Study Hub

Family Medicine

Family medicine is the long game: screen early, treat the common chronic disease, and know the one next step that actually changes the outcome. Every Bone Wizardry deep-dive that maps to the outpatient shelf, organized by system and ordered by yield.

Both shelves run on ambulatory 'most likely diagnosis' and 'best next step' questions across every age and organ system, weighted heavily toward screening, chronic-disease management, and health maintenance, with the boards adding osteopathic structural diagnosis and OMT.

01

Cardiovascular and Hypertension

Yield 13-17%
HypertensionPro
Cardio · Staging and first-line drugs
Dyslipidemia and Lipid Management
Cardio · Statins by ASCVD risk
Heart Failure
Cardio · HFrEF vs HFpEF and GDMT
Atrial FibrillationPro
Cardio · Rate, rhythm, CHA2DS2-VASc
Heart Murmurs
Cardio · Systolic vs diastolic
Systolic Murmur Localizer
Cardio · Where you hear it, which valve
Mitral RegurgitationPro
Cardio · The holosystolic murmur
Mitral Stenosis MurmurPro
Cardio · The diastolic rumble
Infective EndocarditisPro
Cardio · Duke criteria and signs
PE and DVT
Resp · Wells, D-dimer, anticoagulation
AnticoagulantsPro
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
Orthostatic Hypotension
Neuro · Syncope and autonomic failure
Inferior MI and AV BlockPro
Cardio · RCA occlusion
MI Emergency MedsPro
Cardio · Acute coronary triage
Post-MI ComplicationsPro
Cardio · Day-by-day timeline
Cardiomyopathies
Cardio · Dilated, hypertrophic, restrictive
EKG Interpretation
Cardio · Rate, rhythm, axis, intervals
Antiarrhythmics
Cardio · Vaughan-Williams classes
Beta BlockersPro
Pharm · Selective vs non-selective
Digoxin
Pharm · Toxicity and the EKG
Aortic Dissection
Cardio · Tearing chest pain
DiureticsPro
Renal · Nephron sites and electrolyte toxicity
02

Health Maintenance, Screening and Prevention

Yield 13-17%
Adult Prevention and ScreeningPro
IM · Who gets what and when
Screening Test Statistics
Biostats · Sensitivity, specificity, PPV
Medication Adherence
Endo · The hidden cause of failure
Tobacco Control
Family Medicine · Clean-air laws and policy
Medical Ethics PrinciplesPro
Ethics · Autonomy to justice
Medical Interpreter Rules
Biostats · When and how to use one
03

Endocrine, Diabetes and Metabolic

Yield 12-15%
Type 1 vs Type 2 Diabetes
Endo · Diagnosis and screening
Antidiabetic DrugsPro
Pharm · Metformin to GLP-1 and SGLT2
Thyroid Disorders
Endo · Hypo vs hyperthyroidism
DKA vs HHS
Endo · Anion gap and management
Osteoporosis
Endo · DEXA, FRAX, bisphosphonates
Electrolyte Disorders
Renal · Na, K, Ca and the EKG
Adrenal Insufficiency
Endo · Addison and crisis
Cushing Syndrome
Endo · ACTH-dependent vs independent
Pheochromocytoma
Endo · Episodic HTN and metanephrines
Adrenal Adenomas
Endo · Conn, Cushing, incidentaloma
Insulinoma and Hypoglycemia
Endo · Whipple triad and C-peptide
Calcium, PTH and Vitamin D
Endo · Hyper vs hypocalcemia
Pituitary, SIADH and DI
Endo · Sodium and the pituitary
Acromegaly and Gigantism
Endo · GH excess workup
Steroid-Induced Osteoporosis
Pharm · Bone loss on glucocorticoids
04

Respiratory and Upper Airway

Yield 9-12%
Asthma vs COPD
Resp · Obstruction and reversibility
Pneumonias
Resp · Typical vs atypical, CAP
Otitis Media
Micro · The bulging red eardrum
Smoking Cessation
Family Medicine · The 5 A's and pharmacotherapy
Anaphylaxis
Immuno · Airway and epinephrine
Lung Cancers
Resp · Small cell vs non-small cell
Acid-Base and ABGs
Resp · Reading any blood gas
05

