Vignette: Board-Style Practice Questions From Your Own Lectures

Why Vignette

Big Qbanks are written for Step and COMLEX. Your block exams are written from your professors' lectures.

A big Qbank

Questions on what the board exam covers
Nothing on your professor's slides, cases or emphasis
You hunt for questions that match this week's lectures

Vignette

Questions on exactly what you uploaded, from this week's lectures
Every question shows the file and page it came from
Board-style vignettes that make you reason a step, not flashcard recall
Every wrong answer explained, plus a study guide of what you missed

How it works

Built by a med student, for practicing on the lectures you're actually tested on.

Step 1

Upload this week's lecture

Slides, notes or a chapter, as PDF, PowerPoint or Word. Your files are read once and never stored.

Step 2

Vignette writes your block

It picks the high-yield facts from every section, writes board-style vignettes, and checks each answer against your lecture. A few minutes, start to finish.

Step 3

Take it like test day

Tutor or exam mode, with timers, highlighting, strike-outs and flags. Every answer is explained, including why your pick was wrong, with the slide it came from.

Q 1:04Block 14:31⚑

A 24-year-old man finishes a marathon in hot weather. His plasma osmolality is 305 mOsm/kg. Which of the following is most likely increased in his collecting duct cells?

A. Atrial natriuretic peptide receptor signaling

B. Aquaporin-2 insertion in the apical membrane

C. Bicarbonate secretion by intercalated cells

D. Removal of urea transporters from the apical membrane

E. Parathyroid hormone–driven calcium reabsorption

Not quite. The answer is B. Rising osmolality triggers ADH, which inserts aquaporin-2 so water is reabsorbed.Why C is wrong: intercalated cells handle acid–base, not water balance.Renal Physiology – Lecture 14.pdf · slide 22

Step 4

See exactly what to study

Results show your time per question, and Your topics tracks every subject across every block, weakest first. One click turns your misses into a study guide.

The test-day interface

Practice the way the real exam feels.

Test-day timing

Set your pace per question

Highlight and strike out

Mark up stems and choices

Flag and filter

Only flagged or unanswered

Lab values and calculator

Just like exam day

Resume anytime

Timers and all

Every block saved

Retake on any device

Study tools that use your results

Every block you take makes the next one more useful.

Why you missed it

Including why your pick fails

Ask a follow-up

Answered on the spot

Your topics

Weakest first, with trends

Build your own tests

Mix blocks or retake misses

Study guide

Your misses, in one click

Notes

Saved to the question

Pricing

One plan with everything. Join the waitlist and we'll email you when it opens.

1,500 new questions a month, about 75 blocks of 20

Every feature: test-day interface, explanations, study guides, Your topics

Retakes and custom tests reuse your questions and don't count

Cancel anytime

FAQs

What can I upload?

PDF, PowerPoint (.pptx), Word (.docx) or text, up to 3 files per block. Lecture slides and text PDFs work best. Scanned pages that are only images can't be read yet.

Is my lecture stored?

No. Your files are read once to write your questions and never stored. Your questions and results are saved so you can review them. Every file is checked on your own device for patient information before anything is sent, and our AI service provider can't use your material to train AI models.

How good are the questions?

Each block mixes the three kinds of questions you'll see on boards. 1st order questions test recall in a short stem, like a drug's mechanism or what a finding is called. 2nd order questions make you work out a hidden step first, like reading the findings to reach a diagnosis and then picking its treatment. 3rd order questions chain two steps together, the way the hardest board questions do.

Each answer key is checked against your lecture, and questions with giveaways or weak answer choices are rewritten before you see them. They're still AI-written, so every question shows the page it came from, and you can report any question that looks off.

Does it work for my school?

Yes. Vignette works from whatever you upload, so it fits any DO or MD curriculum. Questions are written in the style of COMLEX and USMLE.

What counts toward the 1,500 questions?

Only new questions. Retakes, custom tests and study guides reuse questions you already have and don't count. If a block comes back with fewer questions than you asked for, you're only charged for the ones you get.

Can I cancel?

Anytime. You keep access until the end of the month you've paid for.