diff --git a/src/fastapi_toolsets/fixtures/__init__.py b/src/fastapi_toolsets/fixtures/__init__.py
index fce6fee..0157c09 100644
--- a/src/fastapi_toolsets/fixtures/__init__.py
+++ b/src/fastapi_toolsets/fixtures/__init__.py
@@ -1,11 +1,6 @@
-from .fixtures import (
-    Context,
-    FixtureRegistry,
-    LoadStrategy,
-    load_fixtures,
-    load_fixtures_by_context,
-)
-from .utils import get_obj_by_attr
+from .enum import LoadStrategy
+from .registry import Context, FixtureRegistry
+from .utils import get_obj_by_attr, load_fixtures, load_fixtures_by_context
 
 __all__ = [
     "Context",
@@ -16,12 +11,3 @@ __all__ = [
     "load_fixtures_by_context",
     "register_fixtures",
 ]
-
-
-# We lazy-load register_fixtures to avoid needing pytest when using fixtures CLI
-def __getattr__(name: str):
-    if name == "register_fixtures":
-        from .pytest_plugin import register_fixtures
-
-        return register_fixtures
-    raise AttributeError(f"module {__name__!r} has no attribute {name!r}")
diff --git a/src/fastapi_toolsets/fixtures/enum.py b/src/fastapi_toolsets/fixtures/enum.py
new file mode 100644
index 0000000..6a0b53b
--- /dev/null
+++ b/src/fastapi_toolsets/fixtures/enum.py
@@ -0,0 +1,30 @@
+from enum import Enum
+
+
+class LoadStrategy(str, Enum):
+    """Strategy for loading fixtures into the database."""
+
+    INSERT = "insert"
+    """Insert new records. Fails if record already exists."""
+
+    MERGE = "merge"
+    """Insert or update based on primary key (SQLAlchemy merge)."""
+
+    SKIP_EXISTING = "skip_existing"
+    """Insert only if record doesn't exist (based on primary key)."""
+
+
+class Context(str, Enum):
+    """Predefined fixture contexts."""
+
+    BASE = "base"
+    """Base fixtures loaded in all environments."""
+
+    PRODUCTION = "production"
+    """Production-only fixtures."""
+
+    DEVELOPMENT = "development"
+    """Development fixtures."""
+
+    TESTING = "testing"
+    """Test fixtures."""
diff --git a/src/fastapi_toolsets/fixtures/fixtures.py b/src/fastapi_toolsets/fixtures/registry.py
similarity index 54%
rename from src/fastapi_toolsets/fixtures/fixtures.py
rename to src/fastapi_toolsets/fixtures/registry.py
index 11273c5..17ca750 100644
--- a/src/fastapi_toolsets/fixtures/fixtures.py
+++ b/src/fastapi_toolsets/fixtures/registry.py
@@ -3,46 +3,15 @@
 import logging
 from collections.abc import Callable, Sequence
 from dataclasses import dataclass, field
-from enum import Enum
 from typing import Any, cast
 
-from sqlalchemy.ext.asyncio import AsyncSession
 from sqlalchemy.orm import DeclarativeBase
 
-from ..db import get_transaction
+from .enum import Context
 
 logger = logging.getLogger(__name__)
 
 
-class LoadStrategy(str, Enum):
-    """Strategy for loading fixtures into the database."""
-
-    INSERT = "insert"
-    """Insert new records. Fails if record already exists."""
-
-    MERGE = "merge"
-    """Insert or update based on primary key (SQLAlchemy merge)."""
-
-    SKIP_EXISTING = "skip_existing"
-    """Insert only if record doesn't exist (based on primary key)."""
-
-
-class Context(str, Enum):
-    """Predefined fixture contexts."""
-
-    BASE = "base"
-    """Base fixtures loaded in all environments."""
-
-    PRODUCTION = "production"
-    """Production-only fixtures."""
-
-    DEVELOPMENT = "development"
-    """Development fixtures."""
-
-    TESTING = "testing"
-    """Test fixtures."""
-
-
 @dataclass
 class Fixture:
     """A fixture definition with metadata."""
@@ -204,118 +173,3 @@ class FixtureRegistry:
             all_deps.update(deps)
 
