NZREX Study Guide 2026
Everything you need to pass the NZREX exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 NZREX Exam Format at a Glance
📚 NZREX Topics to Study (38)
✍️ Sample NZREX Questions & Answers
1. What is the NZ approach to prescribing for Māori and Pacific patients that NZREX candidates should understand?
NZ prescribers should consider cultural factors that may affect medication understanding, acceptance, and adherence. This includes involving whānau/family in medication education, ensuring information is linguistically appropriate, and respecting cultural health beliefs alongside evidence-based medicine.
2. What is the MCNZ's expectation regarding doctors maintaining professional boundaries in NZ?
The MCNZ requires doctors to maintain clear professional boundaries in all patient interactions. This includes avoiding dual relationships (social, financial), never engaging in sexual relationships with current patients, and being aware of power imbalances in the doctor-patient relationship.
3. Under NZ employment law, what are the key considerations for overseas-trained doctors regarding their working conditions?
NZ employment law (Employment Relations Act 2000) provides minimum standards for all workers including overseas-trained doctors: rest and meal breaks, annual leave (4 weeks), sick leave (10 days/year), public holidays, and protection against unjustified dismissal.
4. Which of the following is the first-line treatment for anaphylaxis?
IM adrenaline (epinephrine) 0.5 mg of 1:1000 solution into the anterolateral thigh is the life-saving first-line treatment for anaphylaxis. Antihistamines and corticosteroids are adjuncts only.
5. What does the term 'tikanga Māori' mean in the context of healthcare?
Tikanga Māori refers to the customary values, protocols, and practices of Māori society. In healthcare, understanding tikanga guides culturally safe interactions, for example around death and dying, tapu/noa, and whānau involvement.
6. When performing a cardiovascular examination in the NZREX, what clinical signs should you specifically check in the hands?
In a cardiovascular examination, the hands may reveal important signs: clubbing (cyanotic heart disease), splinter haemorrhages (endocarditis), Janeway lesions (painless, endocarditis), Osler's nodes (painful, endocarditis), and peripheral cyanosis.