ESTER Reumatologia study materials
ESTER Reumatologia study resources

ESTER Reumatologia study plan

ESTER Reumatologia · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Inflammatory joint diseases & Rheumatology (general)

  • Map the full ESTER blueprint and allocate every domain weight to a calendar slot

  • Build a one-page differential table distinguishing rheumatoid arthritis, spondyloarthritis, crystal arthritis and septic arthritis by onset, joints involved and key labs

  • Explain the 2010 ACR/EULAR RA classification criteria and apply them to three written vignettes

  • List the first-line and biologic treatment tiers for inflammatory arthritis with their main monitoring parameters

Your checkpoint

A completed differential table covering at least 8 inflammatory joint conditions plus written answers to 3 classification vignettes

Week 2

Inflammatory joint diseases & Rheumatology (general)

  • Interpret synovial fluid analysis results and state the cut-offs that separate non-inflammatory, inflammatory and septic effusions

  • Compare axial and peripheral spondyloarthritis features and justify when MRI of sacroiliac joints is indicated

  • Differentiate gout from CPPD by crystal type, joint distribution and associated metabolic conditions

  • Summarise the extra-articular manifestations of RA and their prognostic significance

Your checkpoint

A 20-item self-written quiz on inflammatory joint disease with an answer key and brief rationale for each item

Week 3

Connective tissue diseases and vasculitis & Rheumatology (general)

  • Construct an autoantibody interpretation grid linking ANA patterns, anti-dsDNA, anti-Sm, anti-Ro/La, anti-Scl-70 and anti-centromere to specific diseases

  • Apply the classification criteria for systemic lupus erythematosus to three constructed cases and identify the scoring items met

  • Outline the clinical approach to a patient with suspected vasculitis, including which vessel size each presentation suggests

  • State the organ-threatening features that mandate urgent immunosuppression in lupus and in ANCA-associated vasculitis

Your checkpoint

A one-page autoantibody-to-disease grid plus three solved lupus classification cases with item-by-item scoring

Week 4

Connective tissue diseases and vasculitis & Metabolic bone disease and osteoporosis

  • Distinguish polymyositis, dermatomyositis and inclusion body myositis by clinical pattern, enzymes and antibody associations

  • Explain the diagnosis and management of giant cell arteritis including the role of temporal artery biopsy and steroid timing

  • Interpret DXA T-scores and Z-scores and classify results as normal, osteopenia or osteoporosis

  • Select appropriate pharmacologic and non-pharmacologic treatment for osteoporosis based on fracture risk

Your checkpoint

A timed 40-question mixed mock covering domains 1 to 4, scored, with a written error log of every missed item

Week 5

Metabolic bone disease and osteoporosis & Connective tissue diseases and vasculitis

  • List secondary causes of osteoporosis and the laboratory panel used to exclude them

  • Calculate fracture risk using FRAX inputs and justify treatment thresholds

  • Describe the management of glucocorticoid-induced osteoporosis including calcium, vitamin D and bisphosphonate timing

  • Recognise electrolyte and renal abnormalities that point to a metabolic bone disease rather than primary osteoporosis

Your checkpoint

A completed metabolic bone disease worksheet: 5 cases with secondary-cause workup, FRAX reasoning and treatment choice

Week 6

Regional and musculoskeletal pain syndromes & Rheumatology (general)

  • Localise shoulder, elbow, hip and knee pain to specific structures using history and provocative manoeuvres described in text

  • Differentiate fibromyalgia from inflammatory arthritis and from hypothyroidism-related myalgia

  • Explain the diagnosis and conservative management of carpal tunnel syndrome and de Quervain tenosynovitis

  • Identify red flags in low back pain that require urgent imaging or referral

Your checkpoint

A red-flag checklist for regional musculoskeletal pain plus a 10-case regional pain question set with explanations

Week 7

Paediatric rheumatology and related disciplines & Regional and musculoskeletal pain syndromes

  • Compare juvenile idiopathic arthritis subtypes by age of onset, joint pattern and uveitis risk

  • Explain the approach to a child with a limp or joint swelling, including when to suspect malignancy or infection

  • Describe Kawasaki disease and Henoch-Schonlein purpura diagnostic features and their complication risks

  • Outline the differences between paediatric and adult dosing and monitoring for the most common antirheumatic drugs

Your checkpoint

A paediatric rheumatology comparison table of at least 6 conditions with age, features, complications and first-line management

Week 8

Rheumatology (general) & Inflammatory joint diseases & Connective tissue diseases and vasculitis & Metabolic bone disease and osteoporosis & Regional and musculoskeletal pain syndromes & Paediatric rheumatology and related disciplines

  • Re-test every item previously logged as an error and confirm retention

  • Complete two full-length timed mock exams under exam conditions

  • Review weak domains identified by mock scores and fill remaining knowledge gaps with targeted reading

  • Consolidate high-yield facts into a single revision sheet for the final 48 hours

Your checkpoint

Two scored full-length mocks with a final one-page high-yield revision sheet and a documented error log showing improvement

Milestones

Week 2: Score at least 70% on the self-written inflammatory joint disease quiz and correctly classify all 3 RA vignettes

Week 4: Score at least 65% on the 40-question mock covering domains 1 to 4, with every missed item entered in the error log

Week 6: Correctly answer at least 8 of 10 regional pain cases and state the red flags for low back pain without notes

Week 8: Score at least 75% on both full-length mocks and show a measurable reduction in repeated errors from the week 4 baseline