Women's Health, Reproductive and Prenatal Care

Yield 9-12%
Contraception
Repro · Counseling and contraindications
Preeclampsia and HELLP
Repro · Gestational hypertension
Gyn Infections
Repro · Vaginitis and PID
Cervical Cancer Screening
Repro · Pap, HPV, dysplasia follow-up
Polycystic Ovary Syndrome
Repro · Hyperandrogenism and anovulation
Ectopic Pregnancy
Repro · First-trimester emergency
Breast Neoplasms
Repro · Benign vs malignant
Breast and Axilla Masses
Path · The breast lump workup
Primary Amenorrhea
Repro · Workup by uterus and breasts
Placenta Previa vs Abruptio
Repro · Third-trimester bleeding
Pregnancy Physiology
Repro · Maternal adaptations
Neural Tube DefectsPro
Neuro · Folate and AFP screening
TORCH Infections
Micro · Congenital infection screen
Bartholin Gland Cyst
Repro · Location and management
06

Gastrointestinal and Nutrition

Yield 7-10%
GERD and Peptic Ulcer
GI · PPI trial, H. pylori, red flags
Crohn's vs Ulcerative Colitis
GI · IBD compared
Diverticulitis
GI · Left lower quadrant pain
Acute Pancreatitis
GI · Lipase and Ranson
Cholecystitis and Biliary DiseasePro
GI · RUQ pain, HIDA, ERCP
Acute AppendicitisPro
GI · Migrating pain to the OR
CirrhosisPro
GI · Portal hypertension
AST/ALT Ratio
GI · Reading liver enzymes
Hepatitis B Serologies
GI · HBsAg, anti-HBc decoded
Colon Polyps
GI · Malignant risk by type
Small Bowel ObstructionPro
GI · Adhesions and decompression
Infectious Diarrhea
Micro · E. coli vs Shigella
Anemia Classification
Heme · Micro vs normo vs macrocytic
Iron Deficiency Anemia
Heme · Ferritin and iron studies
Microcytic Anemia
Heme · Iron, thalassemia, sideroblastic
Macrocytic Anemia
Heme · B12 vs folate
Zinc DeficiencyPro
GI · Rash, taste loss, poor healing
Hemolytic Anemias
Heme · Intravascular vs extravascular
07

Behavioral Health and Psychiatry

Yield 8-11%
Antidepressants
Psych · SSRIs, SNRIs, TCAs, MAOIs
Anxiety and OCD
Psych · GAD, panic, OCD
Schizophrenia vs Mood Disorders
Psych · Timeline and criteria
Substance Intoxication and Withdrawal
Psych · Alcohol and opioids
Trauma and PTSD
Psych · Re-experiencing and avoidance
Eating Disorders
Psych · Anorexia vs bulimia
Somatic Symptom Disorders
Psych · Body signals, mind loops
Personality Disorders
Psych · Clusters A, B, C
Antipsychotics and Mood Stabilizers
Psych · Effects and bipolar
Agitated Patient
Psych · De-escalation and restraint
Wernicke-KorsakoffPro
Neuro · Thiamine before glucose
Confidentiality and Duty to Warn
Ethics · Tarasoff and exceptions
Tyramine CrisisPro
Pharm · MAOI hypertensive reaction
08

Pediatrics, Newborn and Adolescent

Yield 8-11%
Immunization Schedules
Peds · Birth to adolescence
Bronchiolitis and RSVPro
Peds · Supportive care and palivizumab
Croup vs EpiglottitisPro
Peds · The pediatric airway
Kawasaki DiseasePro
Peds · Fever and coronary aneurysms
Neonatal JaundicePro
Peds · Timing and kernicterus
Newborn ScreeningPro
Peds · The 48-hour heel stick
Tanner Staging
Peds · The 5 stages of puberty
Pyloric Stenosis
Peds · Projectile vomiting, olive mass
IntussusceptionPro
Peds · Currant-jelly stool, air enema
Lead Poisoning
Heme · Screening and basophilic stippling
Congenital Heart Defects
Cardio · Cyanotic vs acyanotic
09

