這是可調整的初始路線。教材是否已發布，請以教材目錄為準；日期不是完成紀錄。篇幅較大的主題可以分次讀，不能為了追日期省略必要推理。
學習路線
第一里程碑暫定 2027/1/10 完成主要內科框架；1/11–3/12 補齊章節與間隔複習。這些是學習安排，不是官方國考日期，也不代表需逐字讀完參考書全部頁面。A 為核心與重要決策、B 為拓展、R 為回收整合、L 為降量回想。
| 日期 | 核心主題 | 層級 |
|---|---|---|
| 2026-10-21 | 低血氧：換氣不足、V/Q mismatch 與 shunt | A |
| 2026-10-22 | 胸水：先決定是否需要抽，再解讀滲出液 | A |
| 2026-10-23 | 阻塞性肺病：從 PFT 到 COPD | A |
| 2026-10-24 | 氣喘：可變氣流阻塞與急性喘鳴 | A |
| 2026-10-25 | 肺炎：診斷、嚴重度與抗生素選擇 | A |
| 2026-10-26 | 肺栓塞：前測機率如何決定下一個檢查 | A |
| 2026-10-27 | 咳血：出血量、氣道風險與支氣管擴張 | A |
| 2026-10-28 | 肺結節與肺癌：風險、取樣與分期 | A |
| 2026-10-29 | 間質性肺病：影像型態與暴露史 | B |
| 2026-10-30 | 肺高壓：從右心負荷區分病因群 | B |
| 2026-10-31 | 胸腔整合：同樣喘，哪項證據會改判 | R |
| 2026-11-01 | 胸腔錯題回收與第一個覆蓋檢查 | R |
| 2026-11-02 | 休克：灌流、容量反應與敗血症 | A |
| 2026-11-03 | 呼吸支持：氧氣、HFNC、NIV 與插管評估 | A |
| 2026-11-04 | ARDS：肺保護通氣的目的與限制 | A |
| 2026-11-05 | 酸鹼：用代償檢查找出混合障礙 | A |
| 2026-11-06 | 鉀離子急症：心電圖、轉移與排除 | A |
| 2026-11-07 | 中毒：用生理異常辨識可逆原因 | A |
| 2026-11-08 | 重症整合：低血氧合併低血壓 | R |
| 2026-11-09 | 胸痛與 ACS：辨識需要立即處置的人 | A |
| 2026-11-10 | 慢性冠心病：缺血證據與血運重建 | A |
| 2026-11-11 | 心衰竭：鬱血、低輸出與病因 | A |
| 2026-11-12 | 心律不整：先判穩定度再判節律 | A |
| 2026-11-13 | 心房顫動：心率、節律與栓塞預防 | A |
| 2026-11-14 | 瓣膜病：壓力或容量負荷如何造成症狀 | A |
| 2026-11-15 | 心包膜疾病：積液、壓塞與縮窄 | A |
| 2026-11-16 | AKI：從尿液與時間軸定位腎損傷 | A |
| 2026-11-17 | CKD：eGFR、UACR、併發症與透析評估 | A |
| 2026-11-18 | 低血鈉：先判張力，再判 ADH 為何存在 | A |
| 2026-11-19 | 高血鈉：水分缺損與尿液濃縮能力 | A |
| 2026-11-20 | 腎性鉀異常：酸鹼、RAAS 與藥物 | A |
| 2026-11-21 | 腎絲球疾病：nephritic 與 nephrotic | A |
| 2026-11-22 | 結石與泌尿道感染：阻塞合併感染的急迫性 | A |
| 2026-11-23 | 消化道出血：先穩定，再定位 | A |
| 2026-11-24 | 食道與胃：吞嚥困難、GERD 與潰瘍 | A |
| 2026-11-25 | 腹瀉：感染、吸收不良與 IBD | A |
| 2026-11-26 | 肝炎與急性肝衰竭：辨識需要升級照護者 | A |
| 2026-11-27 | 肝硬化與腹水：門脈高壓如何產生併發症 | A |
| 2026-11-28 | 胰膽急症：疼痛、發炎與阻塞 | A |
| 2026-11-29 | 腎臟與消化整合：以新題檢查核心缺口 | R |
| 2026-11-30 | 糖尿病：診斷、慢性治療與器官保護 | A |
| 2026-12-01 | DKA 與 HHS：胰島素缺乏如何改變處置順序 | A |
| 2026-12-02 | 甲狀腺：從 TSH 與 free T4 判讀軸線 | A |
| 2026-12-03 | 腎上腺：不足、皮質醇過多與醛固酮 | A |
| 2026-12-04 | 鈣與骨：先看 PTH，再找機轉 | A |
| 2026-12-05 | 腦下垂體：多條荷爾蒙軸如何一起失效 | B |
| 2026-12-06 | 代謝門診：血脂與肥胖的風險管理 | B |
| 2026-12-07 | 急性單關節炎：感染與結晶的分界 | A |
| 2026-12-08 | 慢性發炎性關節炎：RA 與脊椎關節炎 | A |
| 2026-12-09 | SLE：哪些器官受累會改變治療強度 | A |
| 2026-12-10 | 血管炎：血管大小與器官組合 | A |
