PANRE-LA study plan

Build a one-page decision map for chest pain, dyspnea, syncope, and palpitations that links first-line tests to next-step management.

Rehearse 12 high-yield ECG patterns by naming the rhythm, stating the immediate action, and naming one common pitfall aloud.

Compare guideline-based treatment of HFrEF, COPD, and asthma in a side-by-side table, including titration and follow-up intervals.

Complete 30 timed mixed cardiovascular/pulmonary vignettes at 90 seconds or less per item, then rewrite every missed item as an if/then rule.

Differentiate acute from chronic abdominal pain by location and alarm features, then produce a triage algorithm.

Practice interpreting liver tests, pancreatic enzymes, and H. pylori testing in 10 vignettes by stating the next test and first-line treatment.

Build a musculoskeletal exam checklist for shoulder, knee, and low back that includes provocative tests and red flags.

Complete 30 timed GI/musculoskeletal vignettes and classify each miss as knowledge, guideline, or reading error.

Construct a flow sheet for AKI, CKD, hematuria, and nephritic/nephrotic syndromes that includes urinalysis interpretation.

Rehearse neurologic localization with 10 stroke, weakness, and dizziness vignettes by naming the lesion site and immediate imaging or treatment.

Summarize headache red flags and first-line seizure/status epilepticus management in a one-page reference.

Complete 25 timed GU/neurologic vignettes and write a three-line rationale for every missed question.

Build a diabetes medication selection grid by comorbidity, cost, and hypoglycemia risk, including A1c targets.

Interpret thyroid function patterns and anemia/iron studies in 12 vignettes by stating the next test and treatment.

Outline initial evaluation of a palpable mass, lymphadenopathy, and abnormal CBC with smear review.

Complete a 40-question cumulative timed block across weeks 1-4 and sort misses by domain.

Classify 20 common rashes by morphology and distribution, then state one cannot-miss diagnosis for each.

Build an antibiotic selection table for cellulitis, pneumonia, UTI, and STI syndromes with dosing and duration.

Practice interpreting lesion descriptions and skin cancer red flags using ABCD and E-F criteria on text descriptions.

Complete 30 timed dermatology/infectious disease vignettes and write 5 teaching points from missed items.

Apply PHQ-9, GAD-7, AUDIT-C, and safety assessment to 8 behavioral health vignettes.

Build a contraception and STI screening matrix by age, risk, and contraindication.

Outline evaluation of abnormal uterine bleeding, pelvic pain, and prostate concerns with first-line tests.

Complete 30 timed behavioral/reproductive vignettes and define 3 personal documentation habits to avoid common traps.

Re-work 25 previously missed questions closed-book, then look up each answer and record the guideline source.

Complete two 25-question mixed sets under exam-style time limits and review each within 24 hours.

Build a personal lookup index of 20 facts you repeatedly verify, organized by domain.

Practice 10 integrated cases such as diabetes with CKD or COPD with heart failure, and state the cross-domain interactions.

Complete a 50-question cumulative timed simulation across all 12 domains and review every item.

Rehearse rapid lookup for 15 high-risk topics such as anticoagulation reversal, sepsis, and stroke windows.

Write a one-page exam-day routine covering timing, lookup strategy, and fatigue breaks.

Identify three remaining weak areas and schedule two 30-minute maintenance sessions for each.