What's actually in Annexity
A straight account of what is in the app: the question bank, the lessons, the reference library, and where each of them is still thin.
Coverage, as of today
Annexity is organized the way the exam is: by condition, and each condition is placed against the PAEA/NCCPA blueprint's rotations and task areas. That's the same structure that produces the seven end-of-rotation (EOR™) exams and the PANCE® itself. Conditions were written in blueprint-yield order, not alphabetically, so the highest-tested material exists first.
Today that coverage is deep across six rotations: Family Medicine, Emergency Medicine, Internal Medicine, Pediatrics, Women's Health, and Psychiatry. It's just getting started in Surgery. We'd rather say that plainly than round it up.
Lessons
Every condition has a lesson: a short walk-through you read start to finish, rather than a page you look something up on. Each one moves through the same fixed sequence, so the format never has to be relearned: what it is, the symptoms, how it is diagnosed, the treatment plan with its lines named, and a closing High Yield PANCE page listing what gets tested and the wording a question uses when it tests it. A short exam ends the lesson, drawn from the bank and from the conditions the lesson told you to tell it apart from.
All 962 lessons are now written at full depth: mechanism, risk factors, laboratory findings, published diagnostic criteria where they exist, a treatment plan with its lines named, the conditions it is most often confused with, and a closing High Yield PANCE® page. Every blueprint task area is at 100 per cent — not one is left short. The blueprint page breaks that down task area by task area, and those numbers are generated from the app rather than typed by hand.
The reference library
Alongside the lessons there is a condition reference covering all 962 terms, and a medication reference organized by class. Each reference page is built from that condition's full-depth lesson, so the two never drift into telling you different things about the same disease.
Flashcards
You can build your own decks in the app, with text and images on either side, and review them on a spaced repetition schedule. Decks you already have elsewhere can be brought in as a plain text file (.txt, .csv or .tsv), and any deck can be exported the same way and handed to someone else. Nothing is locked in.
How a condition is tested
Every condition carries two questions, each testing something different. One asks you to recognize it: the same first move a clinician makes. The other assumes you already know what it is and tests what you'd actually do about it, managing it. A third layer isn't in the bundled bank yet (complications, mechanisms, the kind of twist that changes the usual answer), and we're not implying it is.
The whole bank, not a rationed slice
Board prep in this category is normally handed out one rationed slice at a time, with the rest held back for later. Annexity's approach is the opposite: build the whole thing first, and ship the entire 1,900-question core, all 962 lessons and both reference libraries together. It works entirely offline, on a device you already own, and your progress follows you between your own devices through iCloud. It is still in beta and is being built in the open.
How this content is made
The question bank is AI-drafted, written to the PAEA/NCCPA blueprint, and going through a review pass. The lessons are hand-written. Neither is clinician-verified, and we won't claim otherwise. Automated checks confirm every question is answerable from the app's own study content and validate drug names against the National Library of Medicine's RxNorm database. Full detail is in Privacy & Terms.
Who this is for
Annexity is built around you studying at 11pm the night before a rotation exam, not around a curriculum committee. The questions, the lessons and the offline access are decided from that one seat: a student who needs the next thing they read to be worth their time, tonight.