CPSP IMM Medicine study plan

Map the full Cardiology blueprint into a one-page topic list, ranking each item by exam weight and personal confidence gap

Build a rhythm-strip interpretation drill: classify 40 single-lead strips by rate, rhythm, and axis in under 60 seconds each

Write a decision algorithm for acute chest pain that sequences ECG timing, troponin kinetics, and risk stratification

Rehearse the four STEMI-equivalent patterns and state the reperfusion trigger for each from memory

Differentiate heart failure phenotypes by ejection fraction, congestion profile, and first-line drug class in a comparison table

Derive the management sequence for atrial fibrillation: rate vs rhythm control, anticoagulation scoring, and periprocedural bridging

Explain valvular lesion physiology so each murmur finding maps to a hemodynamic consequence

Practice 30 cardiology vignettes and tag every miss to a named knowledge gap

Interpret arterial blood gases systematically, including mixed disorders and compensation limits, across 25 worked cases

Construct a dyspnea triage framework separating obstructive, restrictive, vascular, and infectious causes

Outline the asthma vs COPD distinction by reversibility testing, exacerbation triggers, and stepwise therapy

Summarize mechanical ventilation basics: modes, indications, and the causes of high peak airway pressure

Consolidate pulmonary embolism and pneumonia pathways into a single diagnostic-strategy sheet

Review perioperative medicine and sepsis bundles, linking them to both internal medicine and pulmonary presentations

Complete a timed 60-question mixed block covering domains 1 and 3 and log accuracy by subtopic

Re-teach your three weakest subtopics aloud in five minutes each without notes

Build a liver enzyme pattern map (hepatocellular, cholestatic, mixed) and attach the top differentials to each pattern

Sequence the acute upper GI bleed pathway: resuscitation, risk scoring, endoscopy timing, and acid suppression

Differentiate the primary glomerulonephritides by urinalysis sediment, complement level, and serology

Explain sodium and potassium disorders by volume status and the corrective rate limits that prevent harm

Work through 20 acid-base and electrolyte cases, stating the anion gap, delta ratio, and correction plan for each

Compare diabetic ketoacidosis and hyperosmolar hyperglycemic state by precipitant, fluid strategy, and insulin timing

Outline cirrhosis complication management: ascites, varices, encephalopathy, and spontaneous bacterial peritonitis prophylaxis

Classify acute kidney injury by prerenal, intrinsic, and postrenal causes with the urine indices that separate them

Run two full-length timed practice exams under exam conditions and record per-domain accuracy

Identify the five highest-yield recurring misses across all domains and rewrite each as a one-line rule

Drill rapid recall on cardiology and pulmonology emergencies, since these carry the largest combined weight

Audit your pacing: note the average seconds per question and the number of flagged items per block

Re-drill only the flagged weak items from weeks 1 through 7, spacing them across four short sessions

Rehearse high-yield emergency algorithms for all four domains in rapid-fire format

Complete one final timed mixed block and verify that previously weak subtopics now clear 75%

Compress each domain into a single review sheet you can read in ten minutes