fully responsive and designed to be used on any device. A lot of students do 10–15 questions on their phone between ward rounds or in a free period. No app download needed, just your browser.
Something else? Email [email protected] →
MedFinals is the only NZ-built question bank with PHARMAC-accurate drug questions, BPAC-referenced explanations, and real past exam questions from Otago and Auckland. Start with a free question, no account needed.
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