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Neurosurgery practice questions and answers PDF

241 Pages·2005·10.12 MB·English
by  Nanda
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NEUROSURGERY PRACTICE QUESTIONS AND ANSWERS NEUROSURGERY PRACTICE QUESTIONS AND ANSWERS Mark Shaya, M.D. Staff Neurosurgeon Department of Neurosurgery Cedars Medical Center Miami, Florida Remi Nader, M.D. Staff Neurosurgeon Department of Neurosurgery Greenwood Laflore Hospital Greenwood, Mississippi Anil Nanda, M.D., F.A.C.S. Professor and Chairman Department of Neurosurgery Louisiana State University Shreveport, Louisiana Thieme Medical Publishers, Inc. 333 Seventh Ave. New York, NY 10001 Executive Editor: Tim Hiscock Associate Editor: Birgitta Brandenburg Editorial Assistant: Judith Tomat Vice President, Production and Electronic Publishing: Anne T. Vinnicombe Production Editor: Shannon Kerner Associate Marketing Director: Verena Diem Sales Director: Ross Lumpkin ChiefFinancial Officer: Peter van Woerden President: Brian D. Scanlan Compositor: MacMillan India Ltd. Printer: Vail Press Manufacturing Group Library of Congress Cataloging-in-Publication Data TK Shaya, Mark. Neurosurgery Practice Questions and Answers / Mark Shaya, Remi Nader, Anil Nanda. –- 1st ed. p. ; cm. Includes bibliographical references and index. ISBN 1-58890-422-9 (softcover : alk. paper) -- ISBN 3-13-142511-3 (softcover : alk. paper) 1. Nervous system–-Diseases–-Examinations, questions, etc. 2. Neurology–-Examinations, questions, etc. I. Nader, Remi. II. Nanda, Anil. III. Title. [DNLM: 1. Nervous System Diseases–-Examination Questions. 2. Neurology-–Examination Questions. WL 18.2 S538n 2005] RC356.S33 2005 616.8’0076–-dc22 2005020979 Copyright © 2005 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation without the publisher's consent is illegal and liable to prosecution. This applies in particular to photostat reproduction, copying, mimeographing or duplication ofany kind, translating, preparation ofmicrofilms, and electronic data processing and storage. Important note:Medical knowledge is ever-changing. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may be required. The authors and editors ofthe material herein have consulted sources believed to be reliable in their efforts to provide information that is complete and in accord with the standards accepted at the time ofpublication. However, in view ofthe possibility ofhuman error by the authors, editors, or publisher ofthe work herein or changes in medical knowledge, neither the authors, editors, nor publisher, nor any other party who has been involved in the preparation ofthis work, warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use ofsuch information. Readers are encouraged to confirm the information contained herein with other sources. For example, readers are advised to check the product information sheet included in the package ofeach drug they plan to administer to be certain that the information contained in this publication is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs. Some ofthe product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance ofa name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain. Printed in United States ofAmerica 5 4 3 2 1 TMP ISBN 1-58890-422-9 GTV ISBN 3 13 142511 3 Dedication We shall not cease from exploration And the end of all our exploring Will be to arrive where we started And know the place for the first time. —T. S . Eliot from Four Quartets For Michelle v Contents Foreword viii Preface ix Questions 1 Answers 167 vii Foreword Medical knowledge is growing at an exponential rate and information learned just 10 years ago can be obsolete today. Continuing medical education has become a dominant tool to help practitioners keep pace with the develop- ment of their respective fields. To this end, Neurosurgery Practice Questions and Answers by Drs. Mark Shaya, Remi Nader and Anil Nanda will be positively viewed by the neurosurgical com- munity. The authors are to be commended for having produced an intelligent and diverse set of questions that are not meant to tease the readers but rather to force the acquisition of factual knowledge and encourage the application of logic. The topics are extremely diverse and comprehensive, spanning all the fundamental disciplines that have practical relevance to the practice of neurosurgery, such as neuroanatomy, neuropathology, neuropharmacology, neurophysiology, neurology, and neuroimaging. All in all, over 800 questions are presented with answers, and whenever necessary or useful, they are backed up by specific explanations. It is indeed rare to find such a well thought out and practical teaching tool. I commend the authors for their effort and perseverance in completing this book. Raymond Sawaya, M.D., F.A.C.S. Professor and Chairman Department of Neurosurgery Baylor College of Medicine Distinguished Chair in Neurosurgery The University of Texas M.D. Anderson Cancer Center Houston, Texas viii Preface This book started off as my study aid to prepare for the neurosurgery board examination. Frustrated that there were no practice questions for me to use to test myself before the exam, I created questions during my readings. As the time for the exam approached, I had well over two thousand questions written in longhand on legal pads. Afterwards, on the advice of a good friend, I weeded out the bland and mundane questions and compiled the rest into the book you are reading today. There are no chapters and no divisions by topic. The questions are arranged randomly much like they are on the actual examination. One can take this book as a practice exam, or move more slowly and exhaust each question by cross-reference and repetition. As we all learn at different paces and through different means, I will leave it to the discretion of the reader as to how to use this book most effectively. I would like to thank Thieme Medical Publishers for its support of this proj- ect. I also wish to thank Drs. Arvind Dubey and Paisit Paueksakon, for reading the book for accuracy and for helping me to obtain MRIs and histopathology slides. I would also like to thank Dr. Anil Nanda for his support and suggestions for improvement and for the intraoperative images that were taken from cases of his on which I assisted. Mark R. Shaya, M.D. ix

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Neurosurgery Practice Questions and Answers will test your knowledge of the important topics appearing in the neurosurgery board exam. The questions cover "bread and butter" neurosurgery, as well as the molecular basis of neurologic disease and critical care concerns. Explanations for each answer he
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