SCHOOL-EXAM + PROBLEM-SOLVING MASTERY
YEAR 2 | PAGE 26G - LOCALIZATION, DIFFERENTIALS, PSYCH TIMELINES + DRUG TOXICITY
C. WHAT SCHOOL EXAMS COMMONLY REQUIRE
| Domain | What mastery looks like |
|---|---|
| Localization | Cortex vs brainstem vs cord vs peripheral nerve/NMJ/muscle; side, tract/territory and expected associated findings before disease naming. |
| Stroke / acute neuro | Vascular territory, ischemic vs hemorrhagic pattern, imaging sequence, thrombolysis/thrombectomy concepts, hemorrhage/herniation emergencies. |
| Seizure / headache | Focal vs generalized semiology, provoked vs unprovoked, status; primary headache vs SAH/meningitis/mass/ICP and first diagnostic step. |
| Movement / demyelination | Parkinson vs essential tremor vs Huntington; MS vs peripheral demyelination; basal ganglia pathways and characteristic treatment toxicities. |
| NMJ / neuromuscular | MG vs Lambert-Eaton vs botulism; neuropathy vs myopathy; reflexes, sensation, fatigability, autonomic clues and respiratory-risk recognition. |
| Neurodegeneration | Alzheimer, Lewy body, frontotemporal, vascular dementia, prion disease; tempo, cognitive domain, movement/behavioral clues and pathology. |
| Mood / anxiety / psychosis | Duration criteria, impairment, safety assessment, medical/substance exclusions, psychosis-mood relationship and first-line mechanism-based treatment. |
| Psych / neuro pharmacology | AEDs, Parkinson drugs, migraine agents, antidepressants, antipsychotics, lithium/mood stabilizers, anxiolytics; mechanism + signature toxicity + dangerous interactions. |
D. 7-DAY SCHOOL-EXAM REVIEW CYCLE
| Resource | Description | Link |
|---|---|---|
| Days 1-2 | Localization + stroke. Draw tracts/vascular territories from memory; solve deficit-to-lesion cases before reviewing disease names. | |
| Days 3-4 | Seizures/headache + demyelination/NMJ/movement. Pair each syndrome with the decisive test and drug mechanism/toxicity. | |
| Day 5 | Psychiatric timelines: depression/bipolar/psychosis/anxiety/substance/personality/neurocognitive. Force explicit duration + exclusion logic. | |
| Day 6 | Timed mixed block. Include neuro images/CT-MRI, EEG-style descriptions, pharmacology and psychiatry vignettes; explain every distractor. | |
| Day 7 | Re-test every miss on NEW cases. Redraw only the unstable localization maps, psych timelines and drug-adverse-effect pairs. |
LOCALIZATION - anatomic level/side | VASCULAR - territory | SEIZURE - type/trigger | HEADACHE - red flag/test | MOVEMENT - circuit | NMJ/MUSCLE - pattern | PSYCH TIMELINE - duration/relationship | DRUG/TOXICITY - mechanism/adverse effect | SAFETY - suicidality/agitation/delirium/withdrawal
- Schizophrenia spectrum - Dirty Medicine
- Bipolar - Dirty Medicine
- Somatic/Factitious/Malingering - BONUS
- Serotonin vs NMS - BONUS
LOCALIZATION - anatomic level/side | VASCULAR - territory | SEIZURE - type/trigger | HEADACHE - red flag/test | MOVEMENT - circuit | NMJ/MUSCLE - pattern | PSYCH TIMELINE - duration/relationship | DRUG/TOXICITY - mechanism/adverse effect | SAFETY - suicidality/agitation/delirium/withdrawal — SCHOOL-EXAM MASTERY GATE
Proceed when you can localize a neurologic lesion before naming the disorder; distinguish stroke, seizure, headache, movement, demyelinating, NMJ and neurodegenerative patterns; apply psychiatric duration/safety logic; and predict major neuro/psych medication adverse effects from mechanism.