Big Box · OSCE · AMC Clinical · PLAB 2
The Complete Library — Big Box
Every MEKSI case in one purchase — the full library across 9 specialties.



+26 moreAll seven circuits and every case in between: cardiology, mental health, rheumatology, neurology, gastroenterology, women's health, paediatrics, respiratory and more — across GP, ED, ward, clinic and paediatric settings.
Instant examiner-style feedback and unlimited attempts on every case. Buy once — no subscription.
What's inside
30 cases across 9 specialties
Cardiology
6 casesAngina that changed its pattern
Owen, 61, knows his angina well — but this week it started arriving at rest.
CardiologyEmergencyText + Audio + VideoGuidedAdvanced~20 minBreathless at rest
John, 70, has spent the last two nights sleeping upright in his chair.
CardiologyEmergencyText + Audio + VideoGuidedAdvanced~20 minCrushing chest pain
Barbara, 52, has central chest pain spreading to her jaw and left arm.
CardiologyEmergencyText + Audio + VideoGuidedAdvanced~20 minPalpitations after coffee
Warren, 35, has two weeks of racing-heart episodes that always seem to follow his triple espresso.
CardiologyGeneral PracticeText + AudioGuidedIntermediate~20 minBreathless at the letterbox
Bob, 65, can no longer walk to the letterbox without stopping — and his ankles are swelling.
CardiologyGeneral PracticeText + Audio + VideoGuidedIntermediate~20 minFainting at the church choir
Ellie, 65, blacked out for half a minute while singing at church — hot room, long service, no warning at all.
CardiologyEmergencyText + AudioGuidedIntermediate~20 min
Respiratory
4 casesPost-op pleuritic chest pain
Janice is four days post-op when sharp, breath-catching chest pain sets in.
RespiratoryInpatient WardText + Audio + VideoGuidedAdvanced~20 minA sore throat and a smoker's cough-free cold
Gregory, 28, a football coach on a packet a day, wants something for his sore throat — the antibiotics conversation is coming.
RespiratoryGeneral PracticeText + AudioGuidedFoundation~20 minBreathless on the stairs
Linda, 51, a music teacher and ex-smoker, has spent six years getting more breathless on exertion and now has a dry cough that won't settle.
RespiratoryGeneral PracticeText + AudioGuidedIntermediate~25 minThe ear that smells wrong
Benjamin, 25, a truck driver with a history of ear infections, has two weeks of right ear pain, foul-smelling discharge and muffled hearing.
RespiratoryGeneral PracticeText + AudioGuidedIntermediate~25 min
Gastroenterology
2 casesEpigastric pain, radiating to the back
Jake, 43, is doubled over with severe upper-abdominal pain after a heavy weekend.
GastroenterologyEmergencyText + Audio + VideoGuidedAdvanced~20 minPain out of nowhere
Zac, 45, a lawyer on regular ibuprofen for his back, arrives in ED with three hours of sudden, severe abdominal pain that is spreading and getting worse.
GastroenterologyEmergencyText + AudioGuidedAdvanced~25 min
Neurology
3 casesZigzag lights, then the headache
Jenny, 35, sees zigzag lights before one-sided headaches that wipe out her whole day.
NeurologyGeneral PracticeText + Audio + VideoGuidedIntermediate~20 minThe room is spinning
Margaret, 76, gets violent spinning spells every time she rolls over in bed.
NeurologyGeneral PracticeText + Audio + VideoGuidedIntermediate~20 minThe worst headache of her life
Rosemarie, 25, was struck by a thunderclap headache an hour ago. Every minute matters.
NeurologyEmergencyText + AudioGuidedAdvanced~20 min
Psychiatry
4 casesRunning on empty
Bob, 38, says it's just work stress and fatigue — but the story doesn't quite add up.
PsychiatryGeneral PracticeText + Audio + VideoGuidedIntermediate~25 minMore than sadness
Beth, 74, believes she is penniless and a burden. Her daughter fears it's something darker than low mood.
PsychiatryGeneral PracticeText + AudioGuidedAdvanced~25 minA decade of voices
Miriam, 35, is certain the neighbours are recording her — and it's getting worse despite treatment.
PsychiatryOutpatient ClinicText + AudioGuidedAdvanced~25 minA student in crisis
Jane, 23, was found self-harming at her college. She doesn't want to talk. Your risk assessment starts now.
PsychiatryGeneral PracticeText + AudioGuidedAdvanced~25 min
Endocrinology
2 casesThe weight that won't budge
Jocelyn, 45, a shift-working nurse, keeps gaining a kilo or two a year — and her blood sugars have quietly crossed into pre-diabetes.
EndocrinologyGeneral PracticeText + AudioGuidedIntermediate~20 minThe warning signs that vanished
Muhammad, 55, landed in emergency with a hypo two days ago — his new diet is fighting his insulin, and his shaky-hand warnings have gone quiet.
EndocrinologyGeneral PracticeText + AudioGuidedIntermediate~20 min
Rheumatology
6 casesThe rash and the fatigue
Mary, 28, has been exhausted for nine months — with mouth ulcers and a rash across her cheeks.
RheumatologyGeneral PracticeText + Audio + VideoGuidedAdvanced~20 minSausage toes and a swollen knee
Frank, 52, has swollen toes, a puffy knee — and nail changes nobody has asked about.
RheumatologyGeneral PracticeText + Audio + VideoGuidedIntermediate~20 minA red-hot joint, again
Jon's joint flares keep coming back despite treatment — and his family history holds a clue.
RheumatologyGeneral PracticeText + Audio + VideoGuidedIntermediate~20 minStiff every morning
Ellen, 44, can't wring out a towel any more — both hands, both feet, worst at dawn.
RheumatologyGeneral PracticeText + AudioGuidedIntermediate~20 minThe knee that stopped the walks
James, 65, a professor who loves his walks, has a right knee that grinds, swells and now wakes him — with diabetes and blood pressure in the mix.
RheumatologyGeneral PracticeText + AudioGuidedIntermediate~25 minThe shoulder that won't move
Alice, 55, a business executive and keen tennis player, has a month of worsening right shoulder pain and can now barely lift her arm.
RheumatologyGeneral PracticeText + AudioGuidedIntermediate~25 min
Paediatrics
2 casesA toddler's new wheeze
Sam, 3, has a two-day cough and a new wheeze. His mum is doing the talking.
PaediatricsGeneral PracticeText + AudioGuidedIntermediate~20 minDrowsy, confused, and vomiting
Joseph, 16, has type 1 diabetes and is now confused after a day of vomiting. His mother is at the bedside.
PaediatricsEmergencyText + Audio + VideoGuidedAdvanced~25 min
Obstetrics & Gynaecology
1 casePelvic pain nobody took seriously
Eleanor, 30, has three months of severe pelvic pain and heavy periods — and she's done being dismissed.
Obstetrics & GynaecologyGeneral PracticeText + Audio + VideoGuidedIntermediate~20 min

























