North Macedonia Physician Licensing Exam study plan

Map the Internal Medicine blueprint into subsections (cardiology, pulmonology, gastroenterology, nephrology, endocrinology, hematology, rheumatology, infectology) and assign each a study date

Review and consolidate the diagnostic approach to the most common acute presentations: chest pain, dyspnea, syncope, and abdominal pain

Solve at least 60 Internal Medicine practice items and log every error with the underlying knowledge gap

Build a one-page reference sheet on arterial blood gas interpretation and acid-base disorders

Consolidate management of chronic diseases: hypertension, type 2 diabetes, heart failure, COPD, and chronic kidney disease, including target values and first-line therapy

Differentiate the main electrocardiographic patterns (arrhythmias, ischemia, conduction blocks) using written case vignettes

Practice interpreting laboratory panels and deciding the next diagnostic step in 40 vignette-style questions

Summarize the indications for and contraindications of the most common Internal Medicine drugs in a two-page table

Review the perioperative assessment pathway: risk stratification, preoperative preparation, and prophylaxis for the main surgical procedures

Outline the diagnostic and management algorithm for acute abdomen, trauma, and shock in the emergency setting

Solve 50 Surgery and 30 Emergency Medicine items, tagging each error by mechanism of error (knowledge, misreading, or reasoning)

Rehearse a systematic ABCDE approach to the critically ill patient and document it in a checklist

Review growth and development milestones, vaccination schedule, and the most common pediatric infections

Consolidate the management of normal and high-risk pregnancy: antenatal care, hypertensive disorders, and postpartum hemorrhage

Differentiate the main gynecologic presentations: abnormal uterine bleeding, pelvic pain, and contraception counseling

Solve 40 Pediatrics and 40 Obstetrics/Gynecology items and correct every error against a written source

Review the core epidemiological measures: incidence, prevalence, relative and attributable risk, sensitivity/specificity, and predictive values, with worked calculations

Summarize the structure of the Macedonian health system and the legal framework governing medical practice and reporting obligations

Classify the main drug groups by mechanism, key adverse effects, and clinically important interactions

Solve 40 Public Health and 30 Pharmacology items, recalculating every epidemiology item by hand

Connect the main pathophysiological mechanisms (inflammation, ischemia, neoplasia, metabolic derangement) to their clinical and laboratory manifestations

Review the diagnostic approach to the most common neurologic presentations: stroke, headache, seizure, and peripheral neuropathy

Differentiate the main psychiatric syndromes and their first-line management, including the recognition of emergencies such as agitation and suicidality

Solve 35 Pathology/Pathophysiology and 35 Neurology/Psychiatry items and write a mechanism note for each error

Review the principles of medical ethics: informed consent, confidentiality, capacity assessment, and end-of-life decision-making, applied to written scenarios

Summarize the duties of professional deontology and the handling of medical errors and conflicts of interest

Consolidate the family medicine approach to the most frequent consultations: preventive checkups, chronic-disease follow-up, and referral criteria

Solve 25 Ethics and 35 Family Medicine items, justifying each answer choice in writing

Complete two full timed mock exams under examination conditions and score them by domain

Re-study only the three weakest domains identified by the mock results, using the error logs from weeks 1–7

Rehearse the highest-yield facts from every domain through spaced repetition of the accumulated error logs

Finalize an examination-day strategy covering time allocation, question sequencing, and handling of uncertain items