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
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
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
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
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
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
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
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
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