         return self.resolve_dependencies(*all_deps)
-
-
-async def load_fixtures(
-    session: AsyncSession,
-    registry: FixtureRegistry,
-    *names: str,
-    strategy: LoadStrategy = LoadStrategy.MERGE,
-) -> dict[str, list[DeclarativeBase]]:
-    """Load specific fixtures by name with dependencies.
-
-    Args:
-        session: Database session
-        registry: Fixture registry
-        *names: Fixture names to load (dependencies auto-resolved)
-        strategy: How to handle existing records
-
-    Returns:
-        Dict mapping fixture names to loaded instances
-
-    Example:
-        # Loads 'roles' first (dependency), then 'users'
-        result = await load_fixtures(session, fixtures, "users")
-        print(result["users"])  # [User(...), ...]
-    """
-    ordered = registry.resolve_dependencies(*names)
-    return await _load_ordered(session, registry, ordered, strategy)
-
-
-async def load_fixtures_by_context(
-    session: AsyncSession,
-    registry: FixtureRegistry,
-    *contexts: str | Context,
-    strategy: LoadStrategy = LoadStrategy.MERGE,
-) -> dict[str, list[DeclarativeBase]]:
-    """Load all fixtures for specific contexts.
-
-    Args:
-        session: Database session
-        registry: Fixture registry
-        *contexts: Contexts to load (e.g., Context.BASE, Context.TESTING)
-        strategy: How to handle existing records
-
-    Returns:
-        Dict mapping fixture names to loaded instances
-
-    Example:
-        # Load base + testing fixtures
-        await load_fixtures_by_context(
-            session, fixtures,
-            Context.BASE, Context.TESTING
-        )
-    """
-    ordered = registry.resolve_context_dependencies(*contexts)
-    return await _load_ordered(session, registry, ordered, strategy)
-
-
-async def _load_ordered(
-    session: AsyncSession,
-    registry: FixtureRegistry,
-    ordered_names: list[str],
-    strategy: LoadStrategy,
-) -> dict[str, list[DeclarativeBase]]:
-    """Load fixtures in order."""
-    results: dict[str, list[DeclarativeBase]] = {}
-
-    for name in ordered_names:
-        fixture = registry.get(name)
-        instances = list(fixture.func())
-
-        if not instances:
-            results[name] = []
-            continue
-
-        model_name = type(instances[0]).__name__
-        loaded: list[DeclarativeBase] = []
-
-        async with get_transaction(session):
-            for instance in instances:
-                if strategy == LoadStrategy.INSERT:
-                    session.add(instance)
-                    loaded.append(instance)
-
-                elif strategy == LoadStrategy.MERGE:
-                    merged = await session.merge(instance)
-                    loaded.append(merged)
-
-                elif strategy == LoadStrategy.SKIP_EXISTING:
-                    pk = _get_primary_key(instance)
-                    if pk is not None:
-                        existing = await session.get(type(instance), pk)
-                        if existing is None:
-                            session.add(instance)
-                            loaded.append(instance)
-                    else:
-                        session.add(instance)
-                        loaded.append(instance)
-
-        results[name] = loaded
-        logger.info(f"Loaded fixture '{name}': {len(loaded)} {model_name}(s)")
-
-    return results
-
-
-def _get_primary_key(instance: DeclarativeBase) -> Any | None:
-    """Get the primary key value of a model instance."""
-    mapper = instance.__class__.__mapper__
-    pk_cols = mapper.primary_key
-
-    if len(pk_cols) == 1:
-        return getattr(instance, pk_cols[0].name, None)
-
-    pk_values = tuple(getattr(instance, col.name, None) for col in pk_cols)
-    if all(v is not None for v in pk_values):
-        return pk_values
-    return None
diff --git a/src/fastapi_toolsets/fixtures/utils.py b/src/fastapi_toolsets/fixtures/utils.py
index 106c706..e1a88eb 100644
--- a/src/fastapi_toolsets/fixtures/utils.py
+++ b/src/fastapi_toolsets/fixtures/utils.py
@@ -1,8 +1,16 @@
+import logging
 from collections.abc import Callable, Sequence
 from typing import Any, TypeVar
 
