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Clinical shelf · Study guide

Emergency Medicine

Start with a clinical decision, read a focused lesson, then practice questions and revisit your misses. Stabilize first → identify time-sensitive threats → disposition.

Start with a clinical decision

These existing lessons are suggested starting points, not a ranked prediction of exam frequency. Check the full lesson directory below for more systems and cases.

Clinical lesson

Ectopic Pregnancy

Interpret early ultrasound and serial hCG without missing hemorrhage.

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Clinical lesson

Atrial Fibrillation

Read the teaching and identify the decision that changes management.

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Clinical lesson

Acid Base

Test compensation and localize anion-gap and bicarbonate changes.

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Choose your pace

2 weeks

Focused review

Days 1–4: map and lessons. Days 5–10: targeted questions and an error log. Days 11–14: mixed retrieval.

4 weeks

Steady blocks

Week 1: map and lessons. Weeks 2–3: topic blocks and spaced retrieval. Week 4: mixed review.

6 weeks

Build and consolidate

Weeks 1–2: lessons. Weeks 3–4: shelf blocks. Week 5: mixed application. Week 6: weak-area retest.

Retrieve, then resume

After each question, name one wrong-answer discriminator and the finding that would change management. Return after 48 hours and on day 7 to explain the decision without looking. Scale question blocks to available eligible questions; no fixed count is promised.

Open study plan · Resume your pathway · Browse all subjects

Free practice is subject to reviewed question availability and guest access. It is not an official exam simulation.

87 related teaching pages across subjects. These are the original lessons, collected here for clinical study.

Osteopathic material is separately marked. Continue in your study plan or browse the full directory below.

01

Cardiovascular Emergencies

MI ED Meds: MONA-BAHPro
Cardio · ACS first moves, in order
Inferior MI, right ventricular failure, and AV blockPro
Cardio · RCA occlusion, ECG localization
Post-MI complications through rhythm, flow, and tissue failurePro
Cardio · The deadly post-infarct timeline
EKG Interpretation
Cardio · Rate, rhythm, ischemia patterns
Antiarrhythmics
Cardio · Rate vs rhythm control
Atrial Fibrillation: Rate, Rhythm, and Stroke PreventionPro
Cardio · AFib with RVR, stroke risk
Aortic Dissection
Cardio · Rate before pressure
Hypertension: Staging, First-Line Drugs, and the Crisis RulePro
Cardio · Emergency vs urgency, crisis rule
Heart failure through pressure, perfusion and treatment
Cardio · Flash pulmonary edema
Abdominal Aortic Aneurysm
Cardio · Ruptured AAA, hypotension
Pheochromocytoma and paraganglioma: follow the catecholamine signal
Endo · Catecholamine hypertensive crisis
Cardiomyopathies. Shape, tissue and clinical decisions
Cardio · HCM, syncope, sudden death
02

Trauma, Wounds and Burns

Intracranial HemorrhagesPro
Neuro · Epidural vs subdural vs SAH
Drugs of the Clotting CascadePro
Heme · Anticoagulant bleed and reversal agents
03

Abdominal and GI Emergencies

Acute AppendicitisPro
GI · Migrating pain, imaging, the OR
Acute Pancreatitis
GI · Lipase, causes, severity
Small-Bowel ObstructionPro
GI · Adhesions, strangulation, NG
Acute Cholecystitis and Biliary DiseasePro
GI · RUQ pain, HIDA, cholangitis
Diverticular disease: anatomy, inflammation and the next decision
GI · LLQ pain, CT, complications
GERD, Erosive Esophagitis, and Peptic Ulcer Disease
GI · Bleeding and perforated ulcer
Cirrhosis and Portal HypertensionPro
GI · Variceal bleed, SBP
Gallstone IleusPro
GI · Rigler triad, mechanical SBO
04

Respiratory and Airway Emergencies

PE and DVT from probability to treatment
Resp · Wells, D-dimer, CTA, thrombolysis
Asthma and COPD
Resp · The crashing obstructed airway
Tension pneumothorax
Resp · Clinical dx, needle decompression
ARDS and the lung that needs protection
Resp · Lung-protective ventilation
Pneumonias: from airspace findings to targeted care
Resp · Typical vs atypical, severity
Lung abscess: follow the route, locate the collection
Resp · Aspiration, air-fluid level
05

Neurologic Emergencies

Acute Ischemic Stroke Management
Neuro · tPA window, thrombectomy, BP
Stroke Syndromes
Neuro · Vascular territories mapped
Seizures and epilepsyPro
Neuro · Focal vs generalized, abortives
Headaches
Neuro · Thunderclap and danger signs
Meningitis: urgent decisions, CSF patterns and pathogen-specific care
Micro · CSF findings, empiric therapy
Guillain-Barre syndrome
Neuro · Ascending paralysis, respiratory watch
Cortical Stroke Syndromes: Localize the Dysfunction
Neuro · ACA vs MCA vs PCA
Brainstem Stroke Syndromes: Trace the Pathway, Test the PatternPro
Neuro · Wallenberg and crossed signs
Spinal Cord Tracts and SyndromesPro
Neuro · Cord compression patterns
Conus Medullaris + Cauda Equina + LP LandmarksPro
Neuro · Cauda equina red flags
Peripheral Vertigo and BPPV
Neuro · HINTS and BPPV
Wernicke Encephalopathy and Korsakoff SyndromePro
Neuro · Thiamine before glucose
Neuromuscular Junction Disorders: MG, LEMS and Botulism
Neuro · Myasthenic crisis vs LEMS
Botulism: Recognize the Pattern, Protect Breathing
Micro · Descending paralysis, antitoxin
Charcot-Bouchard Aneurysm: From Small-Vessel Injury to Deep Hemorrhage
Neuro · Charcot-Bouchard, lacunar bleed
Idiopathic Intracranial HypertensionPro
Neuro · Papilledema, vision loss
Bell Palsy and Facial Localization
Neuro · Peripheral CN VII palsy
Vasculitis: read the vessel before naming the diseasePro
Immuno · Temporal arteritis, vision loss
06