| 2026-12-11 | 免疫缺陷與免疫治療：感染型態透露哪一層失效 | B |
| 2026-12-12 | 高血壓：確認診斷、次發原因與器官損傷 | A |
| 2026-12-13 | 主動脈與周邊動脈：危及器官的灌流障礙 | A |
| 2026-12-14 | 短篇回想：胸痛問診與危險訊號 | L |
| 2026-12-15 | 短篇回想：呼吸困難的床邊推理 | L |
| 2026-12-16 | 短篇回想：水腫與尿液異常 | L |
| 2026-12-17 | 短篇回想：黃疸與消化道出血 | L |
| 2026-12-18 | 短篇回想：低血糖與意識改變 | L |
| 2026-12-19 | 短篇回想：一個核心判斷的短回想 | L |
| 2026-12-20 | 階段回顧：整理一個未解缺口，不堆補課 | L |
| 2026-12-21 | 結締組織病：肌炎、硬皮症與乾燥症 | B |
| 2026-12-22 | 全身發炎與浸潤：IgG4、amyloid 與自體發炎 | B |
| 2026-12-23 | 中風：時間、定位與再灌流評估 | A |
| 2026-12-24 | 意識改變與癲癇：先排可逆原因 | A |
| 2026-12-25 | 無力：中樞、周邊神經與神經肌肉接點 | A |
| 2026-12-26 | 頭痛、暈眩與暈厥：哪些線索要求升級評估 | A |
| 2026-12-27 | 免疫與神經：以新情境檢查遷移能力 | R |
| 2026-12-28 | 貧血：先用 MCV 與 reticulocyte 建立機轉 | A |
| 2026-12-29 | 出血與血小板：檢驗型態如何縮小鑑別 | A |
| 2026-12-30 | 白血球異常：反應性變化與骨髓腫瘤 | A |
| 2026-12-31 | 淋巴結與單株蛋白：lymphoma 與 myeloma | A |
| 2027-01-01 | 輸血：何時有益，何時造成新問題 | A |
| 2027-01-02 | 腫瘤急症與治療毒性：先處理可致命事件 | A |
| 2027-01-03 | 實體腫瘤：診斷、分期與治療目標的共通框架 | B |
| 2027-01-04 | 菌血症與心內膜炎：來源、培養與器官併發症 | A |
| 2027-01-05 | 常見感染源：泌尿道、皮膚與性傳染病 | A |
| 2027-01-06 | 中樞神經感染：取樣與治療不能錯置的順序 | A |
| 2027-01-07 | 結核：傳播、診斷證據與治療架構 | A |
| 2027-01-08 | 免疫低下宿主：HIV、黴菌與機會性感染 | A |
| 2027-01-09 | 發燒：暴露史、台灣重要感染與不明熱 | A |
| 2027-01-10 | 核心第一輪總檢：覆蓋、錯誤與下一輪排序 | R |
Pocket 章節對照
參考使用者持有的 Pocket Medicine 第九版；下表頁碼是指定電子檔的 PDF 實體頁序，版本或檔案不同時可能不同。只提供閱讀定位與原創整理，不提供教科書 PDF。日期為初始指定閱讀日，不是完成紀錄。Consults、附錄、插頁與索引按需查閱。
| 專科 | 章節 | 指定 PDF 起頁 | 指定日期 |
|---|---|---|---|
| CARDIOLOGY | Electrocardiography | 13 | 2027-01-11 |
| CARDIOLOGY | Chest Pain | 16 | 2026-11-09 |
| CARDIOLOGY | Noninvasive Evaluation of CAD | 18 | 2027-01-12 |
| CARDIOLOGY | Coronary Angiography & PCI | 19 | 2026-11-10 |
| CARDIOLOGY | Chronic Coronary Disease | 21 | 2026-11-10 |
| CARDIOLOGY | Acute Coronary Syndromes | 22 | 2026-11-09 |
| CARDIOLOGY | PA Catheter and Tailored Therapy | 31 | 2027-01-14 |
| CARDIOLOGY | Heart Failure | 34 | 2026-11-11 |
| CARDIOLOGY | Cardiomyopathies | 39 | 2027-01-13 |
| CARDIOLOGY | Valvular Heart Disease | 43 | 2026-11-14 |
| CARDIOLOGY | Pericardial Disease | 53 | 2026-11-15 |
| CARDIOLOGY | Hypertension | 58 | 2026-12-12 |
| CARDIOLOGY | Aortic Aneurysms | 61 | 2026-12-13 |
| CARDIOLOGY | Acute Aortic Syndromes | 62 | 2026-12-13 |
