NBME CBSE study plan
NBME CBSE · Give each week a clear focus.
8 weeks · About 6 hours per week
Biostatistics, Epidemiology, and Population Health & Behavioral Health
Construct a one-page formula sheet for study design, measures of association, and screening test characteristics
Compute and interpret sensitivity, specificity, predictive values, relative risk, odds ratio, and attributable risk from clinical vignettes
Distinguish selection, information, and confounding bias, and identify the design (cohort, case-control, cross-sectional, RCT) used in a vignette
Classify the major psychiatric presentations (depression, mania, psychosis, anxiety, substance use) by defining features and first-line management
Apply the biopsychosocial model and stages-of-change framework to adherence and behavioral-change vignettes
Your checkpoint
Score at least 70% on a 40-question self-made biostatistics/epidemiology set and submit the completed formula sheet
Blood and Lymphoreticular System & Cardiovascular System
Diagram hematopoiesis and map each major anemia to its underlying defect and peripheral smear finding
Differentiate microcytic, normocytic, and macrocytic anemias using iron studies, reticulocyte count, and smear description
Outline hemostasis and explain platelet versus coagulation-factor bleeding patterns with corresponding lab abnormalities
Trace normal cardiac cycle pressures and relate each valvular lesion to its murmur timing, location, and radiation
Explain the pathophysiology and initial management of heart failure, acute coronary syndrome, and hypertensive emergency
Your checkpoint
Complete 60 mixed hematology/cardiology vignette questions with ≥70% accuracy and a written log of every missed item's underlying concept
General Principles of Foundational Science & Endocrine System
Build an autosomal dominant, autosomal recessive, and X-linked pedigree set and solve inheritance-risk problems from each
Map the major metabolic pathways (glycolysis, TCA, oxidative phosphorylation, glycogen, HMP shunt) to their deficiency syndromes
Connect cell-cycle regulation, oncogenes, and tumor suppressors to named neoplasms and their inheritance patterns
Diagram the hypothalamic-pituitary-end organ axes and predict lab values in primary versus secondary endocrine failure
Differentiate thyroid, adrenal, and pituitary disorders by their biochemical profile and first-line therapy
Your checkpoint
Produce a 10-item pedigree-and-pathway problem set with worked solutions and score ≥80% on it one week later
Gastrointestinal System & Renal and Urinary System
Trace the nephron segment by segment and predict which transport defect produces each acid-base and electrolyte disturbance
Interpret arterial blood gases and calculate the anion gap and delta gap in mixed disorders
Relate gastrointestinal anatomy to absorption sites and the deficiency syndrome produced by resection or disease at each site
Explain the pathophysiology of peptic ulcer disease, inflammatory bowel disease, and cirrhosis with their complications
Apply liver function test patterns to distinguish hepatocellular from cholestatic injury
Your checkpoint
Pass a 50-question GI/renal block test at ≥70% and write a one-page ABG interpretation algorithm
Respiratory System & Nervous System and Special Senses
Compare obstructive and restrictive lung disease using spirometry values, compliance, and diffusion capacity
Map the cerebral circulation and correlate each stroke syndrome with its vascular territory and clinical deficit
Explain the pathophysiology of asthma, COPD, pulmonary embolism, and pneumonia with their classic exam findings
Diagram the ascending and descending sensory pathways and localize lesions by the pattern of sensory loss
Describe the cranial nerves by function, exit, and lesion effect
Your checkpoint
Complete a 20-item localization exercise (5 spirometry, 5 vascular territory, 5 spinal cord, 5 cranial nerve) with ≥75% accuracy
Reproductive System & Musculoskeletal, Skin, and Subcutaneous Tissue
Trace the male and female reproductive tracts and link developmental anomalies to their embryologic origin
Sequence the menstrual cycle hormonally and identify the cause of each amenorrhea or abnormal uterine bleeding pattern
Differentiate the major skin lesion morphologies and their associated systemic diseases
Explain bone remodeling, fracture healing, and the pathophysiology of osteoporosis and osteoarthritis
Correlate the major autoimmune and crystal arthropathies with their joint distribution and serologic findings
Your checkpoint
Create a 25-image-free dermatology and rheumatology comparison table covering morphology, associated disease, and diagnostic test, then self-quiz to ≥80%
Behavioral Health & Blood and Lymphoreticular System & Cardiovascular System & Biostatistics, Epidemiology, and Population Health
Re-rank your weakest 15 concepts from weeks 1-6 and rewrite each as a testable one-line question
Re-solve every previously missed question from weeks 1-4 and explain why the correct answer is correct
Integrate behavioral health screening into primary care vignettes (depression, alcohol use, intimate partner violence)
Interpret a full blood count, coagulation panel, and lipid panel in under 90 seconds each
Rehearse the highest-yield cardiovascular and hematologic emergencies as rapid pattern-recognition cards
Your checkpoint
Finish a 100-question cumulative timed set covering domains 1-4 with ≥65% accuracy and a written remediation list of no more than 10 items
General Principles of Foundational Science & Gastrointestinal System & Renal and Urinary System & Reproductive System & Respiratory System & Nervous System and Special Senses & Musculoskeletal, Skin, and Subcutaneous Tissue & Endocrine System
Simulate two full-length timed blocks under exam conditions and review every error the same day
Consolidate each domain into a single high-yield summary sheet written from memory, then fill gaps
Practice rapid interpretation of ABGs, spirometry, ECGs, and blood counts in 60-second drills
Review test-taking strategy and time allocation for long vignettes with multi-step reasoning
Audit sleep, caffeine, and study timing in the final week to protect cognitive performance
Your checkpoint
Two completed full-length practice exams with a score gap of ≤5 percentage points between them and a final one-page per-domain review set
Milestones
Week 2: Biostatistics and behavioral health questions are at ≥70% accuracy, and hematology/cardiology error log is complete with each miss linked to a named concept
Week 4: All four 9%-weight domains (1-4) have been studied once and a cumulative 40-question set across those domains scores ≥65%
Week 6: All 12 domains have been covered at least once, and every domain has a written one-page summary or comparison table
Week 8: Full-length practice scores are stable and every domain summary has been reproduced from memory without notes