+from sqlalchemy.ext.asyncio import AsyncSession
 from sqlalchemy.orm import DeclarativeBase
 
+from ..db import get_transaction
+from .enum import LoadStrategy
+from .registry import Context, FixtureRegistry
+
+logger = logging.getLogger(__name__)
+
 T = TypeVar("T", bound=DeclarativeBase)
 
 
@@ -24,3 +32,118 @@ def get_obj_by_attr(
         StopIteration: If no matching object is found.
     """
     return next(obj for obj in fixtures() if getattr(obj, attr_name) == value)
+
+
+async def load_fixtures(
+    session: AsyncSession,
+    registry: FixtureRegistry,
+    *names: str,
+    strategy: LoadStrategy = LoadStrategy.MERGE,
+) -> dict[str, list[DeclarativeBase]]:
+    """Load specific fixtures by name with dependencies.
+
+    Args:
+        session: Database session
+        registry: Fixture registry
+        *names: Fixture names to load (dependencies auto-resolved)
+        strategy: How to handle existing records
+
+    Returns:
+        Dict mapping fixture names to loaded instances
+
+    Example:
+        # Loads 'roles' first (dependency), then 'users'
+        result = await load_fixtures(session, fixtures, "users")
+        print(result["users"])  # [User(...), ...]
+    """
+    ordered = registry.resolve_dependencies(*names)
+    return await _load_ordered(session, registry, ordered, strategy)
+
+
+async def load_fixtures_by_context(
+    session: AsyncSession,
+    registry: FixtureRegistry,
+    *contexts: str | Context,
+    strategy: LoadStrategy = LoadStrategy.MERGE,
+) -> dict[str, list[DeclarativeBase]]:
+    """Load all fixtures for specific contexts.
+
+    Args:
+        session: Database session
+        registry: Fixture registry
+        *contexts: Contexts to load (e.g., Context.BASE, Context.TESTING)
+        strategy: How to handle existing records
+
+    Returns:
+        Dict mapping fixture names to loaded instances
+
+    Example:
+        # Load base + testing fixtures
+        await load_fixtures_by_context(
+            session, fixtures,
+            Context.BASE, Context.TESTING
+        )
+    """
+    ordered = registry.resolve_context_dependencies(*contexts)
+    return await _load_ordered(session, registry, ordered, strategy)
+
+
+async def _load_ordered(
+    session: AsyncSession,
+    registry: FixtureRegistry,
+    ordered_names: list[str],
+    strategy: LoadStrategy,
+) -> dict[str, list[DeclarativeBase]]:
+    """Load fixtures in order."""
+    results: dict[str, list[DeclarativeBase]] = {}
+
+    for name in ordered_names:
+        fixture = registry.get(name)
+        instances = list(fixture.func())
+
+        if not instances:
+            results[name] = []
+            continue
+
+        model_name = type(instances[0]).__name__
+        loaded: list[DeclarativeBase] = []
+
+        async with get_transaction(session):
+            for instance in instances:
+                if strategy == LoadStrategy.INSERT:
+                    session.add(instance)
+                    loaded.append(instance)
+
+                elif strategy == LoadStrategy.MERGE:
+                    merged = await session.merge(instance)
+                    loaded.append(merged)
+
+                elif strategy == LoadStrategy.SKIP_EXISTING:
+                    pk = _get_primary_key(instance)
+                    if pk is not None:
+                        existing = await session.get(type(instance), pk)
+                        if existing is None:
+                            session.add(instance)
+                            loaded.append(instance)
+                    else:
+                        session.add(instance)
+                        loaded.append(instance)
+
+        results[name] = loaded
+        logger.info(f"Loaded fixture '{name}': {len(loaded)} {model_name}(s)")
+
+    return results
+
+
+def _get_primary_key(instance: DeclarativeBase) -> Any | None:
+    """Get the primary key value of a model instance."""
+    mapper = instance.__class__.__mapper__
+    pk_cols = mapper.primary_key
+
+    if len(pk_cols) == 1:
+        return getattr(instance, pk_cols[0].name, None)
+
+    pk_values = tuple(getattr(instance, col.name, None) for col in pk_cols)
+    if all(v is not None for v in pk_values):
+        return pk_values
+    return None
diff --git a/src/fastapi_toolsets/pytest/__init__.py b/src/fastapi_toolsets/pytest/__init__.py
new file mode 100644
index 0000000..7040c89
--- /dev/null
+++ b/src/fastapi_toolsets/pytest/__init__.py
@@ -0,0 +1,8 @@
+from .plugin import register_fixtures
+from .utils import create_async_client, create_db_session
+
+__all__ = [
+    "create_async_client",
+    "create_db_session",
+    "register_fixtures",
+]
diff --git a/src/fastapi_toolsets/fixtures/pytest_plugin.py b/src/fastapi_toolsets/pytest/plugin.py
similarity index 99%
rename from src/fastapi_toolsets/fixtures/pytest_plugin.py
rename to src/fastapi_toolsets/pytest/plugin.py
index 29b3446..e10a770 100644
--- a/src/fastapi_toolsets/fixtures/pytest_plugin.py
+++ b/src/fastapi_toolsets/pytest/plugin.py
@@ -59,7 +59,7 @@ from sqlalchemy.ext.asyncio import AsyncSession
 from sqlalchemy.orm import DeclarativeBase
 
