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59 Clinical Reasoning Cases.
Timed. Scored. Realistic.

Think through real clinical presentations. Make decisions under pressure. Get scored on your clinical judgement.

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59
Cases
30+
Specialties
Timed
Decision Trees
Scored
10 / 5 / -2 pts

How Clinical Reasoning Works

1
1

Read the Presentation

A real clinical scenario with patient demographics, history, and findings.

2
2

Make Decisions

Choose investigations, interpret results, select diagnoses and management.

3
3

Get Scored

10 points first attempt, 5 points on retry, -2 points for wrong answers.

4
4

Review & Learn

Detailed explanations for every decision point. 8–15 minutes per case.

Cases for Every Level

The majority of cases are Foundation level — ideal for building clinical confidence before tackling advanced presentations.

Foundation
43 cases · 73%
Intermediate
13 cases · 22%
Advanced
2 cases · 3%
Specialty
1 cases · 2%

Try a Sample Case

Here is what a clinical reasoning case looks like. Read the presentation, form your answer, then reveal.

The Breathless Night-Shift Nurse

Emergency MedicineIntermediate
Clinical PresentationA 28-year-old female nurse presents to ED at 3am with sudden-onset left-sided pleuritic chest pain and dyspnoea. She started the combined oral contraceptive pill 6 weeks ago. HR 112, RR 24, SpO₂ 93% on air, BP 118/72. Chest is clear.

What is the most likely diagnosis, and what is the single best initial investigation?

59 clinical reasoning cases waiting

Work through real clinical presentations under timed conditions. Get scored on every decision. Available on MedNext Academy.

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