2017 neuro critical care review

Absolute Neurocritical Care Review Zachary David Levy Editor https://t.me/MedicalBooksStore 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 This work is subject to copyright All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed The use of general descriptive names, registered names, trademarks, service marks, etc in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland 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 certifying 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 critical care, and the individual subjects are drawn directly from the core curriculum as defined by the UCNS. Broadly, those subjects are as follows: cerebrovascular disease, neurotrauma, seizures, neuromuscular diseases, demyelinating diseases, neuroendocrine 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 ethical 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 Questions    1 Exam Questions   49 Exam Questions   95 Exam Questions  143 Exam 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 ...Absolute Neurocritical Care Review Zachary David Levy Editor Absolute Neurocritical Care Review Editor Zachary David Levy Assistant Professor of Emergency Medicine and Neurosurgery Hofstra... 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... activated factor VII E Aminocaproic acid © Springer International Publishing AG 2017 Z.D Levy (ed.), Absolute Neurocritical Care Review, https://doi.org/10.1007/978-3-319-64632-9_1 Exam Questions A 75-year-old,