 from ..db import get_transaction
-from .fixtures import FixtureRegistry, LoadStrategy
+from ..fixtures import FixtureRegistry, LoadStrategy
 
 
 def register_fixtures(
diff --git a/src/fastapi_toolsets/pytest/utils.py b/src/fastapi_toolsets/pytest/utils.py
new file mode 100644
index 0000000..c327738
--- /dev/null
+++ b/src/fastapi_toolsets/pytest/utils.py
@@ -0,0 +1,110 @@
+"""Pytest helper utilities for FastAPI testing."""
+
+from collections.abc import AsyncGenerator
+from contextlib import asynccontextmanager
+from typing import Any
+
+from httpx import ASGITransport, AsyncClient
+from sqlalchemy.ext.asyncio import AsyncSession, async_sessionmaker, create_async_engine
+from sqlalchemy.orm import DeclarativeBase
+
+from ..db import create_db_context
+
+
+@asynccontextmanager
+async def create_async_client(
+    app: Any,
+    base_url: str = "http://test",
+) -> AsyncGenerator[AsyncClient, None]:
+    """Create an async httpx client for testing FastAPI applications.
+
+    Args:
+        app: FastAPI application instance.
+        base_url: Base URL for requests. Defaults to "http://test".
+
+    Yields:
+        An AsyncClient configured for the app.
+
+    Example:
+        ```python
+        from fastapi import FastAPI
+        from fastapi_toolsets.pytest import create_async_client
+
+        app = FastAPI()
+
+        @pytest.fixture
+        async def client():
+            async with create_async_client(app) as c:
+                yield c
+
+        async def test_endpoint(client: AsyncClient):
+            response = await client.get("/health")
+            assert response.status_code == 200
+        ```
+    """
+    transport = ASGITransport(app=app)
+    async with AsyncClient(transport=transport, base_url=base_url) as client:
+        yield client
+
+
+@asynccontextmanager
+async def create_db_session(
+    database_url: str,
+    base: type[DeclarativeBase],
+    *,
+    echo: bool = False,
+    expire_on_commit: bool = False,
+    drop_tables: bool = True,
+) -> AsyncGenerator[AsyncSession, None]:
+    """Create a database session for testing.
+
+    Creates tables before yielding the session and optionally drops them after.
+    Each call creates a fresh engine and session for test isolation.
+
+    Args:
+        database_url: Database connection URL (e.g., "postgresql+asyncpg://...").
+        base: SQLAlchemy DeclarativeBase class containing model metadata.
+        echo: Enable SQLAlchemy query logging. Defaults to False.
+        expire_on_commit: Expire objects after commit. Defaults to False.
+        drop_tables: Drop tables after test. Defaults to True.
+
+    Yields:
+        An AsyncSession ready for database operations.
+
+    Example:
+        ```python
+        from fastapi_toolsets.pytest import create_db_session
+        from app.models import Base
+
+        DATABASE_URL = "postgresql+asyncpg://user:pass@localhost/test_db"
+
+        @pytest.fixture
+        async def db_session():
+            async with create_db_session(DATABASE_URL, Base) as session:
+                yield session
+
+        async def test_create_user(db_session: AsyncSession):
+            user = User(name="test")
+            db_session.add(user)
+            await db_session.commit()
+        ```
+    """
+    engine = create_async_engine(database_url, echo=echo)
+
+    try:
+        # Create tables
+        async with engine.begin() as conn:
+            await conn.run_sync(base.metadata.create_all)
+
+        # Create session using existing db context utility
+        session_maker = async_sessionmaker(engine, expire_on_commit=expire_on_commit)
+        get_session = create_db_context(session_maker)
+
+        async with get_session() as session:
+            yield session
+
+        if drop_tables:
+            async with engine.begin() as conn:
+                await conn.run_sync(base.metadata.drop_all)
+    finally:
+        await engine.dispose()
diff --git a/tests/test_fixtures.py b/tests/test_fixtures.py
index 79b5f0a..e80156b 100644
--- a/tests/test_fixtures.py
+++ b/tests/test_fixtures.py
@@ -7,6 +7,7 @@ from fastapi_toolsets.fixtures import (
     Context,
     FixtureRegistry,
     LoadStrategy,
+    get_obj_by_attr,
     load_fixtures,
     load_fixtures_by_context,
 )
@@ -330,6 +331,69 @@ class TestLoadFixtures:
         assert role is not None
         assert role.name == "original"
 
