Iran Specialty Board - Internal Medicine study plan

Map the full cardiology syllabus into acute coronary syndrome, arrhythmia, valvular disease, heart failure, pericardial disease, and hypertension blocks, and allocate study hours to each block by weight.

Explain the electrocardiographic criteria for ST-elevation myocardial infarction, left bundle branch block, and ventricular tachycardia from memory, then verify each criterion against a standard reference.

Derive the indications, contraindications, and monitoring parameters for anticoagulation and antiplatelet therapy in atrial fibrillation and post-infarction care.

Solve at least 40 cardiology multiple-choice items under timed conditions and write a one-line rationale for every wrong answer.

Apply the universal definition of myocardial infarction to distinguish type 1, type 2, and procedure-related events in written case vignettes.

Interpret arterial blood gases and hemodynamic profiles to classify shock states and select initial vasopressor or inotropic support.

Practice the first 30 minutes of management for cardiogenic shock, acute pulmonary edema, and cardiac arrest according to current resuscitation algorithms.

Complete 30 mixed cardiology and critical care items and classify each error as knowledge gap or reasoning error.

Classify obstructive, restrictive, and vascular pulmonary disease using spirometry, lung volumes, and diffusion capacity, and state the diagnostic threshold for each pattern.

Outline the stepwise pharmacologic and non-pharmacologic management of asthma and chronic obstructive pulmonary disease, including exacerbation severity grading.

Interpret chest imaging and pleural fluid analysis to distinguish transudative from exudative effusions and to identify empyema and malignancy.

Evaluate suspected pulmonary embolism and obstructive sleep apnea using pretest probability, D-dimer, and diagnostic testing pathways.

Answer 40 pulmonology items and rewrite each missed item as a short clinical rule.

Differentiate the causes of transaminase elevation, cholestatic liver injury, and acute liver failure, and state the first-line investigation for each.

Apply non-invasive fibrosis assessment and hepatitis B and C treatment eligibility criteria to written scenarios.

Manage acute upper gastrointestinal bleeding, including risk scoring, resuscitation targets, and endoscopic timing.

Distinguish inflammatory bowel disease from infectious and functional bowel disorders using clinical, laboratory, and endoscopic features.

Complete 40 gastroenterology items and record the reasoning path for each uncertain answer.

Calculate the serum osmolal gap, anion gap, and corrected sodium, and use them to classify hyponatremia, hypernatremia, and metabolic acidosis.

Select the appropriate fluid, rate, and monitoring interval for common electrolyte emergencies, including hyperkalemia and severe dysnatremia.

Interpret estimated glomerular filtration rate, urinalysis, and urine electrolytes to separate prerenal, intrinsic, and postrenal acute kidney injury.

Outline the diagnosis and initial management of diabetic ketoacidosis, hyperosmolar hyperglycemic state, thyroid dysfunction, and adrenal insufficiency.

Answer 40 combined nephrology and endocrinology items and correct every misinterpreted laboratory value.

Classify anemias by mean corpuscular volume and reticulocyte response, and identify the next diagnostic test for each category.

Evaluate a patient with suspected hematologic malignancy using peripheral smear, coagulation studies, and urgency criteria for urgent referral.

Explain the indications, contraindications, and monitoring for common antimicrobial classes, including dose adjustment in renal and hepatic impairment.

Apply isolation precautions and post-exposure prophylaxis decisions for tuberculosis, hepatitis, HIV, and needle-stick exposure.

Complete 40 combined hematology, oncology, and infectious disease items under timed conditions.

Interpret antinuclear antibody, rheumatoid factor, anti-cyclic citrullinated peptide, and complement results in the context of pretest probability for connective tissue disease.

Differentiate acute monoarthritis by synovial fluid analysis and select empiric therapy for septic arthritis and crystal arthropathy.

Localize the lesion for common neurologic presentations using history and examination findings, including stroke, seizure, and peripheral neuropathy.

Apply acute ischemic stroke time windows, thrombolysis criteria, and secondary prevention measures to written scenarios.

Answer 40 combined rheumatology and neurology items and write the localization or immunologic reasoning for each.

Recognize life-threatening dermatologic emergencies, including drug hypersensitivity syndromes and severe cutaneous adverse reactions, and state the immediate action for each.

Distinguish urticaria, angioedema, and anaphylaxis, and write the acute and preventive management plan for anaphylaxis.

Apply geriatric assessment principles, including falls risk, polypharmacy review, delirium, and goals-of-care communication.

Integrate all domains by completing two full-length timed mock examinations and reviewing every error within 48 hours.

Consolidate weak areas into a final one-week revision list ranked by error frequency.