
McKinsey cases are interviewer-led, and every question is scored on its own. Work through a full McKinsey-style case one question at a time, check your math as you go, and compare your answers to a model response.
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Most firms run candidate-led cases, where you set the direction and ask for the data you want. McKinsey is the main exception. The interviewer leads, moving you through a fixed set of questions: how you would structure the problem, what an exhibit tells you, a calculation, a brainstorm, and a final recommendation.
That changes how you prepare. You do not need to steer the case, but you do need to perform well on every single question, because each one is assessed on its own.
You will not choose which branch to explore. Build a strong structure anyway, since it shows how you think even if the interviewer takes the case somewhere else.
A weak brainstorm cannot be rescued by strong math later. Treat each question as a small, complete answer: lead with your point, support it, and state the implication.
First-round interviews typically pair one case with one personal experience interview question. The PEI carries real weight, so prepare it as seriously as the case.
McKinsey publishes four practice cases on its careers site: Beautify, Diconsa, Electro-Light, and Talbot Trucks. Work through all four. The case below follows the same question-by-question format, with answer checks built in.
Almost every McKinsey case is built from the same five kinds of questions. Get good at each one separately and the full case takes care of itself. Pick a tab to see what each sounds like, what is being assessed, and the mistake that costs candidates most often.
This is an original case written in McKinsey's interviewer-led style. The interviewer asks each question in turn, and you answer only what is asked. Answer each step out loud or on paper before you reveal the model answer. The suggested times match a strong candidate's pace.
Your client is Riverside Pharmacy, a US pharmacy chain with 2,000 stores. Front-of-store sales have been flat for three years, and the CEO sees walk-in health clinics inside stores as a way to grow and bring more customers through the door. Riverside has run a one-year pilot with a small number of clinics. The CEO has asked McKinsey whether Riverside should roll clinics out across its network, and if so, where.
Take about 2 minutes
Interviewer: What factors would you consider in deciding whether Riverside should roll out clinics?
I would look at four areas:
Take about 3 minutes
Interviewer: Here are results from the pilot. Each visit brings in $110 of revenue and costs $40 in supplies and billing. Each clinic costs $620K a year to run, and clinics are open 350 days a year. How many visits per day does a clinic need to break even, and what does that tell you?
| Store location | Pilot clinics | Average visits per day |
|---|---|---|
| Urban | 8 | 32 |
| Suburban | 10 | 24 |
| Rural | 6 | 14 |
Each visit contributes $110 minus $40, or $70. Over 350 days, one extra visit per day is worth $24,500 a year. Dividing $620K by $24,500 gives about 25.3, so a clinic needs 26 visits per day to break even.
Only urban clinics clear that bar. Urban clinics make about $164K a year, suburban clinics lose about $32K, and rural clinics lose about $277K. On clinic economics alone, Riverside should only open in urban stores.
Take about 3 minutes
Interviewer: The pilot also found that 60% of clinic visits lead to a prescription filled at Riverside's pharmacy, and each prescription earns $15 in profit. Including that, what is the new break-even?
Each visit now adds 60% of $15, or $9, for a total contribution of $79 per visit. Over 350 days that is $27,650 a year per daily visit. Dividing $620K by $27,650 gives about 22.4, so the break-even drops to 23 visits per day.
That moves suburban clinics, at 24 visits a day, from a small loss to a profit of about $44K a year. Urban clinics now make about $265K. Rural clinics still lose about $233K.
Take about 2 minutes
Interviewer: If Riverside opens clinics in all of its urban and suburban stores, how much annual profit would the clinics generate, including the pharmacy halo?
Urban: 600 stores at about $265K each is about $159M. Suburban: 900 stores at about $44K each is about $39M. Together, about $198M a year.
Note that 80% of the profit comes from urban stores, while suburban clinics run on thin margins. A small drop in suburban visits would wipe out their profit, so they carry more risk.
Take about 2 minutes
Interviewer: The CEO does not want to give up on rural stores. What could Riverside do to make rural clinics work?
There are three ways to close the gap: more visits, lower fixed cost, or more value per visit.
Take about 1 minute
Interviewer: The CEO just walked in. What do you recommend?
"Riverside should roll out clinics to its 1,500 urban and suburban stores, which would add about $200M in annual profit once the pharmacy prescriptions are counted. Start with the 600 urban stores, which earn about $265K each and make up 80% of the profit, then expand to suburban stores once urban results confirm the pilot. Hold off on rural stores for now, but pilot a lower-cost telehealth model there. The main risks are thin suburban margins and hiring enough nurse practitioners, so next steps are to test suburban demand at scale and build a staffing plan by region."
McKinsey math questions are rarely hard in isolation. The challenge is doing them cleanly and out loud while someone watches. Try these four without a calculator, and aim for under a minute each.
A market is worth $4B today and grows 5% a year. How big is it in two years?
A product sells for $50, costs $20 per unit to make, and needs $1.2M a year in fixed costs. How many units must it sell to break even?
The client sells 1.8 million units in a market of 12 million units. What is its market share?
Revenue is $250M. Profit margin falls from 12% to 9%. How much profit did the client lose?
Every McKinsey interview pairs the case with a personal experience interview, or PEI. Instead of skimming several stories, the interviewer picks one and goes deep, asking follow-up after follow-up about what you did, why you did it, and how others reacted.
McKinsey's own interviewing page recommends coming prepared with two personal examples for each of the four areas it assesses. A few things make those stories hold up under questioning:
The McKinsey interview guide includes reported PEI questions you can use to test your stories.
For most consulting roles, McKinsey screens candidates with Solve, a gamified problem-solving assessment, before any interviews. McKinsey says no preparation is needed, but many candidates still practice so the format and time pressure do not catch them off guard. The Redrock guide walks through one of the games in detail.
Practice structure questions on new prompts until you can give a tailored, two-level structure in two minutes. Start with the frameworks guide.
Drill math daily, saying each setup out loud before you calculate. Break-even, growth, market share, and margin questions come up constantly.
Work through exhibits. For every chart, give the single most important insight in one sentence before anything else.
Run full interviewer-led cases with a partner, including McKinsey's four published cases. Redo Riverside from memory and time yourself.
Build and pressure-test your PEI stories: two per area, each able to survive ten minutes of follow-up questions.
Premium unlocks the full case library with model answers, plus framework drills and exhibit drills built for interviewer-led questions.
See Premium plans Try a free McKinsey style caseYes, in most cases. The interviewer asks a set sequence of questions, typically covering structure, exhibits, math, brainstorming, and a final recommendation, and assesses each answer on its own.
A typical process has two rounds after the Solve assessment. The first round usually has two interviews with associates or engagement managers, each with one case and one PEI question. The final round has two or three interviews with partners.
Yes. McKinsey's careers site has four sample cases with suggested answers: Beautify, Diconsa, Electro-Light, and Talbot Trucks. They are the best starting point for understanding the format.
McKinsey recommends two personal examples for each of the four areas it assesses. Choose stories where you personally drove the result, and practice answering detailed follow-up questions about your decisions.
Anything from profitability and market entry to new product launches, operations, and public sector work. The format stays the same even when the industry changes, which is why practicing each question type matters more than memorizing case types.
No. It is an original practice case written to match McKinsey's interviewer-led format. All numbers are illustrative.
Case Prep is an independent practice platform and is not affiliated with, authorized by, or endorsed by McKinsey & Company. The Riverside Pharmacy case, example questions, and all data on this page are original teaching material.