+    @pytest.mark.anyio
+    async def test_load_with_insert_strategy(self, db_session: AsyncSession):
+        """Load fixtures with INSERT strategy."""
+        registry = FixtureRegistry()
+
+        @registry.register
+        def roles():
+            return [
+                Role(id=1, name="admin"),
+                Role(id=2, name="user"),
+            ]
+
+        result = await load_fixtures(
+            db_session, registry, "roles", strategy=LoadStrategy.INSERT
+        )
+
+        assert "roles" in result
+        assert len(result["roles"]) == 2
+
+        from .conftest import RoleCrud
+
+        count = await RoleCrud.count(db_session)
+        assert count == 2
+
+    @pytest.mark.anyio
+    async def test_load_empty_fixture(self, db_session: AsyncSession):
+        """Load a fixture that returns an empty list."""
+        registry = FixtureRegistry()
+
+        @registry.register
+        def empty_roles():
+            return []
+
+        result = await load_fixtures(db_session, registry, "empty_roles")
+
+        assert "empty_roles" in result
+        assert result["empty_roles"] == []
+
+    @pytest.mark.anyio
+    async def test_load_multiple_fixtures_without_dependencies(
+        self, db_session: AsyncSession
+    ):
+        """Load multiple independent fixtures."""
+        registry = FixtureRegistry()
+
+        @registry.register
+        def roles():
+            return [Role(id=1, name="admin")]
+
+        @registry.register
+        def other_roles():
+            return [Role(id=2, name="user")]
+
+        result = await load_fixtures(db_session, registry, "roles", "other_roles")
+
+        assert "roles" in result
+        assert "other_roles" in result
+
+        from .conftest import RoleCrud
+
+        count = await RoleCrud.count(db_session)
+        assert count == 2
+
 
 class TestLoadFixturesByContext:
     """Tests for load_fixtures_by_context function."""
@@ -399,3 +463,55 @@ class TestLoadFixturesByContext:
 
