R.NCS.T study plan

Map upper- and lower-limb nerve anatomy to the specific NCS montages used for each nerve

Explain the physiologic basis of orthodromic versus antidromic recording and predict latency/amplitude differences

Define and calculate conduction velocity, distal latency, and amplitude from raw latency and distance values

Differentiate axonal loss from demyelination by the pattern of latency, velocity, and amplitude changes

Perform sensory NCS calculations and interpret normal versus abnormal values for median, ulnar, radial, sural, and superficial peroneal nerves

Perform motor NCS calculations and identify the expected waveform morphology at each stimulation site

Describe the technique and rationale for F-waves and H-reflexes and state what each assesses

List common technical artifacts in NCS and the corrective action for each

Trace the somatosensory pathway from peripheral receptor to somatosensory cortex and identify where each SSEP component is generated

Label the standard upper- and lower-limb SSEP recording and stimulation sites and their expected peak latencies

Explain the effect of limb temperature, height, and age on SSEP latencies

Distinguish peripheral from central abnormality using SSEP latency and amplitude relationships

Describe the principles of transcranial magnetic stimulation including coil orientation, motor threshold, and the motor evoked potential

Compare MEP with SSEP in terms of what each tests and when each is indicated

Identify contraindications and safety precautions for TMS/MEP testing

Explain central motor conduction time and how it is derived

Set stimulation parameters, filters, sweep speed, and sensitivity appropriately for each modality studied

Explain the effect of filter settings on waveform latency and amplitude

Describe signal averaging, rejection of trials, and how to recognize and reduce electrical noise

Identify common-mode rejection, impedance, and grounding concepts in the recording setup

Differentiate physiologic waveforms from artifact by morphology, latency, and reproducibility

Calculate and interpret nerve conduction values from raw data with attention to units and rounding

Describe how electrode placement errors alter recorded latency and amplitude

Explain the role of impedance testing and machine calibration in data quality

Apply informed consent, patient confidentiality, and scope-of-practice principles to clinical scenarios

Identify electrical safety hazards and the precautions that prevent injury during stimulation studies

Describe proper infection control and patient-positioning practices

Recognize ethical conflicts such as billing accuracy, physician referral, and reporting of abnormal findings

Synthesize all domains by interpreting full-length synthetic case studies from history through final impression

Identify and remediate the two weakest domains based on prior quiz performance

Complete a full-length timed practice examination under test conditions

Review every missed item and record the underlying concept for each error