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cardiology-notes.pdf · 12 / 24

Cardiology · Clinical Reasoning

A 58-year-old presents with sudden tearing chest pain, BP differential 40 mmHg between arms. ECG clear. Most likely diagnosis?

AAcute MI
BAortic dissection✓ Correct
CPulmonary embolism
Citation“BP differential >20 mmHg between arms is a classic dissection sign.”cardiology-notes.pdf · p. 47
T1

Cognitive Autopsy

Anchoring

You fixated on the chest pain presentation and missed the bilateral BP differential — the decisive dissection clue.

Charité BerlinUCSF School of MedicineKing's College LondonKarolinska InstitutetNUS MedicineGlobalMedTutorUvACharité BerlinUCSF School of MedicineKing's College LondonKarolinska InstitutetNUS MedicineGlobalMedTutorUvA

How it works

From upload to mastery,
in four steps

No prompt-engineering, no chatbots to wrangle. Drop a document in and the loop runs itself.

  1. Upload your material

    PDFs, images, slides, links, notes — any source you study from. Scanned pages are OCR'd automatically. 25 MB on Free, 100 MB on Pro. Up to 1,000 pages per PDF on Pro.

  2. AI generates

    Citation-backed questions, Cognitive Autopsy tags on every distractor, flashcards from the same source. Built only from YOUR material — no hallucinations.

  3. Practice and learn

    Take the quiz. Every answer gets autopsied — you see the reasoning behind each option, not just the right letter.

  4. Track and master

    A weakness heatmap by topic and a forgetting-curve schedule bring concepts back the moment you'd lose them.

Chat with your material

Not just quizzes.
Ask your document anything.

Every uploaded document becomes a conversational knowledge base. Ask questions in plain language, get cited answers pulled from your own material — then drill deeper without switching tools.

Paragraph-level citations

Every answer links to the exact paragraph in your source — not just a page number.

Grounded in your material only

No hallucinations — the AI only answers from what you uploaded.

Works alongside your quizzes

Use chat to clarify concepts from your study material — all from the same document, no switching tools.

pharmacology-lecture-3.pdfChat
Hi! I’ve read pharmacology-lecture-3.pdf (52 pages). Ask me anything about it.
What’s the mechanism of action of ACE inhibitors?
ACE inhibitors block the conversion of angiotensin I to angiotensin II by inhibiting angiotensin-converting enzyme. This reduces vasoconstriction and aldosterone secretion, lowering both preload and afterload — making them first-line in HFrEF and hypertension.
pharmacology-lecture-3.pdf · p. 18, 2nd paragraph
How do beta blockers differ from ACE inhibitors?
Ask about your document…

The Cognitive Autopsy

A mental X-ray, not just a red checkmark.

Normal MCQs tell you what you got wrong. Cognitive Autopsy MCQs tell you exactly where your reasoning broke down — so you fix the thinking, not just the fact.

Normal MCQ

Fact-checks you

When you get a question wrong, you get a paragraph explaining the correct answer. You know what's right. You still don't know why your gut got it wrong.

  • Marks the answer wrong
  • Explains the correct answer
  • You make the same mistake next time
Cognitive Autopsy MCQ

Diagnoses your thinking

Every answer gets a reasoning analysis. The system identifies the specific cognitive error pattern behind your choice — so you can correct the root cause, not just memorise the answer.

  • Classifies your reasoning error (T1–T4)
  • Shows primary + secondary cognitive error
  • You recognize the pattern and fix it for good

Primary vs Secondary Errors

When you select a wrong answer, the system gives you two layers of analysis:

Primary Error

The main flaw in your clinical reasoning

The core mistake in how you processed the clinical information — the step where your reasoning chain broke.

Secondary Error

The mental trap or bias that led you there

The underlying cognitive bias or shortcut that caused the primary error — the pattern to watch for next time.

The 4-Error Taxonomy

Every mistake is classified into one of four types — so you can recognize your own patterns.

