Level 3 Study Pathway
Postgraduate patient management, acute care, prevention, and osteopathic integration organized specifically for Level 3 study.
Try the free Level 3 practice assessment · 160 questions; independent practice, not an official COMLEX-USA exam or score predictor.
USMLE and COMLEX-USA are separate examination programs. This map is organized for students preparing for COMLEX-USA Level 3. Use the USMLE pathway if that is the examination program you are preparing for. Open the other exam pathway.
Mock exams for COMLEX-USA Level 3: full-length and half-length forms
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OMM and osteopathic principles
Keep structural diagnosis, autonomics, regional mechanics, and treatment selection in a dedicated lane for this Level exam.
Spine, ribs, and regional mechanics
Pelvis and sacrum
Extremities
Cranial and treatment techniques
- Cranial Parasympathetic Techniques: Anatomy, Contact and Clinical Judgment
- Cranial Dysfunction: Axes, Landmarks, and Clinical Limits
- Cranial Strain Patterns
- HVLA principles: judge the tissue before the thrust
- Lumbar and Pelvic Counterstrain: Landmarks Before Positions
- Muscle Contraction Types
- Soft Tissue OMT: Stretch, Traction & Inhibition
- Thoracic Counterstrain Tenderpoints
Additional OMM study pages
Complete study map
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OMM and Osteopathic Principles
34 pages
- OMM Fundamentals: From Examination to Treatment Choice
- Cranial Parasympathetic Techniques: Anatomy, Contact and Clinical Judgment
- Lymphatics: Fluid, Anatomy, and Safe Technique Selection
- Special tests: load the anatomy, then choose the action
- Upper and Lower Extremity Findings: Anatomy, Autonomics and Manual Medicine
- Autonomic Spinal Levels: Trace the Pathway Before the Pattern
- Brachial Plexus and Upper Extremity Nerve Injuries
- Cervical OMM
- Chapman Points
- Cranial Dysfunction: Axes, Landmarks, and Clinical Limits
- Cranial Strain Patterns
- Fascial Subtypes: Why the Joint Capsule Is Deep Fascia
- Fibular Head Somatic Dysfunction
- Fryette's Principles: From Examination to Direction
- HVLA principles: judge the tissue before the thrust
- Innominate Rotations: Position, Direction, and Clinical Judgment
- Innominate Shears, Flares, and Pubic Shears
- L5 Diagnosis Trainer and Sacral Torsions
- Low Back Pain: Clinical Patterns and Osteopathic Reasoning
- Lower Extremity Nerve Injuries: Localize by Function
- Lumbar and Pelvic Counterstrain: Landmarks Before Positions
- Lumbar Dysfunctions: From Palpatory Findings to a Coherent Diagnosis
- Muscle Contraction Types
- Piriformis and Deep Gluteal Pain
- Psoas syndrome: assess the restriction, then the cause
- Radial Head: Rotation, Examination, and Safe Decisions
- Rib mechanics and respiratory dysfunction
- Sacral diagnosis from landmarks and motion
- Scoliosis
- Soft Tissue OMT: Stretch, Traction & Inhibition
- Thoracic Counterstrain Tenderpoints
- Thoracic Somatic Dysfunction
- Viscerosomatic reflexes: pathways, patterns and limits
- Zink Patterns
Cardiovascular
1 pages
Reproductive
16 pages
- Pregnancy physiology: what changes, and why
- Sexual differentiation: anatomy, hormones, and response
- Bartholin Cysts and Abscesses
- Cervical Cancer Screening, HPV and Dysplasia
- Contraception
- Ectopic Pregnancy
- Fetal Surveillance in PPROM: NST & Biophysical Profile
- Gynecologic infections: localize, test and treat
- Placenta accreta spectrum: when the separation interface fails
- Placenta previa and placental abruption
- Polycystic Ovary Syndrome
- Preeclampsia, Eclampsia and HELLP
- Primary amenorrhea: locate the problem and choose the next step
- Umbilical Cord Vessels: Two Arteries, One Vein
- Varicocele: Dilation of the Pampiniform Plexus
- Breast Neoplasms from Finding to Treatment
Nervous System
75 pages
- Autonomic failure from standing physiology to treatment choices
- Basal ganglia anatomy, circuits, and clinical localization
- CNS Embryology: From Tissue Origins to Clinical Anatomy
- Craniopharyngioma: anatomy, hormones and function
