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Clinical shelf · Study guide

Family Medicine

Start with a clinical decision, read a focused lesson, then practice questions and revisit your misses. Prevention and longitudinal care → risk assessment → shared next step.

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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

Smoking Cessation

Choose cessation support from withdrawal pattern, safety, goals and screening eligibility.

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Clinical lesson

Colorectal Cancer

Separate screening from diagnosis and stage-directed management.

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Clinical lesson

Low Back Pain

Triage urgent back pain, nerve localization and osteopathic findings.

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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.

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

149 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 and Hypertension

Hypertension: Staging, First-Line Drugs, and the Crisis RulePro
Cardio · Staging and first-line drugs
Dyslipidemia and Lipid Management
Cardio · Statins by ASCVD risk
Heart failure through pressure, perfusion and treatment
Cardio · HFrEF vs HFpEF and GDMT
Atrial Fibrillation: Rate, Rhythm, and Stroke PreventionPro
Cardio · Rate, rhythm, CHA2DS2-VASc
Heart murmurs. Timing, pressure and bedside decisions
Cardio · Systolic vs diastolic
Systolic Murmur Localizer
Cardio · Where you hear it, which valve
Mitral RegurgitationPro
Cardio · The holosystolic murmur
Diastolic RumblePro
Cardio · The diastolic rumble
Infective Endocarditis: Vegetations, Duke Criteria & the Peripheral SignsPro
Cardio · Duke criteria and signs
PE and DVT from probability to treatment
Resp · Wells, D-dimer, anticoagulation
Drugs of the Clotting CascadePro
Heme · Heparin, warfarin, DOACs
Abdominal Aortic Aneurysm
Cardio · One-time screening and repair
Chronic Venous Insufficiency
Cardio · Stasis and leg ulcers
Renal artery stenosis and RAAS
Renal · Secondary hypertension
Autonomic failure from standing physiology to treatment choices
Neuro · Syncope and autonomic failure
Inferior MI, right ventricular failure, and AV blockPro
Cardio · RCA occlusion
MI ED Meds: MONA-BAHPro
Cardio · Acute coronary triage
Post-MI complications through rhythm, flow, and tissue failurePro
Cardio · Day-by-day timeline
Cardiomyopathies. Shape, tissue and clinical decisions
Cardio · Dilated, hypertrophic, restrictive
EKG Interpretation
Cardio · Rate, rhythm, axis, intervals
Antiarrhythmics
Cardio · Vaughan-Williams classes
Beta blockers: predict the tissue responsePro
Pharm · Selective vs non-selective
Digoxin: stronger contraction, slower conduction, narrow margin
Pharm · Toxicity and the EKG
Aortic Dissection
Cardio · Tearing chest pain
Diuretics and the nephronPro
Renal · Nephron sites and electrolyte toxicity
02

Health Maintenance, Screening and Prevention

Adult Prevention & Screening: Who Gets What & WhenPro
IM · Who gets what and when
Screening Tests, Predictive Values, and Study Results
Biostats · Sensitivity, specificity, PPV
Medication Adherence: Exposure, Barriers and Safe Treatment
Endo · The hidden cause of failure
Tobacco Control: Prevention, Cessation and Clinical Decisions
Family Medicine · Clean-air laws and policy
Medical Ethics Principles: Autonomy to JusticePro
Ethics · Autonomy to justice
Medical Interpreter Rules and Meaningful Communication
Biostats · When and how to use one
03

