Cases that unfold. Reasoning that gets scored.
Real exam stems reward the ability to update a differential as information arrives. Medutors cases are built in stages so you practise exactly that, one decision at a time.
Presentation, data, diagnosis, check.
A sample walkthrough of one cardiology case. Every case in the bank follows this four-stage structure, with the depth scaled to your level.
Single-shot questions let you pattern-match on the last line. Staged cases force you to reason with incomplete data, which is where most exam errors begin.
Read the case as it arrives
You get what a clinician gets at first contact: age, sex, the complaint in the patient's words and the immediate context. You commit to an initial differential before any tests.
Request and interpret findings
Vitals, examination and investigations are released in the order you would reasonably ask for them. Each datum is tagged by how much it should shift the differential.
Commit to a leading diagnosis
You rank your differential and lock in the most likely diagnosis. Confidence is recorded so overconfidence and underconfidence both become visible in your report.
See the chain, not only the answer
Your path is compared with a reviewed reasoning chain. Correct steps are confirmed, missed clues are highlighted, and the next best step in management is explained.
Four dimensions on every case
A correct final answer reached by guesswork scores differently from one reached by sound reasoning. Both are tracked, so lucky streaks do not hide real gaps.
Clue recognition
Did you register the finding that should have changed your thinking, such as hypotension in an inferior infarct?
Differential quality
Was the must-not-miss diagnosis on your list, and was it ranked sensibly for the data you had?
Calibration
Did your confidence match your accuracy? Consistent overconfidence is flagged as its own weak area.
Next-step logic
Was the chosen investigation or management step the right one at that stage of the case?
Watch a differential update in real time
Switch between respiratory, obstetric and endocrine cases. Use Reveal data to step through each stage at your own pace.
A 34-year-old woman presents with sudden dyspnoea and pleuritic chest pain that began this morning. She returned yesterday from a 14-hour flight. She takes a combined oral contraceptive.
Recent immobility plus oestrogen exposure, two major VTE risk factors in one history.
Hypoxia and tachycardia, argue against musculoskeletal and anxiety causes.
Equal air entry, unilateral calf swelling, pneumothorax falls, DVT source likely.
High Wells score with raised D-dimer, proceed to CT pulmonary angiography.