Listen, I fee like my weakest subjects are renal and repro. So Ill study the flashcards for renal for example. Each flashcard has a certain number of questions that you can "bank" after completing the flashcard. Each flashcard has probably on average 10 questions to bank After you "bank" 50 questions, the program redirects you to take these mini direct recall one liner questions (total of 50). example question will be "What part of the renal tubule will PTH work?" There are no answer choices to these one liners, you just think then hit answer and it will give you the answer. After each one liner question, a pop up will come up asking you to "access your recall of the question" from 1-5, 1 being completely forgot and 5 being had no trouble answering the question. So for renal, which im weak in, I mostly pick 2-3s. The program will then start to make "custom multiple choice questions" based on what level I picked. So for cardio, which im strong, I pick mostly 5 and renal which Im weak, im picking mostly 2 and 3s. So come time to take the multiple choice questions, the program will give me more questions on renal than say cardio which Im stronger in. After you finish the 50 one liner questions, you then start up again on the flashcards till you bank 50 questions... then you take another 50 questions one liner mini exam, then again and again etc. So the program picks up on your weak areas and drills you more on those subjects more often. The multiple choice questions and the mini one liners are seperate.. they aren't the same thing. Now their multiple choice qbank are compared more to USMLERX questions.... Maybe a little easier. The explanations are no way compared to WORLD. The explanations are alot shorter. But its good because I can do 50 multiple choice questions in 45 minutes. I think this program is great for people who have read through their first run BEFORE starting WORLD. I would say that these questions would be best used as the "paper questions" in the Tau method. Damn, that was pain in the ass to explain. Correct me if Im wrong on this