CEN study plan

Differentiate the 12-lead ECG signatures of STEMI by coronary territory, including reciprocal changes and recognition of posterior and inferior patterns

Sequence the assessment and first-line interventions for acute decompensated heart failure with pulmonary edema

Compare indications, typical dosing ranges, and monitoring parameters for norepinephrine, nitroglycerin, dobutamine, and diltiazem infusions

Recognize lethal dysrhythmias on rhythm strips and select the ACLS-concordant electrical and pharmacologic treatment

Distinguish the presenting features and immediate priorities for aortic dissection, cardiac tamponade, and hypertensive emergency

Apply cardiovascular concepts to scenario-based items involving dissection, tamponade, and valvular emergencies

Interpret arterial blood gases and classify primary and compensated acid-base disturbances

Select ventilator settings and monitoring priorities for status asthmaticus, COPD exacerbation, and ARDS

Sequence pre-oxygenation, induction agents, and post-intubation sedation for rapid sequence intubation, including a failed-airway backup plan

Differentiate the emergent management of tension pneumothorax, massive hemoptysis, and pulmonary embolism

Differentiate ischemic from hemorrhagic stroke on presentation and apply thrombolytic and thrombectomy eligibility time windows

Score NIHSS components and identify the interventions that reduce secondary brain injury in elevated intracranial pressure

Stage the pharmacologic management of status epilepticus and select the agent for each step

Match common toxidromes to their causative agents and corresponding antidotes or supportive therapies

Apply cooling, rewarming, and resuscitation priorities for heat stroke, hypothermia, and submersion injury

Prioritize assessment and intervention for blunt and penetrating trauma using the ABCDE approach with C-spine and disability considerations

Classify hemorrhagic shock stages and initiate massive transfusion protocol with balanced component ratios

Manage the traumatic brain injury patient to prevent secondary injury, including CPP, oxygenation, and osmotic therapy decisions

Apply EMTALA, informed consent, mandatory reporting, and just-culture principles to emergency department scenarios

Perform a structured handoff and identify the system and human factors that contribute to medication and patient-identification errors

Differentiate the assessment findings and priority interventions for bowel obstruction, pancreatitis, and acute upper and lower GI bleeding

Manage the obstetric emergencies of ectopic pregnancy, placental abruption, placenta previa, and postpartum hemorrhage

Implement the magnesium sulfate protocol and monitoring for preeclampsia with severe features and eclampsia

Recognize the presentation of testicular torsion, renal colic, and complicated urinary tract infection and select time-sensitive treatment

Apply trauma-informed assessment, reporting obligations, and documentation for sexual assault and intimate partner violence

Identify the six Ps and time-critical interventions for compartment syndrome and other orthopedic emergencies

Stabilize suspected fractures and dislocations while assessing neurovascular status before and after splinting

Select appropriate wound management, including closure decisions, irrigation, and tetanus and rabies prophylaxis thresholds

Conduct a structured suicide risk assessment and formulate a safety plan with appropriate disposition

Differentiate delirium, dementia, and acute psychosis and apply de-escalation and restraint standards with required monitoring

Re-study the two weakest domains identified in the error log, rebuilding each from mechanism of injury or illness through intervention

Rewrite and re-answer every missed item from previous quizzes without referencing prior answer keys

Practice time management by completing question sets at exam pace of roughly one minute per item

Explain aloud the rationale for high-yield distractors in cardiovascular and neurologic scenarios

Reinforce professional practice content including delegation, triage acuity systems, and disaster and surge response roles

Review condensed high-yield summaries for respiratory and medical, toxicologic, and environmental emergencies

Simulate full exam conditions with strict timing and no reference materials

Finalize a test-day strategy for flagged-item review, breaks, and stamina management