A study companion for USMLE Step 1 & Step 2 CK

Turn every practice question into something you remember.

Kreen lives in Chrome's side panel. After each question, it drafts a grounded note and active-recall cards, then files them into study sessions you export to Anki or Word.

Question 12 of 40 · Hematology

A 67-year-old woman with Hashimoto thyroiditis comes to the clinic because of fatigue and tingling in both feet. Hemoglobin is 9.1 g/dL and MCV is 112 fL. Vibration sense is decreased in both lower extremities. Which of the following is the most likely underlying cause of her findings?

  1. ADietary folate deficiency
  2. BAutoantibodies against intrinsic factor
  3. CChronic blood loss
  4. DHypothyroidism alone
  5. EAlcohol use
Block 4 · HemeToday · 11 captured

Missed one?Capture the question you're on and Kreen turns it into a note and cards.

Missed · Hematology · Anemia

Pernicious anemia (vitamin B12 deficiency)

  • Macrocytic anemia + neurologic signs (↓ vibration, proprioception) points to B12, not folate.
  • ↑ Methylmalonic acid and ↑ homocysteine; folate deficiency raises homocysteine only.
  • Anti-intrinsic factor / anti-parietal cell antibodies; clusters with other autoimmune disease.
  • Folate alone can correct the anemia but not the neurologic damage.
Review aid p. 284Heme ch. 3

Interactive preview — click through it. Example content; every note is a draft to check against your sources.

Approach

Built around how learning actually sticks

Doing questions is only half the work. Kreen makes the other half — reviewing what you missed — fast enough to happen every time.

01

Retrieval over rereading

Every note comes with cards that make you produce the answer, whether open recall, exam-style vignettes, or cloze, because testing yourself beats rereading.

02

Spaced, not crammed

Cards go straight into Anki, so the concepts you missed come back on a spaced-repetition schedule instead of disappearing after the block.

03

Grounded and reviewable

Notes are drawn from the question in front of you, not invented facts, and presented as a draft you verify and edit before you trust it.

How it works

From question to deck in three steps

No copy-paste, no tab-switching. Kreen works right beside the question.

1

Capture

On a supported question bank, click Capture question. Kreen reads the page only when you ask it to.

2

Review the draft

A concise, high-yield note and cards in the style you choose, each with a short explanation of why.

3

Export the block

After the block, send cards to Anki and notes to a formatted Word document in one click.

Features

Everything from the block, in one place

A focused tool that stays out of the way until you need it.

Hints, not answers

Stuck mid-question? A progressive hint nudges your reasoning without revealing the answer.

Three card styles

Open recall, exam-style vignette, or cloze deletion, chosen per card.

Anki & Word export

One-click Anki decks named after your session, and printable notes with a recall-cue margin.

Exhibits kept

Pin an ECG, image, or table from the question so it stays attached to the note.

Organized automatically

Notes are tagged by subject, system, and topic, and grouped by study session.

Audio review

Turn a session's notes into a short spoken review for the commute or the gym.

Privacy & responsible AI

A study aid that knows its limits

Medical content deserves care. Kreen is designed to support your judgment, not replace it, and to touch as little of your data as possible.

About

Built by a medical graduate

As a medical graduate, I built Kreen around a simple observation from question-bank study: the questions you miss are the most valuable ones, but reviewing them properly takes time most students don't have mid-block.

Kreen closes that gap with careful, verifiable notes and active-recall cards, designed to support clinical reasoning rather than shortcut it. Feedback is always welcome — get in touch.

Make your next block count

Free to install. Works alongside the question bank you already use.