Create original practice questions with Elsie — built the same way as the SI MedEd banks. Elsie drafts each item, then two independent checkers solve it cold and compare against her answer key. An item is only offered to your bank when both checkers agree with the key and neither finds another answer defensible. Anything disputed comes back flagged with the reason — never silently shipped. Passed items save into your bank on this device, ready to add to any exam in the Exam Builder.