Realistic clinical cases walk you through the full patient encounter. You make the calls, stakes-free.
Make the leap from following orders to writing them. Sketchy cases put you in the provider seat for the full encounter: history, differential, workup, plan. Practice the calls in a judgment-free space, so by the time clinicals start, the thinking is already yours.







Built for the NP boards and 3P exam
Board-style case structure
Feedback now, payoff on test day
Case coverage that matches the exams

Make mistakes here. Not in clinicals.
Feedback you'd expect from a preceptor
Built like a virtual OSCE
See the cases your clinical site might not
405+ cases across all the major specialties and settings. Plus full case coverage for every Pharm and Patho lesson, so what you study links straight to a patient.

Internal Medicine
150+ cases
Neurology
15+ cases
OB/GYN
20+ cases
Emergency Medicine
75+ cases
Surgery
5+ cases
Family Medicine
55+ cases
Psychiatry
5+ cases
Pediatrics
35+ cases
Reproductive
Cardiovascular
Renal / GU
Rheum / MSK / Integumentary
GI / Hepatobiliary
Endocrinology
Hematology & Oncology
Pulmonology
Nervous System / Psych
Infectious Disease


Burnout is real, and sometimes you need a break from grinding through questions. Game-style cases are it: quick, low-stress, and still building the recall and reasoning you need. Your brain thinks it's resting. It isn't.

Mini Cases

Stat Read

Board blitz

DxDash

Bugs & Drugs

GuesSTI

Path-o-Finder

Bootcamp

Mini Cases

Stat Read

Board blitz

Bugs & Drugs

DxDash

GuesSTI

Path-o-Finder

Bootcamp
Complete learning for didactic coursework, board prep, & clinical reasoning
Didactic & clinical courses
End-of-lesson quizzes
Unlimited custom tests
Full patient encounters
Core rotations & systems
Practice clinical skills
Clinical reasoning skill-building for board prep & the wards
Full patient encounters
Core rotations & systems
Practice clinical skills
Start your for free trial now. Cancel anytime.
Sketchy cases align with AANP and ANCC board exams because both are built around the same clinical arc: assess the patient, build the differential, plan care, and evaluate. Every case walks that arc through a realistic patient vignette, so the reasoning you practice is the reasoning your boards score.
Sketchy cases align directly with the Sketchy lessons you already use because every Pharm and Patho lesson has a matching case built around that same condition. Finish a lesson, and a case is waiting to test your clinical reasoning on a patient with that diagnosis.
Sketchy cases help with OSCE and sim lab prep by reinforcing the exact skills they test: clinical decision-making, communication, and history-taking under pressure. Using speech-to-text, you talk to a virtual patient and present your SOAP out loud, just like a real OSCE station or sim encounter.
Sketchy cases fit into any study plan you're already using. Here's how NP students use them at each stage: