Egyptian Board Internal Medicine study materials
Egyptian Board Internal Medicine study resources

Egyptian Board Internal Medicine study plan

Egyptian Board Internal Medicine · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Cardiology

  • Build a one-page decision map for acute coronary syndromes covering ECG localization, troponin interpretation, and reperfusion timing thresholds

  • Recite and apply the four-stage classification of heart failure with the guideline-directed drug sequence for reduced ejection fraction

  • Differentiate the mechanisms and management of narrow-complex versus wide-complex tachycardias using a written stepwise algorithm

  • Interpret a 12-lead ECG for chamber enlargement, conduction block, and electrolyte patterns in 20 self-written practice tracings

Your checkpoint

A single condensed cardiology summary sheet (max 2 pages) with ECG algorithm and heart failure drug ladder, plus 20 solved ECG cases with your reasoning written out

Week 2

Cardiology & Chest and Respiratory Medicine

  • Explain the indications, contraindications, and complications of pericardiocentesis and the management of cardiac tamponade physiology

  • Compare valve lesion findings on auscultation and echocardiographic criteria for severe aortic stenosis and mitral regurgitation

  • Construct a diagnostic pathway for pleural effusion using Light's criteria and match the top three causes to first-line management

  • Outline the initial workup and severity assessment of community-acquired pneumonia and apply a validated severity score

  • Describe the approach to obstructive sleep apnea including screening tools, diagnostic testing, and treatment indications

Your checkpoint

A comparison table of valve lesions plus a pleural effusion algorithm, each with 5 short case vignettes you write and answer yourself

Week 3

Chest and Respiratory Medicine & Gastroenterology and Hepatology

  • Build a stepwise algorithm for dyspnea that separates cardiac, pulmonary, and systemic causes using bedside findings and initial tests

  • Classify interstitial lung disease patterns and state the first-line management for each major category

  • Differentiate the causes of upper and lower gastrointestinal bleeding and state the timing of endoscopy and transfusion thresholds

  • Apply the diagnostic criteria and stepwise therapy for inflammatory bowel disease flares

  • Explain the approach to abnormal liver enzymes by pattern and select the appropriate next serologic tests

Your checkpoint

A dyspnea algorithm and a liver enzyme interpretation flowchart, each tested against 10 self-written vignettes with answers

Week 4

Gastroenterology and Hepatology & Nephrology and Fluid-Electrolyte Disorders

  • Stage chronic liver disease and apply the management of ascites, varices, and hepatic encephalopathy in sequence

  • Interpret arterial blood gases including mixed acid-base disorders using a systematic four-step method

  • Calculate and apply the anion gap, delta gap, and urine osmolal gap in complex acid-base cases

  • Differentiate the causes of hyponatremia and apply the correct rate of correction with the risk of osmotic demyelination

  • Classify acute kidney injury by mechanism and select the initial diagnostic and management steps for each

Your checkpoint

A one-page acid-base and sodium correction worksheet plus 15 solved ABG and electrolyte cases with your calculated values shown

Week 5

Nephrology and Fluid-Electrolyte Disorders & Endocrinology and Metabolism

  • Apply the diagnostic criteria for glomerular disease and distinguish nephritic from nephrotic presentations with first-line management

  • State the indications and complications of dialysis and the approach to a patient with a rising creatinine on the ward

  • Build a diagnostic algorithm for hyperglycemia that distinguishes type 1, type 2, and atypical diabetes

  • Apply the management sequence for diabetic ketoacidosis and hyperosmolar hyperglycemic state including fluid, insulin, and potassium thresholds

  • Interpret thyroid function tests in complex scenarios including sick euthyroid and drug-induced thyroid dysfunction

Your checkpoint

A nephrology and endocrine decision sheet covering AKI, DKA protocol, and thyroid interpretation, with 15 solved cases

Week 6

Hematology & Rheumatology and Clinical Immunology

  • Differentiate microcytic, normocytic, and macrocytic anemia using the reticulocyte index and iron studies

  • Apply the diagnostic criteria for the major thrombophilias and myeloproliferative neoplasms

  • Interpret a peripheral blood smear description and match the finding to the likely diagnosis

  • Apply the classification criteria for rheumatoid arthritis, systemic lupus erythematosus, and vasculitis to a clinical presentation

  • Select the appropriate autoantibody panel for a suspected connective tissue disease and interpret a positive result in context

Your checkpoint

An anemia algorithm and an autoantibody interpretation table, each with 10 self-written vignettes and answers

Week 7

Infectious Diseases & Neurology

  • Select empiric antimicrobial therapy for common infections based on site, severity, and resistance risk, with de-escalation criteria

  • Apply the diagnostic criteria and treatment for tuberculosis, brucellosis, and endemic infections relevant to the region

  • Localize a neurological lesion using a structured cranial nerve, motor, sensory, and reflex examination framework

  • Differentiate the causes of acute stroke and apply thrombolysis and thrombectomy time windows

  • Classify seizure types and select first-line antiepileptic therapy with monitoring requirements

Your checkpoint

An antimicrobial empiric therapy table and a stroke and seizure management protocol, each with 10 vignettes you write and solve

Week 8

Clinical Pharmacology and Therapeutics & Critical Care and Emergency Medicine & General Internal Medicine and Geriatrics

  • Apply pharmacokinetic principles including volume of distribution, clearance, and half-life to dose adjustment in renal and hepatic impairment

  • Identify clinically significant drug interactions and apply therapeutic drug monitoring for narrow-therapeutic-index drugs

  • Apply a structured approach to shock including fluid responsiveness, vasopressor selection, and reassessment

  • Prioritize management in a deteriorating patient using a systematic assessment and escalation framework

  • Apply a geriatric assessment framework including falls, polypharmacy, delirium, and functional decline

  • Complete two full timed mock examinations and review every incorrect answer to a written learning point

Your checkpoint

A pharmacology and critical care summary plus two completed timed mock exams with a written error log listing every missed concept and the corrected reasoning

Milestones

Week 2: Score at least 70% on a 40-question self-made cardiology and respiratory set, and confirm every ECG algorithm step is written from memory without notes

Week 4: Correctly solve 12 of 15 acid-base and electrolyte cases on the first attempt with all calculated values shown, and complete the liver disease and AKI review without reference material

Week 6: Score at least 70% on a 40-question hematology and rheumatology set, and reproduce the anemia algorithm and autoantibody table from memory

Week 7: Complete one full timed mock exam under exam conditions and score at least 65%, with the error log showing a specific learning point for every incorrect answer

Week 8: Score at least 70% on the second timed mock exam, show improvement over the first, and confirm the error log has no repeated concept errors