T1

Overthink & Anchor

You fixate on one salient detail and ignore the rest of the clinical picture. One word hijacks your entire reasoning chain.

ExampleYou see "military veteran" and anchor on aggression — choosing a mood stabilizer instead of the correct SSRI for PTSD.
T2

Missed the Clue

You overlook a key piece of information in the stem. The decisive detail was there — you just didn't register it.

ExampleYou diagnose opioid overdose in a comatose patient but miss that the pupils are normally reactive — ruling it out.
T3

Wrong Mechanism

You identified the right system or domain but chose the wrong mechanism or treatment. Right neighbourhood, wrong address.

ExampleYou recognize anxiety but select Buspirone — which treats GAD, not PTSD. Different mechanism for a different disorder.
T4

Incomplete Reasoning

You stopped thinking too early. You treated the loudest symptom rather than reasoning to the underlying condition.

ExampleYou treat insomnia with Trazodone — without recognizing it is secondary to PTSD and the disorder itself needs treating.

The key idea

This system is not just about getting more questions right. It is about understanding your thinking patterns and correcting them — so that better clinical reasoning becomes automatic, not effortful.

Get it wrong.
Find out exactly why.

A live Cognitive Autopsy on a real-style question.

A 28-year-old combat veteran presents with insomnia, flashbacks, and an exaggerated startle response 3 months after returning from deployment. Which of the following is the most appropriate first-line treatment?

Tap any option — wrong picks reveal a full Cognitive Autopsy.

Who it’s for

Two audiences. One engine.

For medical students

Pass the boards. Then keep what you learned.

USMLE / PLAB / MRCP questions generated from your own coursework, with the Cognitive Autopsy that names the diagnostic error pattern behind every miss.

  • Vignette-style questions, not flashcards
  • Citations back to your own notes and textbooks
  • Diagnostic-error tagging (T1–T4) on every miss

For knowledge workers

Onboard faster. Retain longer.

Turn internal docs, RFCs, and onboarding decks into role-tailored quizzes. Measure team comprehension before launch, not after the postmortem.

  • SOC 2-friendly — your data stays private
  • Team dashboards by topic and seniority
  • SSO and audit logs from day one

Loved by learners

Real results from real students

QuizEngine caught a thinking pattern I didn’t know I had. The Cognitive Autopsy on every wrong answer is genuinely a different way of learning — it’s the first tool that told me why I keep getting the same questions wrong.

★★★★★

Sam Q.

Med Student · Year 3

Med Resident★★★★★

Finally, an AI tool that cites every claim. I trust it because I can verify it.

Anthony E.

Med Resident

Nursing★★★★★

Made a 98 in 2 days using these flashcards.

Samantha V.

Nursing Student

USMLE Prep★★★★★

Replaced my $200/month coaching with QuizEngine. Same outcomes, fraction of the cost.

Court H.

USMLE Prep

Bar Exam★★★★★

The forgetting-curve scheduling brings cards back exactly when I'd start forgetting them. Magic.

Anna K.

Bar Exam Candidate

Team Lead★★★★★

Our team's compliance training pass rate went from 73% to 91% in 6 weeks.

Operations Lead

Healthcare Co.

Law Student★★★★★

Stopped re-reading and started quizzing. My retention after 2 weeks is unreal.

Marcus R.

Law Student

Med Resident★★★★★

Finally, an AI tool that cites every claim. I trust it because I can verify it.

Anthony E.

Med Resident

Nursing★★★★★

Made a 98 in 2 days using these flashcards.

Samantha V.

Nursing Student

USMLE Prep★★★★★

Replaced my $200/month coaching with QuizEngine. Same outcomes, fraction of the cost.

Court H.

USMLE Prep

Bar Exam★★★★★

The forgetting-curve scheduling brings cards back exactly when I'd start forgetting them. Magic.

Anna K.

Bar Exam Candidate

Team Lead★★★★★

Our team's compliance training pass rate went from 73% to 91% in 6 weeks.

