Why the 2025 Neuro SCE Will Be Different (and why your textbook is wrong)

This blog tells you why you need to stay up to date

The Neurology SCE is not a test of your intelligence. It is a test of your currency.

​If you are revising from a 2021 textbook, you are already walking into a trap. The pace of change in Immunotherapy and Stroke Thrombolysis guidelines has outstripped the print cycle.

​Here are 3 specific areas where the 'Old Answer' is now the 'Wrong Answer':

​Stroke Guidelines (2023 Update): The window for thrombectomy has shifted. [Insert specific medical nuance here]. If you answer based on the 2019 guidelines, you lose the mark.

​MS Disease Modifying Therapies: The escalation criteria have changed significantly in the UK.

​Epilepsy & Pregnancy: The valproate regulations are stricter than ever.

​The "Length" Trap

Another shift we are seeing is the length of the vignettes. The "one-liner" questions are gone. The new standard is a 3-paragraph patient history designed to test your ability to filter noise.

​How to Prepare:

​Source 1: Read the raw NICE guidelines (free, but dense).

​Source 2: Use a QBank that updates weekly, not annually. At The Konceptuals, we rewrote our entire Neuro bank last month to reflect the latest thrombectomy windows.

​Don't let an old book cost you a year of your career.