SCHOOL-EXAM + LOCALIZATION MASTERY
YEAR 1 | PAGE 16C - PATHWAYS, LESION LOGIC, NEURO EXAM + BEHAVIORAL CASES
C. WHAT SCHOOL EXAMS COMMONLY REQUIRE
| Resource | Description | Link |
|---|---|---|
| Tracts / spinal cord | Trace pathway, modality, crossing and level; use pattern of motor/sensory loss to localize cord, root, plexus or peripheral nerve. | |
| Brainstem / cranial nerves | Combine CN deficits, gaze/pupil findings and long-tract signs to identify the side and approximate brainstem level. | |
| Cortex / vascular territories | Localize aphasia, neglect, visual fields, motor/sensory deficits and higher cortical dysfunction; connect to arterial territories. | |
| Basal ganglia / cerebellum | Differentiate movement initiation/suppression disorders from coordination, gait and eye-movement abnormalities. | |
| Special senses / autonomics | Localize visual, auditory/vestibular and pupillary abnormalities using pathway anatomy and relevant reflex arcs. | |
| Behavioral / psychiatry | Distinguish normal variants from syndromes by duration, function and context; connect neurotransmitter/circuit logic to medications and adverse effects. |
D. 7-DAY SCHOOL-EXAM REVIEW CYCLE
| Resource | Description | Link |
|---|---|---|
| Days 1-2 | Spinal cord + motor/sensory tracts. Draw every major pathway, crossing and lesion pattern from memory. | |
| Days 3-4 | Brainstem/CNs + cortex/vascular territories. Work mixed localization vignettes before looking at answer choices. | |
| Day 5 | Basal ganglia, cerebellum, special senses, autonomics, sleep and neurotransmitter systems; integrate exam findings with circuitry. | |
| Day 6 | Behavioral/developmental/psychiatric foundations + timed mixed school-style block. Include images and neuro-exam findings. | |
| Day 7 | Error-driven re-test using NEW cases. If localization still fails, redraw the pathway rather than rereading a disease list. |
D. 7-DAY SCHOOL-EXAM REVIEW CYCLE — E. NEUROSCIENCE ERROR-LOG TAXONOMY
- Localization gap - recognized the disease name but could not identify the anatomic level from the findings.
- Decussation/side gap - knew the tract but predicted the wrong side of the deficit.
- Exam-sign gap - confused UMN/LMN, cerebellar, basal-ganglia, sensory or cranial-nerve patterns.
- Neurotransmitter/circuit gap - memorized an association without understanding which pathway/function was altered.
- Behavioral-pattern gap - ignored duration, functional impairment, developmental context, substance/medical causes or normal variation.
F. CLINICAL SKILLS TRANSFER - SUPERVISED PRACTICE STILL REQUIRED
| Resource | Description | Link |
|---|---|---|
| Stanford Medicine 25 - Gaits | Video demonstration of hemiplegic, spastic, neuropathic, myopathic, Parkinsonian, choreiform, ataxic and sensory gait patterns. | Open → |
| Stanford 25 - Video Gallery | Verified Stanford bedside-neurology video library including cerebellar exam, reflexes, gait, tremor and Parkinson examination. | Open → |
F. CLINICAL SKILLS TRANSFER - SUPERVISED PRACTICE STILL REQUIRED — SCHOOL-EXAM GATE
Proceed when you can localize an unfamiliar lesion before naming a diagnosis, explain side/crossing logic, interpret a focused neurologic exam and distinguish normal behavioral/developmental patterns from pathology. VIDEO-FIRST | SCHOOL-EXAM + BOARD-EXAM MASTERY