Absolute Neurocritical Care Review

252 Pages·2017·2.576 MB·English

by  Zachary David Levy (eds.)

Absolute
Neurocritical
Care Review
Zachary David Levy
Editor
123
Absolute Neurocritical Care Review

Zachary David Levy
Editor
Absolute Neurocritical
Care Review
Editor
Zachary David Levy
Assistant Professor of Emergency Medicine and Neurosurgery
Hofstra Northwell School of Medicine
Hempstead, NY
USA
ISBN 978-3-319-64631-2 ISBN 978-3-319-64632-9 (eBook)
https://doi.org/10.1007/978-3-319-64632-9
Library of Congress Control Number: 2017956579
© Springer International Publishing AG 2017
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For Anna, moya oatpooska, ochen ochen i navsegda
and
For Elijah, my greatest gift, and my gift to the world
*
Dedicated to the memory of the great men
who came before me—Alain Levy, David Levy,
Jack Schwartzman, Isidore Schwartzman, and
Jack Weinberger
Preface
This book is intended to closely approximate the tone, scope and format of the
United Council for Neurologic Subspecialties (UCNS) Neurocritical Care certify-
ing examination. Each practice test is exactly half the length of the actual certifying
exam. Readers may utilize this book any way that they see fit; however, if the desire
is to recreate the real-life testing experience as closely as possible, each test should
be taken in one sitting, with limited interruption (bathroom breaks only), over a
maximum of 2 h.
The content is split evenly between neurological disease states and general criti-
cal care, and the individual subjects are drawn directly from the core curriculum as
defined by the UCNS. Broadly, those subjects are as follows: cerebrovascular dis-
ease, neurotrauma, seizures, neuromuscular diseases, demyelinating diseases, neu-
roendocrine derangements, neuro-oncology, encephalopathies, coma, brain death
(including organ donation and end-of-life care), perioperative neurosurgical care,
the physiology and pathology of cardiovascular/renal/pulmonary/gastrointestinal
illnesses, infectious disease, hematologic disorders, transplant medicine, general
trauma and burns, invasive monitoring, clinical scoring systems, administrative
issues (including resource allocation and performance improvement), and the ethi-
cal and legal aspects of critical care medicine.
Please note that the UCNS did not officially advise on the development of this
book. Candidates are encouraged to visit www.ucns.org for more information.
Hempstead, NY, USA Zachary David Levy, MD, FACEP
vii
Acknowledgments
With thanks for support from the Hofstra Northwell School of Medicine; from
Dr.  Lance Becker and the Department of Emergency Medicine; and from
Dr. Raj Narayan and the Department of Neurosurgery.
ix
Contents
Exam 1 Questions .............................................. 1
Exam 2 Questions .............................................. 49
Exam 3 Questions .............................................. 95
Exam 4 Questions .............................................. 143
Exam 5 Questions .............................................. 189
Index ......................................................... 235
xi
Contributors
Paulomi Bhalla, MD Assistant Professor of Neurology and Neurosurgery, Hofstra
Northwell School of Medicine, Hempstead, NY, USA
Jordan  Bonomo, MD, FCCM, FNCS Associate Professor of Emergency
Medicine, Neurology, and Neurosurgery, University of Cincinnati College of
Medicine, Cincinnati, OH, USA
Heustein Cy, MD Department of Neurosurgery, Lennox Hill Hospital, New York,
NY, USA
Celine DeMatteo, MD Assistant Professor of Neurosurgery, Hofstra Northwell
School of Medicine, Hempstead, NY, USA
Mark  Foster, MD, MS Department of Emergency Medicine, North Shore
University Hospital, Manhasset, NY, USA
Dan  Frank, MD Department of Emergency Medicine, Southside Hospital,
Bay Shore, NY, USA
Kate Groner, MD Department of Emergency Medicine, Christiana Care Health
System, Newark, DE, USA
Greg  Kapinos, MD, MS, FASN Assistant Professor of Neurology and
Neurosurgery, Hofstra Northwell School of Medicine, Hempstead, NY, USA
Josh Keegan, MD Department of Critical Care Medicine, University of Pittsburgh
Medical Center, Pittsburgh, PA, USA
Jung-Min Kim, MD Department of Neurosurgery, Division of Neurocritical Care,
North Shore University Hospital, Manhasset, NY, USA
Anna Taran Levy, DO Assistant Professor of Internal Medicine, Hofstra Northwell
School of Medicine, Hempstead, NY, USA
Anantha Mallia, DO, FACEP Department of Critical Care Medicine, MedStar
Washington Hospital Center, Georgetown University, Washington, DC, USA
xiii