01 · LOCALISATION
Where is the pathway interrupted?
Localisation links a deficit to neuroanatomy. A neurological question becomes simpler when it is separated into cortex, brainstem, spinal cord, root, peripheral nerve, neuromuscular junction or muscle before a disease label is chosen.
Retrieve: Name the seven broad levels of localisation.
02 · MOTOR
Upper and lower pathways differ.
Motor signs can be organised around upper motor neuron pathways, lower motor neuron pathways, neuromuscular junction and muscle. The key is pattern: tone, reflexes, bulk, distribution and time course are more useful together than any one sign alone.
Retrieve: What five features help structure a motor-pattern question?
03 · SENSORY
Modality has a route.
Sensory questions ask which modality is affected, where fibres travel and whether the distribution fits a central or peripheral pattern. Begin by identifying the lost or altered function before you interpret a named tract.
Retrieve: Why should sensory modality come before tract memorisation?
04 · SEIZURES
Event, onset and recovery matter.
Seizure frameworks begin with event description, awareness, focal features, evolution and recovery. An exam vignette often tests whether the learner can distinguish a broad event pattern without turning it into a treatment plan for a real person.
Retrieve: Name four elements that should sit beside a seizure-event description.
05 · MOVEMENT
Describe before naming.
Movement questions reward careful phenomenology: speed, rhythm, distribution, triggers and associated signs. This makes tremor, choreiform movement, dystonia and bradykinetic patterns easier to separate conceptually.
Retrieve: What five descriptors make a movement pattern clearer?
06 · NEUROMUSCULAR
Weakness has a level.
Weakness can arise from central pathways, peripheral nerve, neuromuscular junction or muscle. Distribution, fatigability, sensory involvement and reflex pattern help organise the exam map without requiring a premature diagnosis.
Retrieve: Which features help separate nerve, junction and muscle patterns?