You are rounding in the medical intensive care unit. The nurse notifies you that your patient, who is being treated for meningitis, has had a neuro exam change. Upon entering the patient room, you notice the patient is experiencing fluttering eyes, full body muscle spasms, and loss of consciousness. All non essential items are removed from the patient’s bed and supportive care is provided. What is the initial medication and dose will you have the nurse administer? 

A 52 year old male was referred to neurology for progressive weakness, hyperreflexia, spasticity, muscle atrophy, with intact sensation intact. What neurological disorder are these symptoms most associated to?

All of the following are predisposing factors for embolic stroke EXCEPT:

What electrolyte is not recommended to be replaced for the first 24 hours post-operative?

A 32 year old female presents to the emergency department after being thrown from a horse. Chest x-ray reveals a “dropped lung”. A chest tube is inserted into the pleural space and blood collects into the chest tube container. What is the patient’s diagnosis? 

Which clinical finding is associated with cardiogenic shock? 

A 56 year old male presents to the emergency department with complaints of sudden onset left sided weakness, slurred speech, and partial loss of sensation to his left arm/hand. Brain CT without contrast reveals no acute abnormality. Head & Neck CTA reveal a right MCA occlusion. EKG: Atrial fibrillation, heart rate 105. Glucose 120. Vital signs: temp 98.2F, pulse 105, BP 170/95, RR 22, O2 96% on room air. Home medications: Lisinopril 10mg daily, pantoprazole 40mg before breakfast.  Last known well time 1.5 hours prior to arrival.  True or False: This patient is a candidate for tissue plasminogen activator (t-PA). 

The AG-ACNP is examining a 55 y/o patient with fever, confusion, and lethargy. Which of the following positive signs are indicative of meningitis? 

Match the spinal cord syndrome with the associated symptoms. 

A 65 year old male with a history of hypertension, diabetes, and sleep apnea presents to the emergency department with sudden onset right sided weakness, slurred speech, and right sided facial droop. Last known well time is 1 hour prior to arrival. Glucose 198. Vitals: Temp 98.4F, Pulse 110, BP 175/95, RR 20, O2 98%. Head CT without contrast is negative for acute findings. Mediations: lisinopril 10mg daily, Spironolactone 25mg daily, Metformin 500mg BID.  Based on the information provided, is this patient a candidate for tissue plasminogen activator (t-PA)?