| CARDIOLOGY | Arrhythmias | 64 | 2026-11-12 |
| CARDIOLOGY | Atrial Fibrillation | 68 | 2026-11-13 |
| CARDIOLOGY | Syncope | 72 | 2026-12-26 |
| CARDIOLOGY | Cardiac Rhythm Management Devices | 74 | 2027-01-15 |
| CARDIOLOGY | Cardiac Risk Assessment for Noncardiac Surgery | 75 | 2027-01-16 |
| CARDIOLOGY | Peripheral Artery Disease | 77 | 2026-12-13 |
| PULMONARY | Dyspnea | 79 | 2026-10-21 |
| PULMONARY | Pulmonary Function Tests | 79 | 2026-10-23 |
| PULMONARY | Asthma | 80 | 2026-10-24 |
| PULMONARY | Anaphylaxis | 83 | 2027-01-18 |
| PULMONARY | Chronic Obstructive Pulmonary Disease | 85 | 2026-10-23 |
| PULMONARY | Solitary Pulmonary Nodule | 88 | 2026-10-28 |
| PULMONARY | Hemoptysis | 89 | 2026-10-27 |
| PULMONARY | Bronchiectasis | 89 | 2027-01-20 |
| PULMONARY | Cystic Fibrosis | 90 | 2027-01-20 |
| PULMONARY | Interstitial Lung Disease | 91 | 2026-10-29 |
| PULMONARY | Pleural Effusion | 94 | 2026-10-22 |
| PULMONARY | Venous Thromboembolism | 97 | 2026-10-26 |
| PULMONARY | Pulmonary Hypertension | 101 | 2026-10-30 |
| PULMONARY | Respiratory Failure | 105 | 2026-10-21 |
| PULMONARY | Mechanical Ventilation | 106 | 2026-11-03 |
| PULMONARY | Acute Respiratory Distress Syndrome | 111 | 2026-11-04 |
| PULMONARY | Sepsis and Shock | 112 | 2026-11-02 |
| PULMONARY | Toxicology | 114 | 2026-11-07 |
| PULMONARY | Lung Transplant | 115 | 2027-01-22 |
| GASTROENTEROLOGY | Esophageal and Gastric Disorders | 116 | 2026-11-24 |
| GASTROENTEROLOGY | Gastrointestinal Bleeding | 119 | 2026-11-23 |
| GASTROENTEROLOGY | Diarrhea | 121 | 2026-11-25 |
| GASTROENTEROLOGY | Dysmotility & Nutrition | 126 | 2027-01-24 |
| GASTROENTEROLOGY | Disorders of the Colon | 127 | 2027-01-26 |
| GASTROENTEROLOGY | Inflammatory Bowel Disease | 129 | 2026-11-25 |
| GASTROENTEROLOGY | Intestinal Ischemia | 132 | 2027-01-28 |
| GASTROENTEROLOGY | Pancreatitis | 134 | 2026-11-28 |
| GASTROENTEROLOGY | Abnormal Liver Tests | 137 | 2026-11-26 |
| GASTROENTEROLOGY | Hepatitis | 140 | 2026-11-26 |
| GASTROENTEROLOGY | Acute Liver Failure | 144 | 2026-11-26 |
| GASTROENTEROLOGY | Cirrhosis | 145 | 2026-11-27 |
| GASTROENTEROLOGY | Hepatic Vascular Disease | 151 | 2027-01-28 |
