ESTER Reumatologia study plan
ESTER Reumatologia · Give each week a clear focus.
8 weeks · About 6 hours per week
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
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
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
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
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
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
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
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