Endocrine, Diabetes and Metabolic

Type 1 vs Type 2 Diabetes: Production, Resistance, and Crisis
Endo · Diagnosis and screening
Antidiabetic drugs. Match the mechanism to the personPro
Pharm · Metformin to GLP-1 and SGLT2
Thyroid disorders from hormone source to treatment
Endo · Hypo vs hyperthyroidism
DKA and HHS: Ketones, Acidosis, and Hyperosmolality
Endo · Anion gap and management
Osteoporosis: read the fracture, DXA, risk, and treatment sequence
Endo · DEXA, FRAX, bisphosphonates
Electrolytes in clinical context
Renal · Na, K, Ca and the EKG
Adrenal Insufficiency
Endo · Addison and crisis
Cushing Syndrome: Confirm, Classify, Localize
Endo · ACTH-dependent vs independent
Pheochromocytoma and paraganglioma: follow the catecholamine signal
Endo · Episodic HTN and metanephrines
Adrenal masses: hormones, feedback, and the incidentaloma fork
Endo · Conn, Cushing, incidentaloma
Insulinoma and the hypoglycemia critical sample
Endo · Whipple triad and C-peptide
The Calcium, PTH, and Vitamin D Axis
Endo · Hyper vs hypocalcemia
Pituitary tumors and the logic of water balance
Endo · Sodium and the pituitary
Gigantism (GH Excess)
Endo · GH excess workup
Glucocorticoids and fragile bone
Pharm · Bone loss on glucocorticoids
04

Respiratory and Upper Airway

Asthma and COPD
Resp · Obstruction and reversibility
Pneumonias: from airspace findings to targeted care
Resp · Typical vs atypical, CAP
Pneumococcus and acute otitis media: the organism, the ear and the treatment decision
Micro · The bulging red eardrum
Smoking Cessation: Treat Dependence and Plan the Next Decision
Family Medicine · The 5 A's and pharmacotherapy
Anaphylaxis
Immuno · Airway and epinephrine
Lung cancers: tissue, physiology, and treatment decisions
Resp · Small cell vs non-small cell
Acid-base disorders
Resp · Reading any blood gas
05

Women's Health, Reproductive and Prenatal Care

Contraception
Repro · Counseling and contraindications
Preeclampsia, Eclampsia and HELLP
Repro · Gestational hypertension
Gynecologic infections: localize, test and treat
Repro · Vaginitis and PID
Cervical Cancer Screening, HPV and Dysplasia
Repro · Pap, HPV, dysplasia follow-up
Polycystic Ovary Syndrome
Repro · Hyperandrogenism and anovulation
Ectopic Pregnancy
Repro · First-trimester emergency
Breast Neoplasms from Finding to Treatment
Repro · Benign vs malignant
Breast and axilla masses: trace the tissue and choose the test
Path · The breast lump workup
Primary amenorrhea: locate the problem and choose the next step
Repro · Workup by uterus and breasts
Placenta previa and placental abruption
Repro · Third-trimester bleeding
Pregnancy physiology: what changes, and why
Repro · Maternal adaptations
Neural Tube Defects: when the neuropore won't closePro
Neuro · Folate and AFP screening
TORCH and other perinatal infections: anatomy, timing and action
Micro · Congenital infection screen
Bartholin Cysts and Abscesses
Repro · Location and management
06

Gastrointestinal and Nutrition

GERD, Erosive Esophagitis, and Peptic Ulcer Disease
GI · PPI trial, H. pylori, red flags
Crohn Disease vs Ulcerative Colitis
GI · IBD compared
Diverticular disease: anatomy, inflammation and the next decision
GI · Left lower quadrant pain
Acute Pancreatitis
GI · Lipase and Ranson
Acute Cholecystitis and Biliary DiseasePro
GI · RUQ pain, HIDA, ERCP
Acute AppendicitisPro
GI · Migrating pain to the OR
Cirrhosis and Portal HypertensionPro
GI · Portal hypertension
Liver Enzymes, AST/ALT Ratio, and Synthetic Function
GI · Reading liver enzymes
Hepatitis serologies: what the result can actually tell you
GI · HBsAg, anti-HBc decoded
Colon polyps: tissue, complete removal and follow-up
GI · Malignant risk by type
Small-Bowel ObstructionPro
GI · Adhesions and decompression
E. coli and Shigella: mechanism, tissue and treatment
Micro · E. coli vs Shigella
Anemias: explain cell size and marrow response
Heme · Micro vs normo vs macrocytic
Iron Deficiency Anemia Workup
Heme · Ferritin and iron studies
Microcytic Anemias
Heme · Iron, thalassemia, sideroblastic
Macrocytic, Normocytic Anemias & PNH
Heme · B12 vs folate
Zinc DeficiencyPro
GI · Rash, taste loss, poor healing
Hemolytic anemias: locate the destruction
Heme · Intravascular vs extravascular
07