         assert await RoleCrud.count(db_session) == 1
         assert await UserCrud.count(db_session) == 1
+
+
+class TestGetObjByAttr:
+    """Tests for get_obj_by_attr helper function."""
+
+    def setup_method(self):
+        """Set up test fixtures for each test."""
+        self.registry = FixtureRegistry()
+
+        @self.registry.register
+        def roles() -> list[Role]:
+            return [
+                Role(id=1, name="admin"),
+                Role(id=2, name="user"),
+                Role(id=3, name="moderator"),
+            ]
+
+        @self.registry.register(depends_on=["roles"])
+        def users() -> list[User]:
+            return [
+                User(id=1, username="alice", email="alice@example.com", role_id=1),
+                User(id=2, username="bob", email="bob@example.com", role_id=1),
+            ]
+
+        self.roles = roles
+        self.users = users
+
+    def test_get_by_id(self):
+        """Get an object by its id attribute."""
+        role = get_obj_by_attr(self.roles, "id", 1)
+        assert role.name == "admin"
+
+    def test_get_user_by_username(self):
+        """Get a user by username."""
+        user = get_obj_by_attr(self.users, "username", "bob")
+        assert user.id == 2
+        assert user.email == "bob@example.com"
+
+    def test_returns_first_match(self):
+        """Returns the first matching object when multiple could match."""
+        user = get_obj_by_attr(self.users, "role_id", 1)
+        assert user.username == "alice"
+
+    def test_no_match_raises_stop_iteration(self):
+        """Raises StopIteration when no object matches."""
+        with pytest.raises(StopIteration):
+            get_obj_by_attr(self.roles, "name", "nonexistent")
+
+    def test_no_match_on_wrong_value_type(self):
+        """Raises StopIteration when value type doesn't match."""
+        with pytest.raises(StopIteration):
+            get_obj_by_attr(self.roles, "id", "1")
diff --git a/tests/test_fixtures_utils.py b/tests/test_fixtures_utils.py
deleted file mode 100644
index b21bbe8..0000000
--- a/tests/test_fixtures_utils.py
+++ /dev/null
@@ -1,57 +0,0 @@
-"""Tests for fastapi_toolsets.fixtures.utils."""
-
-import pytest
-
-from fastapi_toolsets.fixtures import FixtureRegistry
-from fastapi_toolsets.fixtures.utils import get_obj_by_attr
-
-from .conftest import Role, User
-
-registry = FixtureRegistry()
-
-
-@registry.register
-def roles() -> list[Role]:
-    return [
-        Role(id=1, name="admin"),
-        Role(id=2, name="user"),
-        Role(id=3, name="moderator"),
-    ]
-
-
-@registry.register(depends_on=["roles"])
-def users() -> list[User]:
-    return [
-        User(id=1, username="alice", email="alice@example.com", role_id=1),
-        User(id=2, username="bob", email="bob@example.com", role_id=1),
-    ]
-
-
-class TestGetObjByAttr:
-    """Tests for get_obj_by_attr."""
-
-    def test_get_by_id(self):
-        """Get an object by its id attribute."""
-        role = get_obj_by_attr(roles, "id", 1)
-        assert role.name == "admin"
-
-    def test_get_user_by_username(self):
-        """Get a user by username."""
-        user = get_obj_by_attr(users, "username", "bob")
-        assert user.id == 2
-        assert user.email == "bob@example.com"
-
-    def test_returns_first_match(self):
-        """Returns the first matching object when multiple could match."""
-        user = get_obj_by_attr(users, "role_id", 1)
-        assert user.username == "alice"
-
-    def test_no_match_raises_stop_iteration(self):
-        """Raises StopIteration when no object matches."""
-        with pytest.raises(StopIteration):
-            get_obj_by_attr(roles, "name", "nonexistent")
-
-    def test_no_match_on_wrong_value_type(self):
-        """Raises StopIteration when value type doesn't match."""
-        with pytest.raises(StopIteration):
-            get_obj_by_attr(roles, "id", "1")
diff --git a/tests/test_pytest_plugin.py b/tests/test_pytest.py
similarity index 55%
rename from tests/test_pytest_plugin.py
rename to tests/test_pytest.py
index 62aabf5..ef903bb 100644
--- a/tests/test_pytest_plugin.py
+++ b/tests/test_pytest.py
@@ -1,12 +1,20 @@
-"""Tests for fastapi_toolsets.pytest_plugin module."""
+"""Tests for fastapi_toolsets.pytest module."""
 
