AANPCB A-GNP study plan

Build a one-page differential-building template (problem → discriminating findings → top 3 diagnoses) and apply it to 15 common adult presentations

Map the 12 most-tested physical exam maneuvers to the diagnosis each one best confirms or excludes

List and interpret the reference ranges and clinical decision thresholds for 20 core labs (CBC, CMP, TSH, A1c, lipids, UA, INR, troponin)

Practice writing 10 SOAP notes that state a prioritized differential with supporting and refuting evidence

Categorize 25 high-yield screening and diagnostic tests by indication, timing, and follow-up interval

Interpret 15 ECG rhythm strips and 10 chest radiograph descriptions using a fixed stepwise reading method

Sequence the initial workup for 10 red-flag presentations (chest pain, dyspnea, headache, abdominal pain, syncope, etc.)

Distinguish when to order imaging versus laboratory testing versus observe and reassess for 12 clinical scenarios

Write treatment algorithms for the 10 highest-prevalence chronic conditions (hypertension, type 2 diabetes, hyperlipidemia, COPD, asthma, hypothyroidism, GERD, depression, osteoarthritis, chronic kidney disease)

Match first-line, add-on, and contraindicated pharmacotherapy to each chronic condition with dose ranges and monitoring parameters

Apply current guideline thresholds for statin, antihypertensive, and antidiabetic initiation to 15 patient vignettes

Identify 10 drug-drug and drug-disease interactions common in chronic disease management

Differentiate stable chronic disease from acute exacerbation across 12 scenarios and state the level-of-care decision for each

Rank the top 10 chronic conditions by frequency of decompensation and outline the early warning signs for each

Select appropriate referral thresholds and self-management plans for chronic conditions that are uncontrolled

Draft a shared decision-making script for one chronic condition negotiation (medication adherence or lifestyle change)

Develop a systematic approach to the 15 most common acute presentations (URI, UTI, sinusitis, otitis, pharyngitis, cellulitis, back pain, sprain, gastroenteritis, conjunctivitis, migraine, etc.)

Apply antibiotic stewardship criteria: identify which of 15 acute infections warrant antibiotics, which do not, and the preferred agent when indicated

Distinguish benign from emergent presentations using red-flag checklists for headache, abdominal pain, rash, and joint pain

Identify when an acute complaint requires the emergency department, same-day evaluation, or scheduled follow-up within 72 hours

Build a lifespan screening and immunization schedule covering pediatric through older adult, with interval timing for each recommendation

Apply behavioral counseling frameworks (5 A's, brief motivational interviewing) to 8 lifestyle-change vignettes

Calculate and interpret BMI, waist circumference, ASCVD risk, and prediabetes risk for 10 patient profiles

Identify the recommended preventive services for each decade of adult life and justify the ones that do not apply

Recognize and outline the initial management of 12 geriatric syndromes (falls, delirium, dementia, incontinence, polypharmacy, pressure injury, malnutrition, functional decline, elder mistreatment, etc.)

Apply the Beers criteria to 20 medication lists and flag potentially inappropriate agents with safer alternatives

Perform a structured functional and cognitive assessment (ADL/IADL, gait and balance screen, brief cognitive screen) on 10 written case descriptions

Differentiate delirium from dementia from depression using a feature-comparison matrix applied to 8 cases

Complete two full-length timed practice examinations under test conditions and record domain-level accuracy for each

Re-teach the three weakest domain subtopics using the worst-performing practice exam questions

Consolidate all prior deliverables into one indexed review binder with a rapid-review sheet per domain

Rehearse test-day logistics: pacing checkpoints, flag-and-return strategy, and a written plan for the final 24 hours