ONP-C study plan
ONP-C · Give each week a clear focus.
8 weeks · About 6 hours per week
Musculoskeletal Conditions and Disorders & Assessment, Diagnosis, and Diagnostic Imaging
Map the full musculoskeletal domain blueprint into written subtopic notes covering trauma, sports, degenerative, metabolic, inflammatory, and congenital categories
Differentiate the classic clinical presentation, provocative tests, and first-line imaging choice for the ten highest-yield musculoskeletal conditions
Explain the biomechanics of the shoulder, knee, and hip in enough depth to justify why specific deformities produce specific functional deficits
Build a one-page differential table linking each major joint complaint to its most likely benign and most dangerous cause
Your checkpoint
A 12-15 page personal musculoskeletal summary sheet with a signed self-quiz of 40 original questions and an answer rationale for each
Musculoskeletal Conditions and Disorders & Fracture Management and Traumatic Injuries
Classify fractures using descriptive terminology including pattern, displacement, angulation, comminution, and intra-articular extension
Apply the Salter-Harris classification to pediatric physeal injuries and state the prognosis implication of each type
Compare nonoperative and operative indications for the most commonly tested fracture patterns by anatomic region
Identify the compartment syndrome and neurovascular warning signs that change fracture management urgently
Your checkpoint
A fracture classification decision tree plus a 25-case rapid-fire worksheet scored against your own written rationales
Assessment, Diagnosis, and Diagnostic Imaging & Fracture Management and Traumatic Injuries
Select the appropriate imaging modality for 30 common orthopaedic presentations using sensitivity, radiation, cost, and contraindication reasoning
Interpret basic plain radiograph findings including alignment, joint space, lucency, sclerosis, and hardware position
State the indications, limitations, and contraindications for MRI, CT, ultrasound, bone scan, and DEXA in orthopaedic workup
Integrate history, physical exam, and imaging into a documented assessment and plan for three simulated patients
Your checkpoint
Three complete written SOAP-style case workups including imaging justification for each study ordered
Pharmacologic Management and Pain Control & Surgical and Procedural Management
Build a pharmacology reference covering NSAIDs, opioids, acetaminophen, muscle relaxants, corticosteroids, and anticoagulants with mechanism, dosing range, and key adverse effect
Explain multimodal analgesia and opioid-sparing strategies in the perioperative orthopaedic patient
Sequence the typical perioperative workflow for arthroplasty and arthroscopy from preadmission through discharge criteria
Anticipate the most common postoperative complications by procedure and state the corresponding prevention measure
Your checkpoint
A pharmacology and perioperative quick-reference card set, plus a 30-question mixed practice block with a score of at least 75 percent
Rehabilitation and Postoperative Care & Patient Education and Health Promotion
Design a phased rehabilitation progression for rotator cuff repair, total knee arthroplasty, and ACL reconstruction with weight-bearing and range-of-motion milestones
Differentiate immobilization, protected motion, and early mobilization rationales by tissue and procedure
Write patient teaching scripts that address weight-bearing precautions, DVT prophylaxis adherence, and fall prevention in plain language
Identify red flags that require escalating a rehabilitation patient back to the surgeon
Your checkpoint
Three written rehabilitation protocols with milestone tables and a matching patient education handout at an eighth-grade reading level
Pediatric and Geriatric Orthopaedic Considerations & Emergency and Acute Care Management
Distinguish pediatric from adult fracture and growth considerations including physeal injury, remodeling potential, and growth arrest risk
Adapt assessment and management for older adults with osteoporosis, polypharmacy, cognitive impairment, and fragility fracture risk
Prioritize the initial assessment sequence for open fracture, dislocation, cauda equina syndrome, and septic joint
State the time-critical interventions and escalation triggers for each emergency presentation reviewed
Your checkpoint
An emergency action algorithm sheet plus a pediatric-versus-geriatric comparison table with at least 15 contrasted points
Professional Practice, Ethics, and Healthcare Systems & Assessment, Diagnosis, and Diagnostic Imaging
Apply informed consent, scope of practice, confidentiality, and mandatory reporting principles to six written ethical scenarios
Explain reimbursement structures, prior authorization, and care coordination pathways relevant to orthopaedic practice
Revisit the imaging and assessment domain by reworking every question missed in weeks 1 through 6
Identify personal knowledge gaps by domain and rank them by expected exam impact
Your checkpoint
A written ethics scenario response set and a ranked gap remediation list with a scheduled review date for each item
Musculoskeletal Conditions and Disorders & Fracture Management and Traumatic Injuries & Pharmacologic Management and Pain Control & Surgical and Procedural Management & Rehabilitation and Postoperative Care & Pediatric and Geriatric Orthopaedic Considerations & Emergency and Acute Care Management
Complete two full-length timed practice exams under test-day conditions and record per-domain performance
Analyze every incorrect response to its underlying knowledge gap rather than to misreading
Rehearse high-yield facts for the heaviest domains using spaced retrieval over the final five days
Finalize a test-day logistics and pacing plan including time-per-question targets and break strategy
Your checkpoint
A scored practice exam log with domain breakdown, remediation notes for every miss, and a one-page test-day plan
Milestones
Week 2: Score at least 70 percent on a self-written 40-question block drawn only from domains 2 and 3, and explain each fracture classification error in writing
Week 4: Score at least 75 percent on a 30-question mixed pharmacology and surgical block, and recite perioperative complication prevention for four procedures without notes
Week 6: Deliver the emergency algorithm and comparison table, then correctly triage 10 timed emergency vignettes with no more than one error
Week 8: Achieve at least 75 percent overall on both full-length practice exams with no single domain below 65 percent, and confirm every logged miss has a written remediation note