Well, I think it might be outside of the scope of the MCAT, but the anomeric effect essentially describes an exception to the rule that equatorial substituents are favored. For most sugars the alpha position (OH of the hemiacetal in an axial position) is favored compared to the beta (OH of the hemiacetal in the equatorial position). There are molecular orbital explanations for why this is the case, but they're a little complicated so this is why I am just saying that it's probably best to try to remember that equatorial is favored.