Medical School MD + DO Mastery

A 4-year, board-aligned study system for medical school and licensing exams.

Walk the full Year 1–4 curriculum — foundational sciences, organ-system blocks, clinical clerkships and advanced practice — each with mastery checklists and linked learning resources, plus a dedicated review system for school exams, Shelf/COMAT, USMLE Step 1–3 and COMLEX-USA Levels 1–3.

NEUROLOGY - NBME SHELF / COMLEX TRANSFER

YEAR 3 | PAGE 32D - OFFICIAL BLUEPRINT -> QUESTION ALGORITHM -> 7-DAY FINISH

G. WHAT THE CURRENT OFFICIAL EXAMS ARE ASKING YOU TO DO

LaneCurrent official signalHow to prepare
NBME Clinical Neurology Subject ExamCurrent outline weights Nervous System & Special Senses at 60-65%; diagnosis/history/exam/diagnostic studies/outcomes at 55-60%; management at 25-30%. Ambulatory care is 60-65%, ED 25-30%, inpatient 5-15%.Study localization and diagnostic sequencing, not just rare inpatient neurology. Expect common outpatient syndromes plus acute emergencies.
NBME Clinical Neurology timingNBME timing chart lists 110 items in 2 h 45 min for Clinical Neurology.Practice sustained pacing and rapid localization; do not spend several minutes proving a lesion already established by decisive clues.
NBME Neurology CSMSClinical Neurology is in the Clinical Science Mastery Series. Each current CSMS form has 50 MCQs; standard-paced mode is 75 minutes.Take a timed form late in the rotation, then classify misses by localization, syndrome recognition, next test, treatment or timing.
Step 2 CK transferNervous System & Special Senses is currently 5-10% of Step 2 CK system weighting. Step 2 emphasizes diagnosis, diagnostic studies and management tasks.Use Neurology to strengthen “what is the lesion?” and “what is the next step?” reasoning for mixed Step 2 blocks.
DO / COMLEX Level 2-CE transferNBOME lists Nervous System & Mental Health as a minimum 10% clinical-presentation domain on Level 2-CE. NBOME does not currently list a standalone COMAT Clinical Neurology subject.DO students should use school-specific neurology assessments, NBME Neurology where assigned, and COMLEX/COMSAE Phase 2 neurology transfer rather than searching for a nonexistent Neurology COMAT.

H. NEUROLOGY QUESTION-REVIEW ALGORITHM 1. Name the syndrome: focal deficit, encephalopathy, seizure, headache, movement disorder, weakness, sensory loss or dizziness/ataxia? 2. Use tempo: seconds-minutes suggests vascular/seizure; hours-days may be infectious/inflammatory/toxic; relapsing/progressive changes the list. 3. Localize before diagnosis: cortex, brainstem, cerebellum, cord, root/plexus, peripheral nerve, NMJ or muscle? 4. Identify the dangerous alternative: stroke/hemorrhage, meningitis/encephalitis, status, cord compression, herniation or respiratory neuromuscular failure? 5. Choose the next decisive action: stabilize, CT/CTA, MRI, LP, EEG, electrodiagnostics, targeted labs or treatment now? 6. Review the best distractor: what single clue localizes it elsewhere or makes its timing/management sequence wrong? I. 7-DAY NEUROLOGY EXAM FINISH

DayExecution
7-6Map misses into localization, stroke, seizure, headache, movement, demyelination, peripheral/NMJ/muscle, cognition and neuro emergencies. Repair the two largest reasoning gaps.
5-4Timed Neurology questions. For every miss, write one line: lesion level/side -> decisive clue -> best next test or treatment -> why the closest distractor is wrong.
3Take NBME Clinical Neurology CSMS if available/appropriate. Use domain feedback and repeated patterns rather than one isolated item to redirect review.
2Mixed timed work: stroke territories/imaging, seizure/status, headache red flags, MS, Parkinson/tremor, MG/GBS/neuropathy, delirium/dementia and cord emergencies.
1Light retrieval: localization map, acute algorithms, medication toxicities and your error sheet. Stop heavy new learning early and protect sleep.

H. NEUROLOGY QUESTION-REVIEW ALGORITHM 1. Name the syndrome: focal deficit, encephalopathy, seizure, headache, movement disorder, weakness, sensory loss or dizziness/ataxia? 2. Use tempo: seconds-minutes suggests vascular/seizure; hours-days may be infectious/inflammatory/toxic; relapsing/progressive changes the list. 3. Localize before diagnosis: cortex, brainstem, cerebellum, cord, root/plexus, peripheral nerve, NMJ or muscle? 4. Identify the dangerous alternative: stroke/hemorrhage, meningitis/encephalitis, status, cord compression, herniation or respiratory neuromuscular failure? 5. Choose the next decisive action: stabilize, CT/CTA, MRI, LP, EEG, electrodiagnostics, targeted labs or treatment now? 6. Review the best distractor: what single clue localizes it elsewhere or makes its timing/management sequence wrong? I. 7-DAY NEUROLOGY EXAM FINISH

MASTERY GATE: You are shelf-ready when you can localize before naming the disease, recognize unstable neurologic emergencies, choose the correct diagnostic sequence, and distinguish a correct eventual test/treatment from the correct next step. Judge readiness by repeated Qbank + official-assessment trends, not one score. NBME - Clinical Neurology Subject Exam Content Outline NBME - Clinical Science Mastery Series NBOME - COMLEX-USA Level 2-CE NBOME - COMAT Clinical Subjects (no standalone Neurology) Doctor High Yield - Neurology Review for Step 2 CK / Shelf (~35 min) Divine Intervention - Neurology Shelf Review Part 1 2026/27 clerkship-expanded edition - verify school and official exam updates before testing