NBME CBSE study materials
NBME CBSE study resources

NBME CBSE study plan

NBME CBSE · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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%

Week 7

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

Week 8

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