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Creating Infinite USMLE Practice with Pickaxe

Alex Iteen
Alex Iteen
Physician & Founder of Limitless Medicine
Alex uses Pickaxe to generate endless, concept-focused USMLE-style questions, giving medical students fresher, deeper practice than static question banks.
Use Case:Generating infinite USMLE practice questions.

The Challenge

Traditional medical test prep often revolves around finite question banks. Students:

  • Memorize patterns
  • See the same questions over and over
  • Struggle to build deep conceptual understanding

Alex saw this problem up close.

He wanted a way to help students:

  • Practice with fresh questions every time
  • Train on concepts instead of memorizing answers
  • Prepare more effectively for high-stakes exams like the USMLE

But building such a system from scratch would normally require:

  • Custom software development
  • Complex logic for question generation
  • Ongoing maintenance and updates

The Solution

Alex discovered Pickaxe and realized he could build what he needed without a dev team.

Using Pickaxe, he created:

  • Dozens of specialized medical education tools
  • AI-powered question generators that create new questions every time
  • Interactive study flows that focus on concept mastery rather than rote memorization

Through careful prompt engineering and iteration, Alex structured his tools to:

  • Generate high-quality, exam-style questions
  • Challenge students to think through mechanisms and reasoning
  • Provide explanations that reinforce key concepts

The Results

With his Pickaxe-built tools, Alex has:

  • Given students access to effectively infinite practice material
  • Helped learners move beyond memorizing past questions
  • Created a scalable way to deliver his expertise to many more students

His tools are particularly valuable because they:

  • Adapt to the way students think
  • Keep practice sessions fresh
  • Reflect real exam complexity and nuance

Why It Works

Alex combines deep medical knowledge with the flexibility of Pickaxe.

Pickaxe gives him:

  • A no-code framework to build and refine tools
  • The ability to handle complex prompts and logic
  • A way to distribute his tools broadly under his own brand

Instead of relying solely on static question banks, he’s created dynamic learning experiences that better prepare students for real exams.

The Takeaway

Alex’s story shows how subject-matter experts can use Pickaxe to:

  • Turn expertise into scalable, interactive learning tools
  • Improve outcomes by focusing on understanding over memorization
  • Build powerful educational products without traditional software development

If you’re looking to reimagine how learners practice in your field, Pickaxe gives you the tools to make it happen.

Ready to Build Your Success Story?

Join Alex Iteen and thousands of others building powerful AI tools with Pickaxe.