Behavioral Health and Psychiatry

Antidepressants
Psych · SSRIs, SNRIs, TCAs, MAOIs
Anxiety, OCD, and Related Disorders
Psych · GAD, panic, OCD
Schizophrenia and mood disorders
Psych · Timeline and criteria
Substance Intoxication and Withdrawal
Psych · Alcohol and opioids
Trauma and PTSD Disorders: Criteria, Context and Care
Psych · Re-experiencing and avoidance
Eating disorders
Psych · Anorexia vs bulimia
Somatic Symptoms, Health Anxiety and Functional Neurologic Disorder
Psych · Body signals, mind loops
Personality disorders
Psych · Clusters A, B, C
Antipsychotics, Mood Stabilizers, and Anxiolytics
Psych · Effects and bipolar
The Agitated Patient
Psych · De-escalation and restraint
Wernicke Encephalopathy and Korsakoff SyndromePro
Neuro · Thiamine before glucose
Confidentiality, Its Exceptions, and the Duty to Warn
Ethics · Tarasoff and exceptions
Tyramine Crisis: MAOI Hypertensive ReactionPro
Pharm · MAOI hypertensive reaction
08

Pediatrics, Newborn and Adolescent

Immunization schedules: make every dose count
Peds · Birth to adolescence
Bronchiolitis and RSV: Supportive Care and PalivizumabPro
Peds · Supportive care and palivizumab
Croup vs EpiglottitisPro
Peds · The pediatric airway
Kawasaki Disease: Fever, Mucocutaneous Findings and Coronary AneurysmsPro
Peds · Fever and coronary aneurysms
Neonatal Jaundice and Hyperbilirubinemia: Timing, Kernicterus and Biliary AtresiaPro
Peds · Timing and kernicterus
Newborn Screening: The 48-Hour Heel StickPro
Peds · The 48-hour heel stick
Tanner Staging: All 5 Stages of Puberty
Peds · The 5 stages of puberty
Pyloric Stenosis
Peds · Projectile vomiting, olive mass
Intussusception: Currant Jelly Stool and the Air EnemaPro
Peds · Currant-jelly stool, air enema
Lead Poisoning
Heme · Screening and basophilic stippling
Congenital heart defects through blood flow
Cardio · Cyanotic vs acyanotic
09

Musculoskeletal and Sports Medicine

The Big 5 Autoimmune Diseases
MSK · The big 5 and antibodies
Rotator Cuff Disease and Subacromial Impingement
MSK · Shoulder pain workup
Seronegative Spondyloarthropathies: The 4 ComparedPro
MSK · The 4 compared
Cervical Radiculopathy: Localize Before You Label
Neuro · C5 to T1 localization
Sciatica Localizer: Root, Nerve, Plexus, or Canal?
Neuro · Which nerve root
Spinal Stenosis: When the Canal Squeezes the CordPro
Neuro · Neurogenic claudication
Conus Medullaris + Cauda Equina + LP LandmarksPro
Neuro · Back-pain red flags
Thoracic Outlet Syndrome: Neurogenic, Venous & Arterial
MSK · Neurovascular compression
Scoliosis
MSK · Curve naming and screening
Vasculitis: read the vessel before naming the diseasePro
Immuno · Giant cell and PMR
Autoantibodies: Disease Associations & Drug-Induced Lupus
Immuno · Disease associations
10