| GASTROENTEROLOGY | Ascites | 152 | 2026-11-27 |
| GASTROENTEROLOGY | Biliary Tract Disease | 154 | 2026-11-28 |
| NEPHROLOGY | Acid–Base Disturbances | 158 | 2026-11-05 |
| NEPHROLOGY | Sodium and Water Homeostasis | 166 | 2026-11-18 |
| NEPHROLOGY | Potassium Homeostasis | 172 | 2026-11-20 |
| NEPHROLOGY | Kidney Disease | 175 | 2026-11-16 |
| NEPHROLOGY | Glomerular Disease | 182 | 2026-11-21 |
| NEPHROLOGY | Urinalysis | 185 | 2026-11-16 |
| NEPHROLOGY | Nephrolithiasis | 187 | 2026-11-22 |
| HEMATOLOGY-ONCOLOGY | Anemia | 189 | 2026-12-28 |
| HEMATOLOGY-ONCOLOGY | Disorders of Hemostasis | 196 | 2026-12-29 |
| HEMATOLOGY-ONCOLOGY | Platelet Disorders | 198 | 2026-12-29 |
| HEMATOLOGY-ONCOLOGY | Coagulopathies | 203 | 2026-12-29 |
| HEMATOLOGY-ONCOLOGY | Hypercoagulable States | 204 | 2027-01-30 |
| HEMATOLOGY-ONCOLOGY | Disorders of Leukocytes | 206 | 2026-12-30 |
| HEMATOLOGY-ONCOLOGY | Transfusion Medicine | 207 | 2027-01-01 |
| HEMATOLOGY-ONCOLOGY | Myeloid Neoplasms | 209 | 2026-12-30 |
| HEMATOLOGY-ONCOLOGY | Myeloproliferative Neoplasms | 210 | 2027-02-01 |
| HEMATOLOGY-ONCOLOGY | Leukemia | 213 | 2026-12-30 |
| HEMATOLOGY-ONCOLOGY | Lymphoma and CLL | 217 | 2026-12-31 |
| HEMATOLOGY-ONCOLOGY | Plasma Cell Dyscrasias | 221 | 2026-12-31 |
| HEMATOLOGY-ONCOLOGY | Hematopoietic Stem Cell Transplantation | 224 | 2027-02-03 |
| HEMATOLOGY-ONCOLOGY | Immunotherapy & Cellular Therapy | 228 | 2027-02-03 |
| HEMATOLOGY-ONCOLOGY | Lung Cancer | 229 | 2026-10-28 |
| HEMATOLOGY-ONCOLOGY | Breast Cancer | 232 | 2027-02-05 |
| HEMATOLOGY-ONCOLOGY | Prostate Cancer | 235 | 2027-02-07 |
| HEMATOLOGY-ONCOLOGY | Colorectal Cancer | 237 | 2027-02-09 |
| HEMATOLOGY-ONCOLOGY | Pancreatic Tumors | 238 | 2027-02-11 |
| HEMATOLOGY-ONCOLOGY | Other Solid Tumors | 240 | 2027-02-11 |
| HEMATOLOGY-ONCOLOGY | Oncologic Emergencies | 243 | 2027-01-02 |
| HEMATOLOGY-ONCOLOGY | Therapy Side Effects | 245 | 2027-02-13 |
| INFECTIOUS DISEASES | Pneumonia | 247 | 2026-10-25 |
| INFECTIOUS DISEASES | Fungal Infections | 250 | 2027-01-08 |
| INFECTIOUS DISEASES | Infections in Immunosuppressed Hosts | 標題定位待核 | 2027-02-15 |
| INFECTIOUS DISEASES | Urinary Tract Infections | 252 | 2027-01-05 |
