Commit
- Hear the case and the question
- Answer out loud, or type
- Rate how sure you are, 1 to 5
MedRise MedicineVivaMedRise Viva: clinical reasoning, out loud
An oral exam in your browser. The examiner reads a case aloud, you answer out loud, and every follow-up comes from what you just said. Miss it, and you get one hint at a time, then a short teach and a teach-back.
Early access. Free. Education only: never say patient information.
Choose a session
20 original cases across 6 rotations. Missed cases come back first next time.
Here is the key
- Answer
- Key clue
- Why it wins
Your scorecard
Test-day breakdown
For each case: the clue, the reasoning, and what it rules in or out.
Missed cases go into your review queue, saved in this browser only, and come back first next time.
How it works
One question, start to finish
The answer is held back until you reason your way to it. That effort is what makes it stick.
Get pushed
- Right: a harder follow-up on the same case
- Not yet: one Socratic hint at a time, up to three
- Hints point to the clue, never the answer
Lock it in
- Still stuck: a short teach with the key clue
- Then you teach it back in your own words
- Scorecard plus a clue, reasoning, rules-in-or-out breakdown
Sessions
Three ways to practice
Daily Viva
- 3 cases, about 5 minutes
- Hints, teaching and one follow-up per case
- Your review queue comes first
Tutor Viva
- 8 cases, 15 to 20 minutes
- Full hint ladder and two follow-ups
- Filter by rotation
Assessment Viva
- 6 cases with no hints
- Scored, with answers on the scorecard
- A clinical reasoning baseline for you or your program
Why out loud
Rounds and oral exams don’t give you answer choices
Multiple-choice questions let you recognize an answer you could not have produced. On rounds, in a viva, or when a patient is in front of you, you have to say it. Speaking forces a commitment, and it shows which step of your reasoning broke: the clue you missed, the hypothesis you never raised, or the next step you skipped.
Viva also asks how sure you are. A confident wrong answer is the most useful thing to find before test day, so the scorecard flags those first.
Questions
Frequently asked
What is MedRise Viva?
MedRise Viva is a voice quiz for clinical reasoning. An examiner reads a case aloud, you answer out loud, and each follow-up comes from what you just said. If you miss, you get one Socratic hint at a time, up to three, then a short teach and a teach-back question.
How is it different from a question bank?
There are no answer choices to scan. You have to commit to an answer in your own words, the way you would on rounds or in an oral exam, and the hints point you back to the clue instead of giving the answer away.
Do you record my voice?
No. Your browser's own speech service turns your speech into text (in Chrome, that service is run by Google). Only the text of your answer is sent to MedRise to check it, and MedRise does not store your audio or your answers. Your progress and review queue stay in this browser.
How are my answers checked?
Each answer is compared with the expected answer for that case. When available, an AI model checks the meaning of what you said and allows for speech-to-text errors; otherwise a keyword check is used. Either can make mistakes, so the scorecard shows the expected answer for every case.
Is it free?
Daily Viva, Tutor Viva and Assessment Viva are free during early access. Paid plans will be announced on this page before anyone is charged.
Can residency programs use it?
Yes. Assessment Viva runs a no-hints, scored session that works as a clinical reasoning baseline. MedRise is opening pilots with a small number of programs; see the clinical reasoning remediation page or send us a message.
Who writes the cases?
The cases are original MedRise items written for education, with a clue, the reasoning and what each clue rules in or out. Formal physician review is in progress. If anything looks wrong, email [email protected].
Which browsers work?
Voice answers work in current Chrome and Edge. In other browsers you can type your answers, and the questions can still be read aloud.
MedRise Viva is for education only. It is not medical advice and not a clinical decision tool. Cases are original and not affiliated with the NBME, the USMLE or any exam. See how MedRise uses AI, our privacy notice and terms.