Musculoskeletal and Sports Medicine

Yield 5-7%
Autoimmune Joint Diseases
MSK · The big 5 and antibodies
Rotator Cuff and Impingement
MSK · Shoulder pain workup
Seronegative SpondyloarthropathiesPro
MSK · The 4 compared
Cervical Radiculopathy
Neuro · C5 to T1 localization
Sciatica Localizer
Neuro · Which nerve root
Spinal StenosisPro
Neuro · Neurogenic claudication
Cauda Equina vs ConusPro
Neuro · Back-pain red flags
Thoracic Outlet Syndrome
MSK · Neurovascular compression
Scoliosis
MSK · Curve naming and screening
VasculitisPro
Immuno · Giant cell and PMR
Autoantibodies
Immuno · Disease associations
10

Osteopathic Manipulative Medicine

Yield 7-10%
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

Yield 6-9%
Urinary Tract Infections
Renal · Cystitis, complicated vs not
AKI vs CKD
Renal · Prerenal, intrinsic, postrenal
Nephrolithiasis
Renal · Stones and colic
Nephrotic vs Nephritic
Renal · Proteinuria vs hematuria
HIV ManagementPro
Micro · Diagnosis and antiretrovirals
Antibiotics by Class
Pharm · Coverage and stewardship
SepsisPro
Micro · Hour-1 bundle and shock
Meningitis
Micro · CSF findings by cause
HIV Opportunistic Infections
Micro · The CD4 ladder
IgA NephropathyPro
Renal · Synpharyngitic hematuria
Drug-Induced NephrotoxicityPro
Renal · ATN and AIN
Zoonotic Infections
Micro · What you catch from animals
Varicocele
Repro · The bag-of-worms scrotum
Alpha BlockersPro
Pharm · BPH and resistant hypertension
12

Geriatrics, Neurology and Common Acute Complaints

Yield 6-9%
Headache Differentials
Neuro · Migraine, tension, cluster
Dementias
Neuro · Alzheimer, Lewy, frontotemporal
Parkinson DiseasePro
Neuro · TRAP and Lewy bodies
Vertigo and BPPV
Neuro · Dix-Hallpike and Epley
Acute Ischemic Stroke
Neuro · tPA, thrombectomy, BP
Bell Palsy
Neuro · The peripheral facial palsy
Seizures and EpilepsyPro
Neuro · Focal vs generalized
Movement DisordersPro
Neuro · Tremor, chorea, myoclonus
Neurodegeneration Decoder
Neuro · Telling the syndromes apart
Normal Pressure Hydrocephalus
Neuro · Wet, wacky, wobbly
Restless Leg SyndromePro
Neuro · Iron and dopamine
Drug-Induced Mental StatusPro
Pharm · Delirium and tremor
13

Dermatology

Yield 4-6%
Skin Cancers
Derm · BCC vs SCC vs melanoma
Classic Derm Findings
Derm · Signs and their diseases
Actinic Keratosis
Derm · The premalignant patch
+

To Be Added

Blueprint gaps

Topics the Family Medicine boards test that do not yet have a Bone Wizardry deep-dive. On the build list.

