APMLE Part II study materials
APMLE Part II study resources

APMLE Part II study plan

APMLE Part II · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

History and Physical Examination & Medical and Surgical Management of the Lower Extremity

  • Build a one-page H&P template for the diabetic foot and lower-extremity chief complaints, then complete it from memory daily

  • Perform and document a full lower-extremity vascular and neurologic exam sequence on a partner or simulated patient

  • List the differential for forefoot pain and map each diagnosis to the exam finding that separates it

  • Outline the workup and initial management algorithm for a new diabetic foot ulcer

Your checkpoint

Completed 10-item lower-extremity H&P checklist with self-scored practice run

Week 2

Medical and Surgical Management of the Lower Extremity & Biomechanics and Orthopedics

  • Sequence the operative and non-operative management options for hallux valgus, hallux rigidus, and lesser-toe deformity

  • Diagram normal and abnormal gait cycles and identify the phase disrupted in each common deformity

  • Compare fixation and postoperative weight-bearing protocols across common forefoot osteotomies

  • Explain first-ray biomechanics and how it predicts transfer lesions

Your checkpoint

Annotated gait-cycle and forefoot-osteotomy comparison sheet

Week 3

Medical and Surgical Management of the Lower Extremity & Dermatology and Wound Care

  • Classify lower-extremity wounds by depth, perfusion, and infection and match each to a treatment plan

  • Select appropriate offloading for neuropathic, ischemic, and postsurgical wounds

  • Differentiate the common lower-extremity dermatoses and state first-line therapy for each

  • Describe debridement indications, techniques, and contraindications

Your checkpoint

Wound-assessment and offloading decision table covering at least 8 wound scenarios

Week 4

Diagnostic Testing and Imaging & Systemic Disease and Podiatric Medicine

  • Interpret standard lower-extremity radiograph views and identify the key measurements used in forefoot and midfoot assessment

  • Order the correct imaging study for suspected osteomyelitis, stress fracture, and soft-tissue mass

  • Map systemic diseases (diabetes, rheumatoid arthritis, gout, peripheral arterial disease) to their characteristic foot findings

  • Build a red-flag list for systemic causes of foot complaints

Your checkpoint

Imaging-selection matrix plus systemic-disease-to-foot-finding map

Week 5

Systemic Disease and Podiatric Medicine & Pharmacology and Therapeutics

  • Explain the mechanism, monitoring, and adverse effects of the drug classes used in podiatric practice

  • Adjust therapy for renal and hepatic impairment and for common drug interactions

  • Outline perioperative antibiotic prophylaxis and anticoagulation decision points

  • Match systemic conditions to their podiatric pharmacologic implications

Your checkpoint

Drug-class summary card set with monitoring and interaction notes

Week 6

Biomechanics and Orthopedics & Professionalism, Ethics, and Practice Management

  • Apply biomechanical reasoning to select orthotic and shoe modifications for common deformities

  • Analyze pediatric and sports-related lower-extremity conditions by mechanism and return-to-activity criteria

  • Resolve informed-consent, scope-of-practice, and referral scenarios using an ethical decision framework

  • Describe documentation and coding requirements for common podiatric encounters

Your checkpoint

Written responses to 5 ethics/practice-management vignettes plus an orthotic-selection summary

Week 7

History and Physical Examination & Clinical Skills and Patient Communication

  • Deliver a structured history and counseling script for a patient with a new chronic foot condition

  • Practice plain-language explanation of a diagnosis and treatment plan, then self-critique

  • Integrate exam findings into a concise, prioritized assessment and plan

  • Identify communication barriers and adapt approach for low-health-literacy patients

Your checkpoint

Recorded or role-played counseling session with a written self-assessment

Week 8

Medical and Surgical Management of the Lower Extremity & Systemic Disease and Podiatric Medicine & Pharmacology and Therapeutics

  • Synthesize management plans for high-yield combined scenarios such as infected ischemic ulcer and Charcot foot

  • Re-test weak areas identified in prior weeks and close knowledge gaps

  • Complete timed mixed-domain practice sets and review every missed item

  • Consolidate a one-page rapid-review sheet spanning all domains

Your checkpoint

Full-length timed practice exam with error log and completed rapid-review sheet

Milestones

Week 2: Can independently perform and document a complete lower-extremity exam and outline surgical vs non-surgical management for the three most common forefoot deformities

Week 4: Scores at least 70% on a self-made mixed quiz covering domains 1-5, with imaging and systemic-disease items at or above 70%

Week 6: Correctly answers 8 of 10 pharmacology and ethics scenario items and can justify each choice

Week 8: Scores at or above target on the timed full-length practice exam and has a written remediation plan for any domain below 65%