Stop memorizing facts.
Start fixing your logic.
A remediation Anki deck built on the MDSteps review method:
frame → signal → rule → repeat.
120 high-complexity vignettes broken down into 600 cognitive steps designed to break score plateaus.
Who is this for?
Most decks (AnKing/Zanki) are for Recall. This deck is for Remediation.
- You pass NBMEs but stay stuck at a plateau.
- You know the science, but the vignette tricks you.
- You often narrow to 2 choices and pick wrong.
- The same pattern keeps beating you.
- You need constraint, not more facts.
Where this fits
The missing reasoning layer that plugs into your NBME/QBank review
You don’t need more content. You need a repeatable way to stop making the same decision error. This deck is the intervention step: it trains the mental moves that convert knowledge into points.
The Application Gap
Why you miss questions you “know”
Standard Anki decks are built for atomic facts (“What is the drug?”). But the USMLE tests linear reasoning (“Why is this drug wrong for this specific patient?”).
When you miss a question, it’s rarely because you forgot the science. It’s because you failed to:
- Frame the problem correctly before reading choices.
- Isolate the Signal (the one detail that changes the answer).
- Apply the Rule (the hierarchy of decision making).
We don’t ask “What is X?” We present a messy, ambiguous vignette and force you to find the signal that validates X and deletes the distractors.
The 5-Phase Logic
Anatomy of a Reasoning Card
We took 120 of the hardest, most “trap-heavy” clinical scenarios and exploded each one into five cognitive forcing functions. You don’t just answer the question — you dissect the logic.
How to use it
The 15-minute daily intervention
What’s Inside
No fluff. No filler. Just 120 “boss battles” to train your brain.
.apkg file compatible with Anki Desktop and Mobile.Common Questions
Why is it only 120 vignettes?
This is not a QBank — it’s a reasoning intervention. If we gave you 2,000 questions in this 5-card format, you’d never finish. These 120 scenarios represent recurring Step archetypes. Master the archetypes and the rest collapses into place.
Should I use this instead of AnKing?
No. Use AnKing for facts (Micro, Pharm, Path terms). Use MDSteps for logic (Management, Physiology decision points, Ethics). They complement each other.
How long does it take to finish?
Recommended pace: 5 vignettes/day (25 cards). Finish in ~3–4 weeks. Don’t rush — the goal is deep processing and transfer.
Is this a subscription?
No. The Reasoning Deck is a standalone, one-time purchase of $39. You keep the file forever.
Will this work for Step 2?
The method works across exams. Step 1 users benefit most from the mechanism + logic forcing, and Step 2 users benefit from the same “signal → management rule” structure.
Fix your reasoning for less than the cost of 1 hour of tutoring.
Get the deck that forces you to think like an expert. 120 Scenarios. 600 Decisions. Zero fluff.
- MDSteps Reasoning Deck (.apkg)
- 120 Advanced Clinical Vignettes
- 600 Frame/Process/Signal/Bucket/Review cards
- Tagging by Error Type
- Installation Guide