- Neurodegeneration Decoder: Anatomy, Circuits and Tempo
- 4 Dopamine Pathways, Antipsychotic Effects
- Abnormal Gait Recognition: Visual Neuro Localizer
- AIDS Dementia Complex, HIV Encephalopathy
- ALS, Upper + Lower Motor Neuron Signs
- Aphasias: Test the Pattern, Localize the Network, Plan the Care
- Bell Palsy and Facial Localization
- Blood-Brain Barrier
- Brain Tumors
- Brainstem Stroke Syndromes: Trace the Pathway, Test the Pattern
- Cells of the Nervous System
- Cerebellar Lesions
- Cerebellar Localization
- Cerebral Cortex: Brodmann Areas, Lobes, Aphasias & Visual Fields
- Cervical Radiculopathy: Localize Before You Label
- Charcot-Bouchard Aneurysm: From Small-Vessel Injury to Deep Hemorrhage
- Chiari malformations and syringomyelia
- Conus Medullaris + Cauda Equina + LP Landmarks
- Cortical Stroke Syndromes: Localize the Dysfunction
- Cranial nerves and clinical localization
- Cribriform Plate & CN I, Anosmia from Trauma
- CSF Flow Obstruction
- Dandy-Walker Malformation
- Dementia vs Delirium
- Dementias: Timing, Networks, and Treatable Contributors
- Dermatomes and Root Localization
- Ependymoma, Fourth Ventricle Tumor
- Extraocular Muscles, Gaze and Visual Fields
- Extremity Nerves: Lesion to Deficit
- Femoral Nerve & Hip Flexor Spasticity
- Guillain-Barre syndrome
- Headaches
- Hearing Loss: Weber, Rinne, and Auditory Pathway
- Huntington Disease, CAG Repeats & Chorea
- Hypothalamus: Functions & Pituitary Control
- Idiopathic Intracranial Hypertension
- Intracranial Hemorrhages
- Lens, Refraction, and Cataracts: Focus the Retina
- Lenticulostriate Strokes
- Limbic System Memory and Fear
- Mechanoreceptors: Vibration vs Touch
- Medulloblastoma: Cerebellar PNET in Kids
- Meningocele vs Myelomeningocele
- Movement Disorders: Parkinson, Huntington, Tremors
- Nerve Injury: Seddon Classification
- Neural Crest Derivatives
- Neural Tube Defects: when the neuropore won't close
- Neurofibromatosis Type 1: Cafe-au-Lait & Lisch
- Neurofibromatosis Type 2: Bilateral Schwannomas
- Neuromuscular Junction Disorders: MG, LEMS and Botulism
- Neurotransmitters: Site, Function, Disease
- Olfactory Nerve and Cribriform Plate
- Parkinson Disease
- Peripheral Vertigo and BPPV
- Phakomatoses: Neurocutaneous Syndromes Compared
- PICA: Lateral Medullary Syndrome
- Pilocytic Astrocytoma: Rosenthal Fibers
- Restless Leg Syndrome
- Retina and Macula: Fundus Clues, Emergencies, and Board Patterns
- Sciatica Localizer: Root, Nerve, Plexus, or Canal?
- Seizures and epilepsy
- Spinal Cord Tracts and Syndromes
- Spinal Stenosis: When the Canal Squeezes the Cord
- Spinal Tracts: DCML vs Spinothalamic vs Corticospinal
- Stroke Syndromes
- Thalamus: Nuclei, Sensory Strokes & Thalamic Pain Syndrome
- Wernicke Encephalopathy and Korsakoff Syndrome
- Wilson Disease
- Acute Ischemic Stroke Management
- Demyelinating diseases: localization, timing and treatment
- Normal pressure hydrocephalus: from gait to a treatment decision
Psychiatry and Behavioral
11 pages
- Antidepressants
- Antipsychotics, Mood Stabilizers, and Anxiolytics
- Anxiety, OCD, and Related Disorders
- Eating disorders
- Grief vs Major Depression: Where to Draw the Line
- Personality disorders
- Schizophrenia and mood disorders
- Somatic Symptoms, Health Anxiety and Functional Neurologic Disorder
- Substance Intoxication and Withdrawal
- The Agitated Patient
- Trauma and PTSD Disorders: Criteria, Context and Care
Pediatrics
11 pages
- Acute Unilateral Cervical Lymphadenitis in Children
- Bronchiolitis and RSV: Supportive Care and Palivizumab
- Croup vs Epiglottitis
- Immunization schedules: make every dose count
- Intussusception: Currant Jelly Stool and the Air Enema
- Kawasaki Disease: Fever, Mucocutaneous Findings and Coronary Aneurysms
- Neonatal Jaundice and Hyperbilirubinemia: Timing, Kernicterus and Biliary Atresia
- Neuroblastoma: N-myc & Dancing Eyes
- Newborn Screening: The 48-Hour Heel Stick
- Pyloric Stenosis
- Tanner Staging: All 5 Stages of Puberty
Biostatistics
3 pages
Ethics and Professionalism
6 pages
Internal-Medicine
1 pages
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