Toxicology and Environmental Emergencies

Toxidromes and antidotes: recognize the failing physiology
Pharm · Poison recognition, antidote table
Substance Intoxication and Withdrawal
Psych · Alcohol withdrawal, DTs
Digoxin: stronger contraction, slower conduction, narrow margin
Pharm · The toxic EKG, Digibind
Lead Poisoning
Heme · Basophilic stippling, chelation
Drug-Induced Mental Status Change and Tremor: Board ReviewPro
Pharm · Toxic delirium and tremor
Tyramine Crisis: MAOI Hypertensive ReactionPro
Pharm · MAOI hypertensive reaction
07

Shock, Resuscitation and Metabolic Critical Care

Electrolytes in clinical context
Renal · Hyperkalemia and the EKG
DKA and HHS: Ketones, Acidosis, and Hyperosmolality
Endo · Fluids, insulin, potassium
Anaphylaxis
Immuno · IM epinephrine first
Acid-base disorders
Resp · Anion gap, compensation
Adrenal Insufficiency
Endo · Stress-dose steroids
Sodium and Osmolality: Follow the Water
Renal · Hyponatremia correction
Insulinoma and the hypoglycemia critical sample
Endo · Whipple triad, C-peptide
Thyroid disorders from hormone source to treatment
Endo · Hyper vs hypothyroid crisis
The Calcium, PTH, and Vitamin D Axis
Endo · Hyper and hypocalcemia
AKI and CKD. Read the timeline, perfusion, and urine together
Renal · Uremia, when to dialyze
Platelet disorders: number, function and clinical patternPro
Heme · TTP, HUS and ITP emergencies
08

Infectious Disease and Sepsis

Sepsis and Septic Shock · Hour-1 Bundle and Shock PhysiologyPro
Micro · Hour-1 bundle, qSOFA
Urinary Tract Infections
Renal · Cystitis to urosepsis
Infective Endocarditis: Vegetations, Duke Criteria & the Peripheral SignsPro
Cardio · Duke criteria, septic emboli
HIV Diagnosis and Antiretroviral ManagementPro
Micro · Diagnosis, PEP, PrEP
Opportunistic infections: connect immune risk to the affected organ
Micro · The CD4 ladder
09

OB/GYN and Genitourinary Emergencies

Ectopic Pregnancy
Repro · Beta-hCG, rupture, shock
Preeclampsia, Eclampsia and HELLP
Repro · HELLP, magnesium
Placenta previa and placental abruption
Repro · Third-trimester bleeding
Placenta accreta spectrum: when the separation interface fails
Repro · Adherent placenta, hemorrhage
Gynecologic infections: localize, test and treat
Repro · PID, tubo-ovarian abscess
Nephrolithiasis: protect drainage, explain the chemistry
Renal · Renal colic, stone imaging
10

Pediatric Emergencies

Croup vs EpiglottitisPro
Peds · The pediatric airway
Bronchiolitis and RSV: Supportive Care and PalivizumabPro
Peds · Supportive care, palivizumab
Intussusception: Currant Jelly Stool and the Air EnemaPro
Peds · Currant jelly stool, air enema
Pyloric Stenosis
Peds · Projectile vomiting, olive mass
Kawasaki Disease: Fever, Mucocutaneous Findings and Coronary AneurysmsPro
Peds · Fever, coronary aneurysms
Congenital heart defects through blood flow
Cardio · Cyanotic newborn, ductal-dependent crash
Neonatal Jaundice and Hyperbilirubinemia: Timing, Kernicterus and Biliary AtresiaPro
Peds · Kernicterus risk, exchange transfusion
Congenital adrenal hyperplasia: read the blocked steroid pathway
Endo · Neonatal salt-wasting crisis
11

Musculoskeletal and Orthopedic Emergencies

Low Back Pain Red Flags
OMM · Red flags and OMT approach
Sciatica Localizer: Root, Nerve, Plexus, or Canal?
Neuro · Which nerve root is it
Spinal Stenosis: When the Canal Squeezes the CordPro
Neuro · Neurogenic claudication
Cervical Radiculopathy: Localize Before You Label
Neuro · C5 to T1 localization
Osteopathic Special Tests
OMM · Provocative exam maneuvers
Rib Dysfunction and Chest Wall
OMM · Costochondritis, rib OMT
Muscle Energy Technique
OMM · MET mechanics
HVLA
OMM · Indications, contraindications
Counterstrain
OMM · Pelvis and lumbar tenderpoints
Soft Tissue OMTPro
OMM · Stretch, traction, inhibition
Lumbar Dysfunction
OMM · Type 1 vs type 2 mechanics
Psoas Syndrome
OMM · Low back, opposite-motion rule
Piriformis Syndrome
OMM · Sciatic entrapment, OMT
Sacral Dysfunction
OMM · Sacral diagnosis and treatment
Thoracic Dysfunction
OMM · Thoracic and rib links
OMM Fundamentals
OMM · TART, barriers, OMT models
12

ENT, Eye, Skin and Behavioral Emergencies

Pneumococcus and acute otitis media: the organism, the ear and the treatment decision
Micro · Bulging red tympanic membrane
The Agitated Patient
Psych · De-escalation and restraint
Bone Wizardry is an independent educational resource for visual learning in the medical sciences. It is not affiliated with, endorsed by, or sponsored by any licensing or examination board, contains no real or recalled examination questions, and does not guarantee any educational or examination outcome.

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