ABPMR PM&R study plan

Build a one-page localization algorithm that separates upper motor neuron, lower motor neuron, neuromuscular junction, and muscle weakness, then apply it to 10 written vignettes.

Outline the acute management priorities for traumatic spinal cord injury, including mean arterial pressure targets, autonomic dysreflexia, and neurogenic bladder/bowel programs.

Construct a comparison table of the presentation, provocative tests, and initial management for the five most common shoulder and knee diagnoses in physiatry practice.

Summarize post-stroke rehabilitation prognostic factors and the scoring logic of the NIHSS, modified Rankin Scale, and Functional Independence Measure.

Apply the ASIA Impairment Scale to 10 written case descriptions, assigning neurologic level, completeness, and zone of partial preservation.

Classify peripheral nerve injuries using Seddon and Sunderland systems and predict expected recovery timelines for each grade.

Differentiate radiculopathy, plexopathy, and mononeuropathy presentations by pattern of weakness, reflex change, and sensory distribution.

Identify red-flag features in spine and musculoskeletal complaints that mandate urgent imaging or referral.

Diagram electrode placement, normal latency/amplitude values, and expected waveforms for the routine upper and lower extremity nerve conduction studies.

Build a needle EMG findings table comparing myopathy, axonal neuropathy, demyelinating neuropathy, motor neuron disease, and neuromuscular junction disorders.

State the electrodiagnostic criteria for carpal tunnel syndrome, ulnar neuropathy at the elbow, and cervical radiculopathy, including how to distinguish each from its mimics.

Outline prevention and management of common inpatient rehabilitation complications: DVT prophylaxis, heterotopic ossification, pressure injuries, and neurogenic bowel/bladder regimens.

Interpret 10 abnormal electrodiagnostic case summaries, stating the lesion site, severity, and chronicity from the numeric data provided.

Explain cardiovascular and autonomic complications after neurologic injury, including orthostatic hypotension management and cardiac risk stratification for exercise prescription.

Summarize respiratory muscle assessment and ventilator weaning considerations in neuromuscular and high cervical cord populations.

Describe nutritional, endocrine, and skin-integrity complications encountered during inpatient rehabilitation and their first-line interventions.

Map gross motor, fine motor, and language milestones from birth to 5 years and flag the ages at which delay warrants referral.

Compare indications, dosing ranges, and adverse effects of botulinum toxin, intrathecal baclofen, phenol/alcohol neurolysis, and oral antispasticity agents.

Outline the spasticity management algorithm from focal to generalized treatment, including when to combine chemodenervation with therapy or surgery.

Describe the components of a seating and mobility evaluation, including pressure mapping, posture support, and power versus manual wheelchair selection.

Differentiate cerebral palsy, spina bifida, muscular dystrophy, and brachial plexus birth injury by expected functional trajectory and surveillance needs.

Apply the Modified Ashworth Scale and Tardieu Scale to written descriptions and justify the choice of scale for a given clinical question.

Select appropriate assistive technology, orthoses, and environmental modifications for 5 written pediatric and adult case vignettes.

Explain pain mechanisms in spasticity and central pain, and match pharmacologic and interventional options to each mechanism.

Re-drill the two domains with the lowest cumulative quiz scores from weeks 1-6, generating 20 new self-written questions per weak domain.

Reconstruct the NCS/EMG pattern table from memory and verify it against the week-3 cheat sheet, correcting every discrepancy.

Re-state pediatric milestone red flags and spasticity dosing from memory in a closed-book format.

Consolidate all error logs into a single ranked list of the 15 highest-yield gaps and close at least 10 of them.

Complete two full-length timed practice examinations under exam-day conditions and score them by domain.

Review every missed item across both mocks and write the underlying rule, not just the correct answer.

Recite high-yield medical-complication and pain/spasticity management algorithms from memory without notes.

Finalize a one-page pre-exam rapid-review sheet limited to facts missed more than once during the plan.