Pass your boards and clinicals by turning what you've memorized into how a provider thinks.

Realistic clinical cases walk you through the full patient encounter. You make the calls, stakes-free.

Inside a case

How a Sketchy case unfolds

PA school front-loads a lot of content but not enough clinical exposure. Sketchy cases close that gap.

See it in action

Swipe to explore a case

Sketchy cases get you ready for the big moments: presenting on rounds and taking Step 2. You take the history, narrow the differential, and decide how to manage your patient. The same reps you'll run in real life, minus a real life on the line.
01 History & Physical

Get to know your patient.

Every case opens with a chief concern and vitals. Then, type or talk with a virtual patient to take the history, perform your physical exam, and start uncovering key findings.
02 Differential

Build and rank your DDx.

Add diagnoses, rank them, and reorder your differential as new findings come in. Defend your reasoning to your attending.
03 Orders & Results

Make sense of the workup.

Order labs, ECGs, X-rays, and more. Spot what's abnormal and interpret it yourself, the way you will in the clinic.
04 Management

Decide the next best step.

Propose your management plan and explain your reasoning. Your attending affirms it or guides you to the right call, no cold sweats required.
05 Feedback

See how you measured up.

Get a step-by-step review of your clinical reasoning and how you compared to peers, with links to relevant Sketchy lessons to make sure you never forget again.

Master the exam. Maximize your score.

Built for the NP boards and 3P exam

The same clinical reasoning your boards test, minus the multiple choice to hide behind. Build the recall that holds up on the 3P exam and doesn't quit on boards day.

Board-style case structure

Each case walks the same arc your boards actually draw from: chief complaint, key findings, diagnosis, management. By the time you sit for one, it's muscle memory.

Feedback now, payoff on test day

Your virtual preceptor corrects your reasoning in real time, with high-yield teaching points and MCQs built in. Fix your thinking before the exam tests it.

Case coverage that matches the exams

Our case library covers the same high-yield presentations your boards pull from, across every core rotation. The reasoning you build here is the reasoning they test.

Built for the NP boards and 3P exam

The same clinical reasoning your boards test, minus the multiple choice to hide behind. Build the recall that holds up on the 3P exam and doesn't quit on boards day.

Board-style case structure

Each case walks the same arc your boards actually draw from: chief complaint, key findings, diagnosis, management. By the time you sit for one, it's muscle memory.

Feedback now, payoff on test day

Your virtual preceptor corrects your reasoning in real time, with high-yield teaching points and MCQs built in. Fix your thinking before the exam tests it.

Case coverage that matches the exams

Our case library covers the same high-yield presentations your boards pull from, across every core rotation. The reasoning you build here is the reasoning they test.
of Sketchy case users feel more confident building differentials
of learners say Sketchy helps them think like a clinician
felt more prepared for clinical rotations
recommend Sketchy Cases to other students
felt more confident seeing real patients

Walk in ready. Answer on the spot.

Make mistakes here. Not in clinicals.

Test the hunch you're not sure about. Order the wrong test. Google something mid-case. Zero repercussions here: no grade, no preceptor side-eye, no patient actually on the line.

Feedback you'd expect from a preceptor

Get real-time feedback that confirms or corrects your reasoning as you work the case, with personalized explanations when a call doesn't fit.

Built like a virtual OSCE

Take the history, ask focused questions, work up the patient: the same skills your OSCE and sim labs score. Practice like the real thing, minus the nerves.

See the cases your clinical site might not

Practice in cases what you don't see in person. High-yield bread-and-butter cases (and a whole herd of zebras) level the playing field no matter where you train.

Make mistakes here. Not in clinicals.

Test the hunch you're not sure about. Order the wrong test. Google something mid-case. Zero repercussions here: no grade, no preceptor side-eye, no patient actually on the line.

Feedback you'd expect from a preceptor

Get real-time feedback that confirms or corrects your reasoning as you work the case, with personalized explanations when a call doesn't fit.

Built like a virtual OSCE

Take the history, ask focused questions, work up the patient: the same skills your OSCE and sim labs score. Practice like the real thing, minus the nerves.

See the cases your clinical site might not

Practice in cases what you don't see in person. High-yield bread-and-butter cases (and a whole herd of zebras) level the playing field no matter where you train.
of Sketchy case users feel more confident building differentials
of learners say Sketchy helps them think like a clinician
felt more prepared for clinical rotations
recommend Sketchy Cases to other students
felt more confident seeing real patients

Every major specialty. Every system. One library.

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.

Rotations covered:

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

Body systems covered:

Reproductive

Cardiovascular

Renal / GU

Rheum / MSK / Integumentary

GI / Hepatobiliary

Endocrinology

Hematology & Oncology

Pulmonology

Nervous System / Psych

Infectious Disease

Credentialed clinicians created Sketchy's cases.

Credentialed clinicians created Sketchy's cases. Every case is written and reviewed by licensed clinicians and educators to reflect real-world practice, not just textbook theory.

Loved by students like you.

I like applying the knowledge in a low stakes way without the performance pressure while learning.
— Sarah R., NP Student  ·  Case Western Reserve University
As an aspiring NP, Sketchy Cases helped me gain confidence in clinical skills. It made a point, drove it home, and ingrained the case study in my heart.
— Stephanie C., NP Student · Hofstra University
I really like the case scenarios. They really help me start thinking like a provider and see where I need to focus my studies.
— Cristine B., NP Student · Mount Marty University

The study break that still counts.

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

Get started for free, no strings attached

All access

Complete learning for didactic coursework, board prep, & clinical reasoning

Lessons & QBank

Didactic & clinical courses

End-of-lesson quizzes

Unlimited custom tests

Interactive patient cases

Full patient encounters

Core rotations & systems

Practice clinical skills

3 months

Most affordable
Try for Free

$33.33 / month

Total payment $99.99

6 months

Most popular
Try for Free

$25.00 / month

Total payment $149.99

12 months

Best value
Try for Free

$20.83 / month

Total payment $249.99

From $162.50/month, or 4 payments at 0% interest with
Pay in 4 Disclosure: *See payment terms. A higher initial payment may be required for some consumers. CA resident loans made or arranged pursuant to a California Financing Law license. NMLS # 1353190.
new

Cases only

Clinical reasoning skill-building for board prep & the wards

Interactive patient cases

Full patient encounters

Core rotations & systems

Practice clinical skills

Start your for free trial now. Cancel anytime.

Frequently Asked Questions

Do Sketchy cases align with the AANP and ANCC board exams?

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.

How do Sketchy cases align with the Sketchy lessons I already use?

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.

Do Sketchy cases help with OSCE and sim lab prep?

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.

How do Sketchy cases fit into my existing study routine?

Sketchy cases fit into any study plan you're already using. Here's how NP students use them at each stage:

  • Didactic coursework: Pair one case with each system you're covering to apply what you've learned. Facing a 3P exam? Use cases to turn pharm and patho content into clinical thinking before the gate.
  • Clinicals: Limited clinical sites or preceptor time? Cases fill the encounter gap. Saw a tough patient that left you stumped? Review it that night by searching the chief complaint in the case library.
  • Board prep: Use Sketchy cases to target the clinical reasoning you're still shaky on before AANP or ANCC. Filter by skill or system and drill through realistic patient vignettes before test day.