Cambodia Medicine Exit Exam study materials
Cambodia Medicine Exit Exam study resources

Cambodia Medicine Exit Exam study plan

Cambodia Medicine Exit Exam · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Internal Medicine

  • Build a one-page summary sheet of the WHO/ISH and local Cambodian hypertension thresholds and first-line drug choices, then recite them from memory

  • Work through 40 internal medicine vignettes on cardiovascular and respiratory topics and log every missed concept with the reason for the error

  • Draw and label the pathophysiology cascade for acute decompensated heart failure and explain it aloud in under 5 minutes

  • Define the criteria that distinguish community-acquired pneumonia from tuberculosis in a Cambodian adult, listing 6 discriminating features

Your checkpoint

A 2-page handwritten cardiovascular and respiratory summary sheet plus a 40-item error log with causes classified as knowledge gap, misread, or guess

Week 2

Internal Medicine

  • Compare and contrast the presentation, investigation, and management of dengue, malaria, and typhoid fever in a single comparison table

  • Solve 30 internal medicine questions on gastroenterology, hepatology, and renal medicine, timing each block to exam pace

  • Interpret 10 given arterial blood gas and electrolyte panels without reference material and state the primary acid-base disorder

  • List the bedside findings that separate nephrotic from nephritic syndrome and apply them to 5 written case vignettes

Your checkpoint

A completed 3-column comparison table for dengue, malaria, and typhoid plus a scored 30-question timed block with a percentage and review notes

Week 3

Surgery and Traumatology & Basic Medical Sciences (Anatomy, Physiology, Pathology, Biochemistry, Microbiology)

  • Map the surgical anatomy of the inguinal region, abdominal wall, and thyroid, then self-quiz by drawing each from blank paper

  • Rank the differential diagnosis for acute abdomen by frequency and lethality, and state the first three investigations for each of 6 written scenarios

  • Explain the ATLS primary survey sequence and demonstrate the correct order of interventions for 5 written trauma scenarios

  • Review wound healing, fracture healing, and shock pathophysiology at the level needed to justify clinical decisions

Your checkpoint

Three unlabeled hand-drawn anatomy maps (inguinal region, abdominal wall, thyroid) with self-graded labels plus a 5-scenario trauma intervention log

Week 4

Obstetrics and Gynecology

  • Construct a timeline of normal labor from latent phase to third stage, listing the action and threshold at each checkpoint that should trigger intervention

  • Classify the causes of postpartum hemorrhage and state the stepwise uterotonic and surgical escalation for each cause

  • Summarize the hypertensive disorders of pregnancy with diagnostic criteria, timing of delivery, and antihypertensive choices available in Cambodia

  • Work through 30 obstetrics and gynecology questions on antenatal care, labor, and gynecologic infection and record the reasoning behind each answer

Your checkpoint

A one-page labor and postpartum hemorrhage emergency algorithm that could be posted in a delivery room, plus a scored 30-question block

Week 5

Pediatrics & Infectious and Tropical Diseases (including tuberculosis, malaria, dengue, HIV)

  • Build an integrated immunization and growth-monitoring schedule for a Cambodian child from birth to 5 years, citing the national schedule

  • Differentiate the management of severe pneumonia, severe malnutrition, and neonatal sepsis in children using IMCI-style danger signs

  • Explain the diagnostic pathway for pediatric and adult tuberculosis in Cambodia, including smear, GeneXpert, and drug-resistance testing

  • Describe dengue warning signs and the fluid management steps for dengue with and without shock in a child

Your checkpoint

A one-page pediatric danger-sign and immunization reference card plus a written 10-step tuberculosis diagnostic pathway with the test used at each step

Week 6

Infectious and Tropical Diseases (including tuberculosis, malaria, dengue, HIV) & Pharmacology and Clinical Therapeutics

  • List the first-line regimen, key adverse effects, and monitoring for the 15 drugs most commonly prescribed in Cambodian hospitals

  • Explain antiretroviral therapy initiation, adherence support, and common drug interactions for a newly diagnosed HIV patient

  • Calculate doses for 8 written pediatric and renal-impairment prescriptions and flag any that are unsafe

  • Describe antimicrobial stewardship principles and apply them to 5 written scenarios where antibiotics are requested inappropriately

Your checkpoint

A 15-drug flashcard set with regimen, adverse effects, and monitoring plus a graded 8-item dose-calculation worksheet

Week 7

Public Health, Epidemiology and Biostatistics & Emergency Medicine and Critical Care

  • Compute and interpret sensitivity, specificity, positive and negative predictive values, and number needed to treat from 6 written data sets

  • Identify the study design and main bias in 8 written epidemiological abstracts

  • Apply a structured resuscitation approach to written scenarios of anaphylaxis, hypoglycemia, status epilepticus, and septic shock

  • Explain triage and resource allocation during a dengue outbreak using a written surge scenario

Your checkpoint

A biostatistics formula sheet with 6 fully worked calculations plus a 4-scenario emergency management log stating drug, dose, and route for each

Week 8

Medical Ethics, Professionalism and Health Law & Internal Medicine & Infectious and Tropical Diseases (including tuberculosis, malaria, dengue, HIV)

  • Apply informed consent, confidentiality, and end-of-life principles to 10 written ethical dilemmas and justify each choice

  • State the Cambodian legal and professional obligations for notifiable disease reporting, prescription practice, and medical error disclosure

  • Complete two full-length timed mock exams and review every incorrect answer to a stated cause

  • Recite the 20 highest-yield facts across internal medicine and infectious disease from a self-made condensed sheet

Your checkpoint

Two completed mock exams with scores recorded plus a one-page ethics and health-law decision checklist and a 20-fact condensed review sheet

Milestones

Week 2: Score at least 65% on the timed 30-question internal medicine block and show that every missed item has a written cause in the error log

Week 4: Reproduce the labor and postpartum hemorrhage algorithm from memory in under 10 minutes with all escalation steps correct

Week 6: Achieve full marks on the 8-item dose-calculation worksheet and correctly state regimen, adverse effects, and monitoring for at least 12 of 15 drugs

Week 8: Score at least 70% on both full-length mock exams, with no domain below 50%, and have a completed error log for every incorrect answer