Cardiovascular and Hypertension Peripheral arterial disease (claudication, ankle-brachial index), Stable angina and chronic coronary disease evaluation, Hypertensive urgency vs emergency, Syncope evaluation, Peripheral edema workup, DASH diet and cardiovascular risk counseling.
Health Maintenance, Screening and Prevention Colorectal cancer screening guidelines (FIT, colonoscopy intervals), Mammography screening intervals, Lung cancer low-dose CT screening criteria, Prostate cancer PSA shared decision-making, Adult immunization schedule (Tdap, influenza, pneumococcal, zoster, HPV), Vaccine contraindications, timing and catch-up, Alcohol and drug-use screening (AUDIT, brief intervention), Depression and anxiety screening tools (PHQ-9, GAD-7), Fall-risk assessment and prevention, Preoperative risk assessment and medical clearance.
Endocrine, Diabetes and Metabolic Diabetic complication screening (retinopathy, nephropathy, neuropathy, foot exam), Thyroid nodule and TSH-guided workup, Obesity and metabolic syndrome management, Gout and hyperuricemia management, Vitamin D deficiency, Hyperprolactinemia, Male hypogonadism and low testosterone.
Respiratory and Upper Airway Acute bronchitis, Upper respiratory infection and common cold, Acute and chronic rhinosinusitis, Pharyngitis (Centor criteria, strep testing), Allergic rhinitis, Obstructive sleep apnea, Solitary pulmonary nodule evaluation, Influenza and COVID-19 outpatient management, Chronic cough workup, Tuberculosis screening and latent TB, Pertussis, Otitis externa.
Women's Health, Reproductive and Prenatal Care Routine prenatal care visit schedule and labs, Gestational diabetes screening and management, Abnormal uterine bleeding workup, Dysmenorrhea and PMS/PMDD, Menopause and hormone therapy, Mastitis and breastfeeding support, First-trimester bleeding and miscarriage, Postpartum care and postpartum depression, Infertility evaluation basics, Endometriosis and chronic pelvic pain.
Gastrointestinal and Nutrition Irritable bowel syndrome, Functional dyspepsia, Chronic constipation, Hemorrhoids and anorectal complaints, Alcoholic hepatitis and NAFLD, Celiac disease, Viral and bacterial gastroenteritis, Obesity and weight-management counseling.
Behavioral Health and Psychiatry Insomnia and sleep hygiene, Suicide risk assessment, Benzodiazepine risks and deprescribing, Intimate partner violence screening, Medication-assisted treatment for opioid and tobacco use disorder, Postpartum depression, Dementia vs delirium vs depression differentiation.
Pediatrics, Newborn and Adolescent Well-child visits and developmental milestones, Failure to thrive and growth chart interpretation, Viral exanthems (measles, roseola, fifth disease, hand-foot-mouth, scarlet fever), ADHD diagnosis and management, Febrile infant and fever without source, Adolescent confidentiality and HEEADSSS assessment, Enuresis, Pediatric constipation and encopresis, Red reflex, strabismus and vision/hearing screening, Child abuse and neglect recognition, Anticipatory guidance and injury prevention, Developmental dysplasia of the hip (Ortolani and Barlow screening).
Musculoskeletal and Sports Medicine Acute and chronic low back pain (conservative care), Mechanical neck pain and whiplash, Knee pain (meniscal, ligamentous, Ottawa knee rules), Ankle sprain and Ottawa ankle rules, Carpal tunnel syndrome, Lateral and medial epicondylitis, Gout and pseudogout, Fibromyalgia and polymyalgia rheumatica, Common fractures and stress injuries, Plantar fasciitis, Sports concussion and return-to-play, Osteoarthritis (knee, hip, hand exam and conservative management).
Osteopathic Manipulative Medicine Rib-raising and lymphatic OMT for respiratory infection, OMT for pregnancy-related low back pain, Still technique and facilitated positional release.
Genitourinary, Renal and Infectious Disease Pyelonephritis, Asymptomatic bacteriuria and screening in pregnancy, Benign prostatic hyperplasia and lower urinary tract symptoms, Erectile dysfunction, Prostatitis and epididymitis, Sexually transmitted infections (chlamydia, gonorrhea, syphilis, HSV), HIV prevention with PrEP, Acute testicular pain (torsion vs epididymitis), Hepatitis C screening and follow-up.
Geriatrics, Neurology and Common Acute Complaints Delirium recognition and causes, Falls and gait or balance assessment, Polypharmacy and Beers criteria deprescribing, Urinary incontinence (stress, urge, overflow), Frailty and functional or ADL assessment, Peripheral neuropathy, Hearing and vision loss in older adults, End-of-life, palliative care and advance directives, Elder abuse recognition, TIA and stroke secondary prevention, Acute red eye and conjunctivitis (bacterial, viral, allergic).
Dermatology Acne vulgaris and rosacea, Atopic dermatitis and contact dermatitis, Psoriasis, Tinea, dermatophytes and candidiasis, Cellulitis, abscess and erysipelas, Impetigo, Herpes zoster and varicella, Warts and molluscum contagiosum, Urticaria and drug eruptions, Seborrheic dermatitis and seborrheic keratosis, Scabies and lice, Alopecia (androgenetic, areata), Pressure ulcers and wound care.
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