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 key facts
- The NZREX Clinical examination consists of 12 OSCE stations. Source
- The NZREX Clinical examination lasts for a total duration of 3 hours. Source
- To pass the NZREX Clinical, a candidate must achieve an overall score greater than the cut score and receive at least seven overall pass or borderline results out of the 12 stations in a single sitting. Source
- The NZREX Clinical requires an examination fee of NZ$4,966.94 plus a non-refundable application fee of NZ$860.92, inclusive of GST. Source
- Candidates may sit the NZREX Clinical multiple times provided they meet eligibility requirements each time they apply, but cannot reapply until they have received feedback from their prior attempt. Source
- A pass in the NZREX Clinical examination is valid for 5 years from the date of the examination. Source
📋 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.
🎯 Free NZREX Practice Tests
📖 NZREX Guides & Articles
What Practice Test Geeks adds beyond an AI chat for NZREX
An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:
- A timed, full-length NZREX mock exam — 120 questions in 180 minutes with a 65% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
- A fixed NZREX question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
- Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
- A printable NZREX cheat sheet you can print or save as a PDF.
- NZREX flashcards built from the same question bank.
- Free NZREX practice tests with the correct answer shown after each question.
How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- mcnz.org.nz — Test delivery, exam dates, exam format, registration, retake policy, score release, time limit, score validity, passing score, fees · verified Oct 2026