Comprehensive Review in Clinical Neurology: A Multiple Choice Question Book for the Wards and Boards

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This new review textbook, written by residents and an experienced faculty member from Cleveland Clinic, is designed to ensure success on all sorts of standardized neurology examinations. Presented in a comprehensive question-and-answer format, with detailed rationales, Comprehensive Review in Clinical Neurology is a must-have for both aspiring and practicing neurologists and psychiatrists preparation to take the RITE, the American Board of Psychiatry and Neurology written exams, and various recertification exams.

Comprehensive Review in Clinical Neurology: A Multiple Choice Question Book for the Wards and Boards Review

I don't ever write reviews; I consume them. But I found this book to be so superior to everything else on the market that I feel an obligation to share my opinion. Months before I started studying for the Boards, I surveyed people from my program who had taken the Boards in previous years to find out how they had prepared. Many people had used the purple Mowzoon book. While everyone said without fail that the "list format" made it hard to retain information, they found it useful from the standpoint of being comprehensive, if nothing else. I flipped through the book several times, but I was unable to convince myself that I would learn anything from it, precisely because information is arranged in a tabular format, with next to no context, and that's not how I learn. Everyone I talked to said they had also used NeuroPrep, the only widely used online neurology question bank out there. One person even said he had used NeuroPrep exclusively, knowing he didn't have the time to read a text book like Adams and Victor, or the attention span to benefit from a book like Mowzoon. Somebody else cited similar objections to Mowzoon and said she had used Ultimate Review (featured on the AAN website) because it had more text than tables. Incidentally, both of these people passed their Boards.

I decided not to bother with Mowzoon, so I went ahead and bought NP and UR. As I started making my way through these two resources, I realized early on that UR is full of factual errors, as some reviews had correctly pointed out. How the AAN can endorse such a book is not the subject of this discussion, but suffice it to say UR is not a reliable resource. As for NP, I found the questions were mostly OK, but the answer explanations were entirely too cursory. Only a handful of explanations went into detail regarding why the other choices were wrong, while the majority offered no in-depth discussion. Many images were poor quality, with explanations that failed to point out the salient features of the image with arrows or arrowheads. I also found more than a few factual errors in NP. In short, NP is greatly over-rated.

This pushed my hand to seek out other resources. I had used First Aid for all the USMLE Steps, and I liked their format, so I bought First Aid for the Neurology Boards. While I was doing an internet search for other books, I also came across Comprehensive Review in Clinical Neurology. There were no more than 3 or 4 reviews I could get my hands on, but they were all positive, so I thought it was worth a shot. It turns out it's by far the best resource for Boards preparation out there. While I was going through this book, I re-discovered my love for neurology, which had been forced into a state of hibernation through the tedium of residency. The book is arranged into 17 chapters, covering everything from critical care to psychiatry, as well as the pertinent basic science highlights for each subject. My particular weaknesses were neuromuscular, epilepsy, and child neurology, which I covered first. The questions are hard and thought-provoking, and require you to stay on your toes (e.g. all of the following are correct except...). The answer explanations are a pleasure to read--detailed, accurate, comprehensive, and long enough to be useful without dragging on and on. The images are fantastic (pathology, EEG, EMG etc.). Perhaps most important of all, the book gives you that sense of a comprehensive review, true to its otherwise uninspiring title. I learned a lot from this book, and I'm grateful to the people who put it together. It's worth its weight in gold.

I just took my Boards, which means I don't have my score yet, but having read Comprehensive Review, I can at least say that I found the majority of questions on the actual test easy, to the point of being trivial. I was afraid that preparing for this exam was not going to add anything to my knowledge base, that it was going to be just another standardized test that you pass by memorizing certain buzz words and phrases, but I'm happy to say that I came away from my Boards preparation with a whole new appreciation for the beauty of neurology and a whole new confidence about my knowledge base.

To make this a balanced review, let me add this. The book comes with an online question bank, which is all the questions in the book, except they're online. I tried using this resource, but I found the book to be more useful. If you select random mode, the online version brings up questions in--you guessed it--a random fashion. There are many question stems in the book, just like the second half of the actual Boards Exam, so occasionally you'll get a question like "based on your diagnosis in question X, what should be the next step in management?" You haven't seen question X, so you have no idea what the diagnosis is, or what the next step ought to be. I bet this is something they can easily fix, by making sure question stems come up first and the sister questions follow from the question stem when you're using random mode, but this feature is not there at this point. So if you feel you have to do computer-based questions to prepare for that aspect of the test, you might find this frustrating. We've all taken so many computerized exams in our careers so far that I don't think this is crucial, but if you must, you can go ahead and sink some money into NP to practice your mouse click. Your money may be better spent on First Aid, which does have very helpful diagrams, tables, and other visual aids.

I cannot say enough about Comprehensive Review. It will continue to be a resource to me in the future.

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