Arab Board Internal Medicine Clinical Exam study materials
Arab Board Internal Medicine Clinical Exam study resources

Arab Board Internal Medicine Clinical Exam study plan

Arab Board Internal Medicine Clinical Exam · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Cardiology

  • Map the cardiology syllabus into acute coronary syndromes, heart failure, arrhythmias, valvular disease, and pericardial disease, and rank them by exam yield

  • Build a one-page decision tree for chest pain triage that distinguishes STEMI, NSTEMI, unstable angina, aortic dissection, and pulmonary embolism

  • Recite guideline-directed medical therapy for heart failure with reduced ejection fraction from memory, including agents, target doses, and when each is indicated

  • Work through 25 cardiology vignettes and write the single discriminating clue for each wrong option you rejected

Your checkpoint

A 2-page cardiology summary sheet covering ACS management, HFrEF quadruple therapy, and wide-complex tachycardia approach, self-quizzed to 90% recall

Week 2

Cardiology & Critical Care and Emergency Medicine

  • Interpret 12-lead ECGs systematically using a fixed rate-rhythm-axis-interval-morphology sequence on at least 20 tracings

  • Explain indications, contraindications, and troubleshooting for defibrillation, synchronized cardioversion, and transcutaneous pacing

  • Apply the sepsis bundle and vasopressor selection logic to shock states, differentiating distributive, cardiogenic, hypovolemic, and obstructive shock

  • Practice structured verbal handover of a crashing patient using a recognized communication framework

Your checkpoint

A completed ECG interpretation log of 20 tracings with written findings, plus a one-page shock algorithm linking each shock type to its bedside clues and first-line therapy

Week 3

Pulmonology & Gastroenterology and Hepatology

  • Classify obstructive, restrictive, and vascular lung disease and match each to its expected spirometry and diffusion patterns

  • Construct a stepwise algorithm for acute dyspnea covering asthma, COPD exacerbation, heart failure, pneumonia, and PE

  • Differentiate the chronic liver disease complications of ascites, varices, encephalopathy, and hepatorenal syndrome and state first-line management for each

  • Distinguish upper and lower GI bleeding by presentation, initial resuscitation, and endoscopic timing

  • Interpret liver chemistry patterns to localize injury as hepatocellular, cholestatic, or mixed and list the top differential for each

Your checkpoint

A combined pulmonary-liver reference card: 10 spirometry patterns interpreted correctly and 10 liver panel patterns matched to a leading diagnosis and next test

Week 4

Nephrology and Fluid/Electrolyte Disorders & Endocrinology, Diabetes and Metabolism

  • Solve acid-base problems using a fixed sequence: pH, primary disorder, compensation check, anion gap, and delta-delta when indicated

  • Calculate and correct sodium, free water deficit, and potassium replacement in worked clinical scenarios

  • Match diuretic classes to their site of action and predict the electrolyte disturbance each causes

  • Sequence the diagnostic workup of a thyroid nodule and interpret thyroid function tests in the setting of nonthyroidal illness

  • Apply the diagnostic criteria for diabetes and outline a treatment escalation pathway for type 2 diabetes with comorbid cardiovascular or renal disease

Your checkpoint

A worked problem set of 15 acid-base and electrolyte cases with full calculations shown, plus a one-page diabetes and thyroid decision aid

Week 5

Hematology and Oncology & Infectious Diseases

  • Build a systematic anemia approach using reticulocyte index, red cell indices, and iron studies to reach a specific diagnosis in each case

  • Outline the diagnostic pathway for a patient with suspected venous thromboembolism and state anticoagulant selection with renal dosing considerations

  • Differentiate the common causes of fever in the returning traveler and immunocompromised host by exposure and time course

  • State empiric antimicrobial choices and key resistance considerations for common severe infections, including sepsis, meningitis, and endocarditis

  • Interpret a peripheral blood smear description and link it to the likely hematologic diagnosis

Your checkpoint

A hematology-infectious disease rapid review: 15 anemia and smear cases diagnosed with reasoning, plus an empiric antibiotic table for 5 severe infection syndromes

Week 6

Rheumatology and Immunology & Neurology

  • Apply a joint-by-joint approach to monoarthritis and polyarthritis, prioritizing septic arthritis exclusion in every case

  • Interpret ANA, anti-dsBNA, rheumatoid factor, anti-CCP, and complement in context, and explain why ANA is a poor screening test in low-probability patients

  • Localize a neurologic lesion by history and exam findings alone, distinguishing central from peripheral and upper from lower motor neuron patterns

  • Build a stroke pathway covering time windows, thrombolysis and thrombectomy eligibility, and secondary prevention

  • Differentiate the headache red flags that mandate urgent imaging or lumbar puncture from those appropriate for outpatient management

Your checkpoint

A lesion-localization worksheet of 10 neurologic vignettes with anatomic explanations, plus a rheumatology serology interpretation table

Week 7

General Internal Medicine, Geriatrics and Perioperative Care & Critical Care and Emergency Medicine

  • Assess perioperative cardiac and pulmonary risk using a validated index, and decide when to order stress testing versus proceed to surgery

  • Reconcile medications perioperatively, specifying which agents to hold, continue, or bridge and why

  • Apply geriatric principles including falls assessment, delirium prevention, polypharmacy review, and capacity evaluation to clinical scenarios

  • Practice breaking bad news and conducting a goals-of-care discussion using a structured framework

  • Manage common emergency presentations including altered consciousness, poisoning, and anaphylaxis with a defined first-five-minutes sequence

Your checkpoint

A perioperative and geriatrics checklist covering risk stratification, medication management, and delirium prevention, rehearsed aloud in 2 role-played scenarios

Week 8

Cardiology & Gastroenterology and Hepatology & Nephrology and Fluid/Electrolyte Disorders

  • Re-test the three highest-yield domains under timed conditions and score each domain separately to expose residual gaps

  • Rewrite the weakest summary sheet from memory and compare it against your original to identify decayed knowledge

  • Deliver structured spoken answers to 10 clinical vignettes within a 3-minute limit each, emphasizing reasoning over recall

  • Consolidate a single high-yield error log of recurring mistakes and commit to a spaced review schedule for the final week

Your checkpoint

A timed 60-question mixed mock exam with per-domain scores, a one-page consolidated error log, and a written final-week review schedule

Milestones

Week 2: Interpret 5 fresh ECGs and classify 3 shock states correctly without notes, scoring at least 4 of 5 and 3 of 3

Week 4: Solve 5 new acid-base problems with correct primary disorder, compensation assessment, and anion gap, achieving at least 4 of 5

Week 6: Localize the lesion in 5 new neurologic vignettes and justify each with exam findings, achieving at least 4 of 5

Week 8: Score at least 65% overall on the timed mock exam with no single domain below 55%, and demonstrate that every error log entry has a named corrective action