This paper describes our team’s submission to AbjadMed at AbjadNLP 2026. The task involves classifying Arabic medical question-answer pairs into 82 categories, characterized by a long-tail distribution and significant semantic overlap. While domain-specific Arabic models exist, they are primarily optimized for Named Entity Recognition or span-extraction tasks rather than high-cardinality sequence classification. Consequently, our system adopts a robust optimization approach using a general-purpose encoder. We utilize ARBERTv2 as the backbone, employing Label-Distribution-Aware Margin (LDAM) loss to mitigate class imbalance and Fast Gradient Method (FGM) adversarial training to enhance generalization boundaries. Our approach achieves a Macro-F1 score of 0.4028 on the private test set, demonstrating that advanced optimization techniques can yield competitive performance on specialized taxonomies without requiring domain-specific pre-training.