Afghanistan Medical Exit Exam study plan

Build a one-page disease framework mapping the top 15 internal medicine presentations (e.g., dyspnea, chest pain, edema, fever) to their first-line diagnostic steps

Write 40 original recall prompts covering cardiology and respiratory medicine and answer them without notes

Solve 30 internal medicine case-style questions and log every wrong answer with the underlying knowledge gap

Draft a spaced-repetition deck of 60 cards for high-yield internal medicine facts

Explain aloud the diagnostic approach to the top 10 endocrine, renal, and gastrointestinal presentations within 3 minutes each

Compare and contrast the management pathways for acute versus chronic presentations in at least 6 internal medicine conditions

Answer 40 mixed internal medicine questions under timed conditions and score at least 65%

Summarize 10 commonly confused internal medicine pairs (e.g., similar-sounding syndromes) in a comparison table

Outline the pre-operative assessment and immediate post-operative complication checklist for the 8 most common general surgery procedures

Practice interpreting 15 original surgical scenario vignettes and justify the next best step in each

List the red-flag findings that mandate urgent surgical referral across abdominal, trauma, and wound presentations

Review and correct all errors from weeks 1-2 using the spaced-repetition deck

Map pediatric growth and developmental milestones by age band and identify 10 deviations requiring referral

Describe the management steps for the 8 most common pediatric acute presentations (e.g., fever, dehydration, respiratory distress)

Outline the antenatal care schedule, danger signs of pregnancy, and the stages of labor with expected findings at each stage

Answer 30 combined pediatrics and obstetrics questions and score at least 70%

Explain the initial management of postpartum hemorrhage, pre-eclampsia, and obstructed labor in a written stepwise protocol

Interpret 10 original maternal and neonatal outcome scenarios and identify the level of care required

Summarize the core components of primary health care, immunization schedules, and maternal-child health indicators used in Afghanistan

Calculate and interpret 10 basic epidemiologic measures (incidence, prevalence, sensitivity, specificity, positive predictive value) from original data

Describe the design, strengths, and limitations of the main study types and apply them to 10 original public health scenarios

Build a drug table for the 25 most commonly prescribed medications listing indication, mechanism, key adverse effect, and one contraindication

Explain the principles of antimicrobial stewardship and rational prescribing in 5 original prescribing scenarios

Answer 30 combined public health and pharmacology questions and score at least 70%

Interpret 15 original laboratory result sets and identify the most likely underlying pathology

Explain the gross and microscopic features of the 10 most commonly tested disease processes

Draw and label from memory the major organ systems relevant to the exam and describe their normal physiology

Answer 30 combined pathology and anatomy/physiology questions and score at least 75%

Apply the four principles of medical ethics to 10 original clinical dilemmas and state the ethically appropriate action

Outline the ABCDE approach and initial stabilization priorities for 8 original emergency scenarios

Complete two full-length timed mock exams covering all 10 domains and record scores by domain

Review every missed item from the mock exams and convert each into a spaced-repetition card