01
Start with what you know
Take in the first clues and make an initial call instead of jumping straight to a memorized answer.
Clinical reasoning game for Step 1
Practice the diagnosis, not just the fact.
Rounds turns Step 1 review into short, progressive-reveal cases—like Wordle for USMLE Step 1. Read the clues, build a differential, and decide which diagnosis best fits before checking the explanation.
Daily case freeAbout 2 minutes per case5 hints, 5 guesses
Progressive reveal
Think it through
Each new clue gives you another chance to reconsider your differential.
- 01Read the clinical clues
- 02Build a differential
- 03Choose a diagnosis
- 04Review the reasoning
Step 1 case practice for medical students
The format
Reason through a case, one clue at a time.
02
Reveal up to 5 hints
Reveal more information step by step and notice which details move a diagnosis up or down your list. You get 5 guesses to name it.
03
Review the pattern
Check the explanation, learn from a miss, and keep practicing with cases across systems.
A study companion, not a replacement
A different kind of Step 1 practice
Flashcards are great for quick recall, and question banks give you full exam-style questions. Rounds adds a separate format: diagnosis practice built around clinical clues, in cases short enough to finish in about two minutes. The daily case is free; Rounds Pro unlocks unlimited practice.
Common questions
A few quick answers
What is a clinical reasoning game?
A way to practice using patient details to narrow a differential and name a diagnosis. In Rounds, you get up to 5 hints and 5 guesses per case. Scoring starts at 500 points, minus 100 per wrong guess and 50 per extra hint.
Is Rounds the same as a question bank?
No. Rounds focuses on short diagnosis cases and progressive clues. It complements—but does not replace—your usual flashcards and question-bank study.
What is free vs. paid?
The daily case is free. Rounds Pro (subscription) unlocks unlimited practice: random cases, browsing the case library, Study Plan, streak freeze, deeper differential-diagnosis and illness-script libraries, and more Connections puzzles.
Can I play in a browser?
Yes. The web companion at getrounds.app/app lets you play the daily case in a browser. Your progress syncs with the iOS app.
Ready for a quick case?