Examen Integrado - Medicina study plan

Map the Medicina Interna blueprint into subtopics and rank them by exam weight and personal weakness

Explain the core pathophysiologic mechanisms (hemodynamic, inflammatory, metabolic) underlying the five highest-weight internal medicine syndromes

Build a spaced-repetition deck of 150 high-yield internal medicine facts and review it daily

Write one-page diagnostic algorithms for chest pain, dyspnea, and edema from memory

Diagnose and manage the major cardiopulmonary entities (acute coronary syndrome, heart failure, COPD, pneumonia) using guideline-based criteria

Interpret 20 ECGs and 20 chest radiographs with a written structured read for each

Differentiate the main nephrologic and electrolyte disorders by applying a stepwise acid-base and sodium/water approach

Answer 120 internal medicine questions and log every error by cause (knowledge gap, misread, or reasoning error)

Manage the major endocrine, gastrointestinal, and hematologic presentations using first-line and escalation therapy

Connect drug mechanism, key adverse effects, and monitoring parameters for the 40 most commonly tested medications

Solve 15 clinical vignettes that require choosing between two plausible drugs and justify the choice in writing

Review all internal medicine error-log entries from weeks 1-2 and re-test the weakest 30 concepts

Apply the acute abdomen approach: triage, imaging choice, and operative versus non-operative decision

Outline preoperative risk assessment, anesthesia basics, and postoperative complication management for the five most common surgical scenarios

Execute the primary survey (ABCDE) and initial resuscitation priorities for trauma, sepsis, and shock in timed drills

Interpret 15 arterial blood gases and 10 trauma imaging descriptions with a written impression

Apply pediatric growth, development, and immunization schedules to 10 clinical scenarios

Manage the leading pediatric emergencies (bronchiolitis, dehydration, febrile seizure, neonatal jaundice) with weight-based dosing

Work through prenatal care, labor stages, and the major obstetric emergencies (preeclampsia, hemorrhage, dystocia)

Differentiate common gynecologic presentations (bleeding, pelvic pain, contraception) using a structured differential

Compute and interpret incidence, prevalence, sensitivity, specificity, predictive values, and number needed to treat across 20 epidemiology problems

Critique study designs (cohort, case-control, trial, screening) and identify the main bias in each of 10 abstracts

Explain pharmacokinetic principles (absorption, distribution, metabolism, elimination, half-life, steady state) with worked calculations

Integrate basic science mechanisms into clinical reasoning for the 20 highest-yield disease pairs

Apply the four ethical principles and informed consent requirements to 10 written dilemmas, including confidentiality and end-of-life decisions

Demonstrate structured communication (breaking bad news, shared decision-making, medical error disclosure) in three role-played or self-recorded scenarios

Review legal duties: documentation, capacity assessment, and reporting obligations

Re-test the 40 weakest internal medicine concepts carried forward from the error log

Complete two full-length timed mock exams under exam conditions and score each by domain

Convert mock-exam misses into a prioritized final-review list and close the top 25 gaps

Recite the key algorithms, dosing sheets, and ethical frameworks from memory in a rapid review pass

Finalize test-day logistics, pacing strategy, and a one-page summary sheet