Osteopathic Manipulative Medicine

OMM Fundamentals
OMM · TART, barriers, models
Fryette's Laws
OMM · Type 1 vs type 2 motion
Viscerosomatic Reflexes
OMM · Organ to spinal level
Chapman Points
OMM · Viscerosomatic reflex chart
Sacral Diagnosis
OMM · Seated flexion, sphinx, ILA
Sacral Torsions
OMM · Forward vs backward torsions
Muscle Energy
OMM · MET mechanics
HVLA
OMM · Indications and contraindications
Counterstrain Tenderpoints
OMM · Pelvis and lumbar
Soft Tissue OMTPro
OMM · Stretch, traction, inhibition
Autonomic Spinal Levels
OMM · Sympathetic and parasympathetic
Innominate Rotations
OMM · Anterior vs posterior
Innominate Shears and Flares
OMM · Superior, inferior, in and out
Rib Dysfunction
OMM · Inhalation vs exhalation
Cervical OMM
OMM · OA, AA, C2 to C7
Thoracic Dysfunction
OMM · Type 1 vs type 2 and ribs
Lumbar Dysfunction
OMM · Type 1 vs type 2 mechanics
Osteopathic Special Tests
OMM · Provocative exam maneuvers
Low Back Pain and OMT
OMM · Red flags and treatment
Psoas Syndrome
OMM · The opposite-motion rule
Piriformis Dysfunction
OMM · Sciatic entrapment and OMT
Radial Head Dysfunction
OMM · Posterior vs anterior
Fibular Head Dysfunction
OMM · Anterior vs posterior
Cranial Strain Patterns
OMM · SBS dysfunctions
Cranial OMT and Parasympathetics
OMM · Vault hold technique
Lymphatic OMT
OMM · Pumps and pathways
Zink Compensatory Pattern
OMM · Fascial diagonals
11

Genitourinary, Renal and Infectious Disease

Urinary Tract Infections
Renal · Cystitis, complicated vs not
AKI and CKD. Read the timeline, perfusion, and urine together
Renal · Prerenal, intrinsic, postrenal
Nephrolithiasis: protect drainage, explain the chemistry
Renal · Stones and colic
Nephrotic and nephritic syndromes. Find the injured compartment
Renal · Proteinuria vs hematuria
HIV Diagnosis and Antiretroviral ManagementPro
Micro · Diagnosis and antiretrovirals
Antibiotics: connect the target to the infection
Pharm · Coverage and stewardship
Sepsis and Septic Shock · Hour-1 Bundle and Shock PhysiologyPro
Micro · Hour-1 bundle and shock
Meningitis: urgent decisions, CSF patterns and pathogen-specific care
Micro · CSF findings by cause
Opportunistic infections: connect immune risk to the affected organ
Micro · The CD4 ladder
IgA nephropathy. From urinary findings to kidney protectionPro
Renal · Synpharyngitic hematuria
Drug-induced kidney injuryPro
Renal · ATN and AIN
Zoonotic Bacteria
Micro · What you catch from animals
Varicocele: Dilation of the Pampiniform Plexus
Repro · The bag-of-worms scrotum
Alpha blockers: receptor to bedsidePro
Pharm · BPH and resistant hypertension
12

Geriatrics, Neurology and Common Acute Complaints

Headaches
Neuro · Migraine, tension, cluster
Dementias: Timing, Networks, and Treatable Contributors
Neuro · Alzheimer, Lewy, frontotemporal
Parkinson DiseasePro
Neuro · TRAP and Lewy bodies
Peripheral Vertigo and BPPV
Neuro · Dix-Hallpike and Epley
Acute Ischemic Stroke Management
Neuro · tPA, thrombectomy, BP
Bell Palsy and Facial Localization
Neuro · The peripheral facial palsy
Seizures and epilepsyPro
Neuro · Focal vs generalized
Movement Disorders: Parkinson, Huntington, TremorsPro
Neuro · Tremor, chorea, myoclonus
Neurodegeneration Decoder: Anatomy, Circuits and Tempo
Neuro · Telling the syndromes apart
Normal pressure hydrocephalus: from gait to a treatment decision
Neuro · Wet, wacky, wobbly
Restless Leg SyndromePro
Neuro · Iron and dopamine
Drug-Induced Mental Status Change and Tremor: Board ReviewPro
Pharm · Delirium and tremor
13

Dermatology

Skin cancers through tissue, invasion and risk
Derm · BCC vs SCC vs melanoma
Classic Derm Findings
Derm · Signs and their diseases
Actinic keratosis and the epidermal boundary
Derm · The premalignant patch
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