PANRE study plan

Map the cardio blueprint: list the 12 highest-frequency cardio topics and rank them by personal weakness before studying

Interpret ECGs for ischemia, arrhythmia, and conduction block using a systematic 6-step read

Differentiate hypertensive urgency from emergency and select first-line agents for common comorbidities

Apply guideline-based initial therapy for heart failure with reduced versus preserved ejection fraction

Calculate CHA2DS2-VASc and HAS-BLED and justify anticoagulation choices

Interpret spirometry (obstructive vs restrictive) and blood gas values without reference aids

Construct stepwise treatment plans for asthma and COPD, including exacerbation management

Distinguish causes of acute dyspnea using a pretest-probability framework (PE, pneumonia, effusion, edema)

Apply community-acquired pneumonia severity criteria to decide inpatient versus outpatient care

Classify and stage sleep-disordered breathing and state indications for polysomnography

Differentiate the major causes of upper and lower GI bleeding and state initial stabilization for each

Apply diagnostic criteria for irritable bowel syndrome, celiac disease, and inflammatory bowel disease

Select appropriate screening intervals for colorectal cancer and chronic liver disease

Calculate nutritional requirements and identify refeeding risk in a malnourished patient

Order the correct initial workup for jaundice and abnormal liver enzymes using a pattern-based approach

Perform and document a structured joint exam sequence for shoulder, knee, and back from memory

Differentiate inflammatory from mechanical arthritis using history, exam, and synovial fluid findings

Select imaging appropriately for acute musculoskeletal injury, avoiding low-value studies

Apply acute management for fracture, dislocation, and compartment syndrome

Identify red-flag back pain features and state urgent workup and referral thresholds

Stage chronic kidney disease and manage its complications (anemia, acidosis, hyperkalemia, bone disease)

Interpret urinalysis and urine protein-to-creatinine ratio to localize renal disease

Distinguish pre-renal, intrinsic, and post-renal acute kidney injury and state initial management for each

Apply evaluation and treatment pathways for common genitourinary infections and nephrolithiasis

Compare contraceptive methods and select appropriate screening for sexually transmitted infections

Interpret thyroid function panels and manage hypo- and hyperthyroidism including in pregnancy

Select and monitor therapy for type 2 diabetes using comorbidity-driven decision rules

Differentiate diabetic emergencies (DKA vs hyperosmolar state) and write initial fluid and insulin orders

Evaluate a patient with a thyroid nodule or suspected adrenal insufficiency using the correct first-line tests

Distinguish bacterial from viral conjunctivitis, otitis media from otitis externa, and identify urgent ENT red flags (epiglottitis, sudden hearing loss, orbital cellulitis)

Localize a neurologic lesion using a systematic cranial nerve and motor/sensory exam framework

Distinguish stroke, seizure, migraine, and delirium by presentation and time course, and state acute management windows

Apply DSM-based screening and initial treatment for depression, anxiety, and substance use disorder

Assess suicide risk and construct a safety plan with appropriate disposition

Identify indications and monitoring needs for common psychotropics and their interactions

Re-rank all ten domains by error-log frequency and re-study the two weakest at high intensity

Complete timed mixed-domain blocks simulating exam pacing

Re-test every previously missed concept until each is answered correctly twice

Review high-yield pharmacology tables (mechanism, adverse effect, monitoring, contraindication) across all systems

Rehearse a rapid decision framework for 'next best step' and 'most likely diagnosis' question stems