 import pytest
+from fastapi import FastAPI
+from httpx import AsyncClient
+from sqlalchemy import select
 from sqlalchemy.ext.asyncio import AsyncSession
 from sqlalchemy.orm import selectinload
 
-from fastapi_toolsets.fixtures import Context, FixtureRegistry, register_fixtures
+from fastapi_toolsets.fixtures import Context, FixtureRegistry
+from fastapi_toolsets.pytest import (
+    create_async_client,
+    create_db_session,
+    register_fixtures,
+)
 
-from .conftest import Role, RoleCrud, User, UserCrud
+from .conftest import DATABASE_URL, Base, Role, RoleCrud, User, UserCrud
 
 test_registry = FixtureRegistry()
 
@@ -158,3 +166,102 @@ class TestGeneratedFixtures:
 
         assert len(roles) == 2
         assert len(users) == 2
+
+
+class TestCreateAsyncClient:
+    """Tests for create_async_client helper."""
+
+    @pytest.mark.anyio
+    async def test_creates_working_client(self):
+        """Client can make requests to the app."""
+        app = FastAPI()
+
+        @app.get("/health")
+        async def health():
+            return {"status": "ok"}
+
+        async with create_async_client(app) as client:
+            assert isinstance(client, AsyncClient)
+            response = await client.get("/health")
+            assert response.status_code == 200
+            assert response.json() == {"status": "ok"}
+
+    @pytest.mark.anyio
+    async def test_custom_base_url(self):
+        """Client uses custom base URL."""
+        app = FastAPI()
+
+        @app.get("/test")
+        async def test_endpoint():
+            return {"url": "test"}
+
+        async with create_async_client(app, base_url="http://custom") as client:
+            assert str(client.base_url) == "http://custom"
+
+    @pytest.mark.anyio
+    async def test_client_closes_properly(self):
+        """Client is properly closed after context exit."""
+        app = FastAPI()
+
+        async with create_async_client(app) as client:
+            client_ref = client
+
+        assert client_ref.is_closed
+
+
+class TestCreateDbSession:
+    """Tests for create_db_session helper."""
+
+    @pytest.mark.anyio
+    async def test_creates_working_session(self):
+        """Session can perform database operations."""
+        async with create_db_session(DATABASE_URL, Base) as session:
+            assert isinstance(session, AsyncSession)
+
+            role = Role(id=9001, name="test_helper_role")
+            session.add(role)
+            await session.commit()
+
+            result = await session.execute(select(Role).where(Role.id == 9001))
+            fetched = result.scalar_one()
+            assert fetched.name == "test_helper_role"
+
+    @pytest.mark.anyio
+    async def test_tables_created_before_session(self):
+        """Tables exist when session is yielded."""
+        async with create_db_session(DATABASE_URL, Base) as session:
+            # Should not raise - tables exist
+            result = await session.execute(select(Role))
+            assert result.all() == []
+
+    @pytest.mark.anyio
+    async def test_tables_dropped_after_session(self):
+        """Tables are dropped after session closes when drop_tables=True."""
+        async with create_db_session(DATABASE_URL, Base, drop_tables=True) as session:
+            role = Role(id=9002, name="will_be_dropped")
+            session.add(role)
+            await session.commit()
+
+        # Verify tables were dropped by creating new session
+        async with create_db_session(DATABASE_URL, Base) as session:
+            result = await session.execute(select(Role))
+            assert result.all() == []
+
+    @pytest.mark.anyio
+    async def test_tables_preserved_when_drop_disabled(self):
+        """Tables are preserved when drop_tables=False."""
+        async with create_db_session(DATABASE_URL, Base, drop_tables=False) as session:
+            role = Role(id=9003, name="preserved_role")
+            session.add(role)
+            await session.commit()
+
+        # Create another session without dropping
+        async with create_db_session(DATABASE_URL, Base, drop_tables=False) as session:
+            result = await session.execute(select(Role).where(Role.id == 9003))
+            fetched = result.scalar_one_or_none()
+            assert fetched is not None
+            assert fetched.name == "preserved_role"
+
+        # Cleanup: drop tables manually
+        async with create_db_session(DATABASE_URL, Base, drop_tables=True) as _:
+            pass