CPSP IMM Medicine study guide
CPSP IMM Medicine · Work through your exam, one topic at a time.
The IMM (Intermediate Module Medicine) is one of the examinations administered by the College of Physicians and Surgeons Pakistan (CPSP), and it appears alongside FCPS-I, FCPS-II and MCPS in the College's online examination application forms and examination schedule. It functions as an intermediate-level assessment in internal medicine taken by trainees working toward higher clinical qualifications in Pakistan; candidates typically sit it after completing the initial FCPS-I stage and before progressing to FCPS-II training in medicine. The CPSP IMM Medicine study guide has 5 sections and about 1,590 words.
01Internal Medicine
Internal Medicine is the integrating domain of the CPSP IMM paper: it tests whether you can move from a common adult presentation to a prioritized differential, a safe immediate plan, and evidence-based definitive management. Questions often cross subspecialty boundaries, so think in systems rather than labels.
356 words, about 2 min02Cardiology
Cardiology in the IMM tests ECG literacy, rapid ACS decisions, heart-failure physiology, arrhythmia safety, and long-term risk reduction. The exam rewards a clear first-five-minutes plan and avoids esoteric subspecialty detail unless it changes immediate management.
331 words, about 2 min03Pulmonology
Pulmonology tests spirometry interpretation, severity assessment in asthma and COPD, pneumonia and PE pathways, pleural disease, and arterial blood gas reasoning. The recurring theme is objective severity: numbers decide admission, oxygen targets, and escalation.
316 words, about 2 min04Gastroenterology
Gastroenterology tests resuscitation and risk stratification in GI bleeding, cirrhosis complications, pancreatitis severity, inflammatory bowel disease, and safe prescribing in liver disease. The exam emphasizes bedside decisions and procedure timing.
283 words, about 1 min05Endocrinology and Nephrology
Endocrinology and nephrology tests diabetic emergencies, thyroid and adrenal disorders, electrolyte correction, and acute and chronic kidney disease. The exam focuses on safe sequencing: fluids before insulin, potassium before bicarbonate, and cause before creatinine.
304 words, about 2 min