| INFECTIOUS DISEASES | Sexually Transmitted Infections | 254 | 2027-01-05 |
| INFECTIOUS DISEASES | Skin and Soft Tissue Infections | 255 | 2027-01-05 |
| INFECTIOUS DISEASES | Infections of the Nervous System | 260 | 2027-01-06 |
| INFECTIOUS DISEASES | Bacteremia & Endocarditis | 264 | 2027-01-04 |
| INFECTIOUS DISEASES | Tuberculosis | 268 | 2027-01-07 |
| INFECTIOUS DISEASES | HIV/AIDS | 271 | 2027-01-08 |
| INFECTIOUS DISEASES | Tick-Borne Diseases | 276 | 2027-02-17 |
| INFECTIOUS DISEASES | Fever Syndromes | 279 | 2027-01-09 |
| ENDOCRINOLOGY | Pituitary Disorders | 283 | 2026-12-05 |
| ENDOCRINOLOGY | Thyroid Disorders | 286 | 2026-12-02 |
| ENDOCRINOLOGY | Adrenal Disorders | 291 | 2026-12-03 |
| ENDOCRINOLOGY | Calcium Disorders | 298 | 2026-12-04 |
| ENDOCRINOLOGY | Diabetes Mellitus | 301 | 2026-11-30 |
| ENDOCRINOLOGY | Lipid Disorders | 305 | 2026-12-06 |
| ENDOCRINOLOGY | Obesity and Weight Management | 307 | 2026-12-06 |
| RHEUMATOLOGY | Approach to Rheumatic Disease | 309 | 2026-12-07 |
| RHEUMATOLOGY | Infectious Arthritis & Bursitis | 312 | 2026-12-07 |
| RHEUMATOLOGY | Crystal Deposition Arthritides | 315 | 2026-12-07 |
| RHEUMATOLOGY | Rheumatoid Arthritis | 318 | 2026-12-08 |
| RHEUMATOLOGY | Adult-Onset Still’s Disease & Relapsing Polychondritis | 標題定位待核 | 2027-02-19 |
| RHEUMATOLOGY | Seronegative Spondyloarthritis | 320 | 2026-12-08 |
| RHEUMATOLOGY | Connective Tissue Diseases | 323 | 2026-12-21 |
| RHEUMATOLOGY | Systemic Lupus Erythematosus | 329 | 2026-12-09 |
| RHEUMATOLOGY | IgG4-Related Disease | 332 | 2026-12-22 |
| RHEUMATOLOGY | Vasculitis | 333 | 2026-12-10 |
| RHEUMATOLOGY | Autoinflammatory Syndromes | 338 | 2027-02-21 |
| RHEUMATOLOGY | Amyloidosis | 339 | 2027-02-21 |
| NEUROLOGY | Change in Mental Status | 342 | 2026-12-24 |
| NEUROLOGY | Seizures | 345 | 2026-12-24 |
| NEUROLOGY | Alcohol Withdrawal | 348 | 2027-02-23 |
| NEUROLOGY | Dizziness | 348 | 2026-12-26 |
| NEUROLOGY | Stroke | 349 | 2026-12-23 |
| NEUROLOGY | Weakness & Neuromuscular Dysfunction | 352 | 2026-12-25 |
| NEUROLOGY | Headache | 355 | 2026-12-26 |
| NEUROLOGY | Back and Spinal Cord Disease | 357 | 2027-02-25 |