Operations Lead

Healthcare Co.

Law Student★★★★★

Stopped re-reading and started quizzing. My retention after 2 weeks is unreal.

Marcus R.

Law Student

Powering leading study platforms

Trusted where it matters most

Top medical-education platforms run their question pipelines on QuizEngine.

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GlobalMedTutor

Global medical education platform

Our students used to re-read their notes three times before an exam. Now they upload once, quiz twice, and walk in knowing exactly which concepts are fragile. The Cognitive Autopsy is unlike anything else on the market.

Dr. Raheel Azhar

Founder, GlobalMedTutor

Visit GlobalMedTutor

+38%

Higher student retention at 30 days vs. passive re-reading

Faster exam prep — students reach target score in half the sessions

Exact

Paragraph-level citations — not just a page number, but the precise sentence that proves the answer

One simple price

One credit = one quiz question. Use them however you want.

FREE

$0

forever


  • Credits100 / month (no roll-over)
  • Documents1 / month (up to 25 MB)
  • Cognitive Autopsies5 / month
  • Chat with your documents10 / day
  • Citation-backed quizzes
  • Coverage mapRead-only
  • Spaced-repetition flashcards
  • Mastery analyticsBasic stats
  • Smart review emails (knowledge fade)
  • Adaptive practice mode
  • Image, PPTX, DOCX uploads
  • Up to 1,000-page PDFs
  • Export to PDF / QTI / Anki
  • API access
  • Priority email support

Invite-only access

PRO

★ Recommended

$100 / year

$8.33 / month equivalent · Save 17%


  • Credits1,000 / month (roll over)
  • DocumentsUnlimited (up to 100 MB)
  • Cognitive AutopsiesUnlimited (deeper Pro-model diagnostic)
  • Chat with your documentsUnlimited
  • Citation-backed quizzes
  • Coverage map+ quiz-from-pages selection
  • Spaced-repetition flashcards
  • Mastery analyticsFull dashboard
  • Smart review emails (knowledge fade)
  • Adaptive practice mode
  • Image, PPTX, DOCX uploads
  • Up to 1,000-page PDFs
  • Export to PDF / QTI / Anki
  • API accessRate-limited
  • Priority email support24 h response

    Coming soon

  • Mind maps from your documents
  • Podcast-style audio summaries

Plus everything we ship next — LMS export, adaptive learning, team workspaces, SSO — all included.

Invite-only access

FAQ

Frequently asked

What is the Cognitive Autopsy?
When you get a question wrong, we classify the failure as T1 (anchoring), T2 (premature closure), T3 (wrong mechanism), or T4 (missed step) — so you fix the thinking pattern, not just the fact.
What file types can I upload?
PDFs, DOCX, PPTX, scanned images (PNG / JPG / HEIC), and direct text paste. We OCR scans and photographs and preserve page numbers for citations. 25 MB per file on Free, 100 MB on Pro. Up to 1,000 pages per PDF on Pro (250 on Free). Audio uploads coming soon.
How do credits work? Will I run out?
One credit = one quiz question. A regular question costs 1 credit; a Cognitive Autopsy question costs 5 credits (it includes the deeper reasoning diagnostic). Each quiz tops out at 30 credits no matter how long the source document is.

Pro gives you 1,000 credits per month — roughly 1,000 plain questions or 200 deep-diagnostic questions, or any mix in between. Unused subscription credits roll over while your plan is active.

Need more? Buy a top-up pack at $10 for 1,000 extra credits — top-up credits never expire and stack on top of your monthly bucket.
Is my data private?
Yes. Your documents are stored encrypted at rest and are never used to train models. Team plans add SSO, audit logs, and SOC 2 Type II.
How is this different from Anki or flashcard apps?
Flashcards test recognition. QuizEngine tests reasoning. Vignette-style questions force you to integrate multiple facts — then the autopsy tells you which step in the chain broke. Anki has no concept of diagnostic reasoning errors.

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