HKMLE Part II study plan
HKMLE Part II · Give each week a clear focus.
8 weeks · About 6 hours per week
Medical knowledge and clinical practice (unspecified - source does not enumerate domains)
Map the full HKMLE Part II syllabus into a personal checklist of presenting complaints and system-based topics, then rank each item by your own confidence so the heaviest clinical areas are scheduled first
Build a one-page summary template for each major system covering definition, aetiology, red flags, first-line investigation and first-line management, and complete it for cardiology and respiratory presentations
Practise 40 single-best-answer questions drawn only from cardiology and respiratory medicine, and log every wrong answer with the reason it was wrong (knowledge gap, misread stem, or faulty reasoning)
Drill a structured history-taking and focused examination sequence for chest pain, breathlessness and palpitations, rehearsing aloud until each runs under five minutes without prompts
Set up a spaced-repetition deck limited to facts you actually got wrong, so revision stays targeted rather than re-reading notes
Your checkpoint
A dated syllabus checklist with confidence ratings plus completed one-page summaries for all cardiology and respiratory topics, reviewed once at the end of the week
Medical knowledge and clinical practice (unspecified - source does not enumerate domains)
Work through gastrointestinal, hepatobiliary and renal presentations, writing the discriminating features that separate the top three differentials for each of abdominal pain, jaundice, altered bowel habit and haematuria
Interpret common laboratory panels (liver function tests, urea and electrolytes, arterial blood gases, full blood count) by writing a short interpretation for 20 anonymised or textbook values
Answer 50 mixed questions on these systems under a 60-second-per-question limit, then re-answer every incorrect item from memory without looking at the explanation first
Explain aloud the initial management of acute upper gastrointestinal bleeding, acute kidney injury and biliary sepsis, checking each step against a standard local guideline
Your checkpoint
A differential-diagnosis table covering 12 gastrointestinal, hepatobiliary and renal presentations, each with discriminating features and first-line investigations
Medical knowledge and clinical practice (unspecified - source does not enumerate domains)
Cover endocrinology and metabolic medicine, writing out diagnostic criteria and first-line management for diabetes, thyroid dysfunction, adrenal insufficiency and electrolyte disturbance
Cover haematology by summarising the approach to anaemia, thrombocytopenia and suspected malignancy, including which urgent actions cannot wait for a specialist opinion
Answer 50 questions on endocrine and haematology topics, tagging each error to a syllabus item and updating the week 1 checklist
Rehearse a full consultation for fatigue and weight loss, including which screening questions you would ask and how you would safety-net the patient
Your checkpoint
A completed error log for weeks 1 to 3 showing error counts by system and the three weakest syllabus items identified for targeted revision
Medical knowledge and clinical practice (unspecified - source does not enumerate domains)
Revise all material from weeks 1 to 3 using active recall only, without re-reading notes, and record the percentage recalled per system
Sit a timed 100-question mixed paper covering cardiology, respiratory, gastrointestinal, renal, endocrine and haematology, and mark it strictly
Analyse the paper by system and by error type, then rewrite the ten most frequently missed facts as single-line rules you can recall on demand
Identify any system where accuracy is below 60 percent and rebuild its one-page summary from scratch
Your checkpoint
A timed mock paper score with a written breakdown by system and error type, plus a prioritised list of the five topics to revisit in weeks 5 and 6
Medical knowledge and clinical practice (unspecified - source does not enumerate domains)
Cover neurology and musculoskeletal medicine, writing a focused approach to headache, focal weakness, back pain and joint swelling that separates urgent from routine presentations
Cover psychiatry and paediatrics, listing the common presentations, the red flags requiring escalation, and the initial safe management for each
Practise 40 questions on these four areas, then explain each correct answer aloud in your own words to confirm understanding rather than recognition
Rehearse breaking bad news and explaining a new diagnosis in plain language, timing each explanation to two minutes
Your checkpoint
A recorded or written set of four two-minute patient explanations (one neurological, one musculoskeletal, one psychiatric, one paediatric) with a self-assessment against a plain-language checklist
Medical knowledge and clinical practice (unspecified - source does not enumerate domains)
Cover obstetrics, gynaecology, infectious disease and emergency medicine, writing the time-critical actions for each emergency presentation you are likely to be tested on
Build a single-page emergency drug and dosing reference from a current formulary, checking every entry rather than relying on memory
Answer 60 questions across these areas, with particular attention to presentations where the first step in management is the tested point
Review every question you have answered incorrectly so far and re-test yourself on the underlying fact, not the original question
Your checkpoint
A verified one-page emergency management and drug reference covering at least 12 time-critical presentations
Medical knowledge and clinical practice (unspecified - source does not enumerate domains)
Sit two full timed mock papers under exam conditions, including the same break pattern you plan to use on the day
Review each mock paper within 24 hours, categorising every error as knowledge, comprehension, or time management, and count each category
Re-drill the 30 facts you have missed most often across the whole plan, using spaced repetition until each is recalled correctly twice in a row
Practise data interpretation and clinical reasoning questions where the answer depends on prioritising findings rather than naming a diagnosis
Your checkpoint
Two completed timed mock papers with error-category counts and a final list of no more than 30 high-risk facts for the last week
Medical knowledge and clinical practice (unspecified - source does not enumerate domains)
Revise only the high-risk fact list and your one-page summaries, avoiding new material after the midpoint of the week
Complete one final half-length timed paper to confirm pacing, then stop testing and review errors only
Rehearse the practical and communication components of the exam, including structured history, examination sequence and explanation of findings
Confirm logistics: venue, identification, permitted materials and travel time, and protect sleep in the two nights before the exam
Your checkpoint
A final self-assessment sheet recording the high-risk facts recalled correctly, the final paper score, and a written exam-day plan
Milestones
Week 2: All cardiology, respiratory, gastrointestinal, hepatobiliary and renal syllabus items have a completed one-page summary and at least 40 practice questions answered per system
Week 4: A timed 100-question mixed paper has been sat and marked, with a written breakdown by system and error type and a named list of the five weakest topics
Week 6: Every major system has been covered at least once, the emergency reference is verified against a current formulary, and cumulative accuracy on re-tested incorrect items is above 70 percent
Week 8: Two full timed mock papers and one final half-length paper are complete, the high-risk fact list is fully recalled, and exam-day logistics are confirmed in writing