NPMCN Primary study plan

Map the major anatomical regions and systems (thorax, abdomen, pelvis, limbs, head and neck) onto a single one-page outline you can annotate

Draw and label the brachial plexus, lumbosacral plexus, and the course of the major vessels from memory

Explain the cardiac cycle, pressure-volume loop, and the determinants of cardiac output aloud without notes

Describe the physiology of gas exchange and ventilation-perfusion matching in your own words

Write 40 single-best-answer questions on anatomy and physiology and score yourself

Trace the cranial nerves from origin to target and state one clinical deficit for each

Explain renal handling of sodium, water, and glucose along the nephron and how each is regulated

Describe the hypothalamic-pituitary axes and the feedback control of thyroid, adrenal, and gonadal hormones

Compare the physiology of skeletal, cardiac, and smooth muscle at the level of excitation-contraction coupling

Answer 50 timed questions on anatomy and physiology and review every wrong answer

Draw the core metabolic pathways (glycolysis, gluconeogenesis, TCA cycle, oxidative phosphorylation, glycogen metabolism) with key regulatory enzymes marked

Explain how insulin and glucagon shift flux between fed and fasted states

Classify the major drug groups by mechanism of action and name one prototype for each

State the mechanism, key adverse effects, and main contraindications for the drugs you are most likely to be asked about

Work through 30 calculation or pathway-based biochemistry questions and 30 pharmacology questions

Describe the cardinal cellular responses to injury: reversible injury, necrosis subtypes, apoptosis, and adaptation

Explain acute and chronic inflammation, mediators, and granuloma formation

Outline the pathogenesis and morphological features of the common systemic diseases by organ system

Classify the major bacterial, viral, fungal, and parasitic pathogens by structure, transmission, and laboratory identification

Explain innate and adaptive immunity, including antibody classes and hypersensitivity types

Define and calculate incidence, prevalence, relative risk, attributable risk, and odds ratio from a 2x2 table

Explain the design, strengths, and biases of cohort, case-control, and cross-sectional studies

Interpret sensitivity, specificity, and predictive values and explain how prevalence changes predictive values

Select the correct statistical test for a given study design and outcome type

Describe the structure of a research protocol, including sampling and ethical approval

Take a structured history and present it in the standard format used in clinical practice

Describe the sequence and findings of the general and systemic physical examination

Explain informed consent, confidentiality, and the approach to breaking bad news

Identify the ethical principles engaged by common clinical scenarios and justify a course of action

Outline the initial assessment and management priorities for common acute presentations

Revisit your weakest pathology, pharmacology, and microbiology topics from weeks 3 to 4 and close the gaps

Answer 80 mixed questions across these domains under timed conditions

Explain the mechanism behind each adverse drug reaction you missed

Distinguish the pathogens most often confused in laboratory diagnosis and state the discriminating test for each

Complete two full-length timed mock examinations under exam conditions

Rank your domains by mock score and allocate remaining time to the bottom three

Review every incorrect and guessed answer and write the underlying fact in one line

Rehearse the high-yield facts you keep forgetting using spaced repetition over the final week

Confirm your exam-day logistics and time-per-question strategy