The ones that actually matter.

No. DOME is not affiliated with, endorsed by, or sponsored by the American Board of Emergency Medicine (ABEM), the American Board of Anesthesiology (ABA), the NCCPA, the AANP or its Certification Board, the ANCC, or any other certifying board. We build practice cases in the format of those exams; we have no relationship with any board and no access to their material. DOME is a product of Injexa Technologies LLC.

No. Every clinical fact it reveals is written down before you start — the vitals, the findings, the results, the way the patient changes. The AI examiner runs the conversation; it does not invent medicine. That is the single hardest thing about building this, and it is why every case and station is written by hand.

Some clinical images, such as a few X-rays and ultrasound images, are real, de-identified images used under open licenses like Creative Commons. Each one is credited in the case debrief and on our Credits page (domeexams.com/credits). All other images and diagrams are created by DOME. The patients and stories in every case are fictional.

You can. PRACTICE PAUSE puts the case on hold so you can think, look something up, or take a phone call. The real exam does not pause, so every pause is counted and shown on your debrief. Lean on it while you're learning, and let it go before exam day.

Both, and the examiner grades you the same either way. Voice is closer to the real thing — saying “I'd give two of lorazepam” out loud is a different skill from typing it, and oral boards and clinical exams are spoken: you talk the examiner, the patient and the room through it.

There is no countdown on screen while the case runs. (Where the real exam gives you reading time before you begin, DOME shows that reading clock first.) When the case has run its course, the examiner asks you to wrap up — your summary and your plan — and then closes it. You can also end it yourself. On a clinical case, a critical action counts if you ordered it before the case ended, even if the result had not come back yet — same as real life. Then you get the debrief.

Every case and station is written by hand by physicians, for one exam's format. On Emergency Medicine, Anesthesiology and NP/PA ER, every one is physician-reviewed. On the newer exams — General Surgery, OB/GYN, UK PLAB 2, Plastic Surgery, Orthopaedic Surgery and AMC Clinical — the cases are physician-drafted and under specialty review, and their pages say so. They are cases, not topics: findings come only when you ask or order, and every run ends with a debrief. Each exam's page lists its own count; today there are 593 across 9 exams.

Each exam is its own subscription. Founding price: $49/month, locked for as long as you stay subscribed. The list price will be $99/month later. It starts with a free 7-day trial, then renews automatically every month until you cancel. Cancel anytime from Billing in your account menu (Stripe's secure billing portal) — cancel before the trial ends and you are not charged. If you cancel and come back later, the price at that time applies.

7 days free. Cancel anytime before your trial ends and you won't be charged. After that it's $49/month, renewing monthly until you cancel. Cancel anytime and keep access through the end of the month you paid for. Payments are non-refundable, except where required by law or for billing errors, which we'll fix. Each exam is its own subscription. The free 7-day trial is for your first exam only.