MedQVault vs ACEMCQ vs Primex: an honest comparison
If you are shopping for an Australasian bank to prep the FACEM Written, three names keep coming up: MedQVault, ACEMCQ, and Primex. All three are built around local practice, which already beats importing a US bank that quizzes you on drugs we do not stock and pathways we do not use. So this is a comparison between decent options. Here is a straight read, including the parts where we are not the one to pick.
Where each one leads
ACEMCQ is the focused MCQ and SAQ option, and it is usually the cheaper way in. If AI-marked SAQ practice is the thing you want most, it has a real SAQ set today and we do not. That is a genuine edge, and I am not going to pretend otherwise.
Primex is the everything option. SAQ, OSCE, interview prep, flashcards. If you want one login that covers every stage of Fellowship, it spreads the widest. The catch is the spread. When a product tries to cover it all, going deep on any single part gets hard.
MedQVault goes deep on the MCQ and does not say sorry for it. The bank is large, over 4,000 questions and growing weekly. Every question is explained in full, including why each wrong option is wrong, not only why the key is right. Every answer is cited to a named Australasian source. Image questions ship with a purpose-drawn figure card. And there is a pass guarantee, which neither of the others puts on the table.
The honest trade-offs
Here is the awkward bit. Right now we are MCQ-first. Our SAQ track is not ready to ship, and we do not have an OSCE product at all. If SAQ or OSCE is what decides it for you, one of the others will serve you better today. Better you know that before you pay than after.
What we will not trade away is per-question quality. A smaller set of questions that are properly explained and individually cited teaches you more than a bigger pile you click through half asleep. That is the bet. It is also why the bank grows a little slowly: an image question stays hidden until its figure card has been checked.
How to choose
- Deepest MCQ practice, explanations you actually learn from, and a guarantee if it does not pan out? MedQVault.
- Solid MCQ, but you also want a proper AI-marked SAQ set and you are watching the spend? ACEMCQ is worth a hard look.
- The widest spread of formats under one login? Primex.
The only real way to judge an explanation is to read a few and see if they teach you anything. Ours are free to sample, no account, no card. If you want to know what a subscription runs, that is on the pricing page. Then make your call.