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)? 

Match the location of sensory function and pain to the associated spinal level. 

 In respiratory acidosis, what is the goal when trying to correct this imbalance?

A 64 year old female is admitted to the hospital for dehydration, acute kidney injury, and hypercalcemia. An abdominal CT scan shows concern for lymphoma.  BMP Sodium (Na⁺) 145 Potassium (K⁺) 3.5 Chloride (Cl⁻) 98 Blood Urea Nitrogen (BUN) 45 Creatinine (Cr) 2.5 Glucose 136 Magnesium (Mg+) 1.7 Calcium (Ca+) 18.9 Albumin 3.5 Which medication is most appropriate for the acute electrolyte imbalance? 

Your patient presented to the emergency department with vomiting and altered mental status. ABG reveals metabolic acidosis. The patient has an abnormal EKG with peaked T waves, ORS widening. What electrolyte imbalance correlates with these findings?

Which of the following IV fluids are classified as isotonic? Select ALL that apply:

You are working in the Neurology ICU. Your patient is a 45 year old male who had a large meningioma resection 4 days ago. He remains intubated due to cerebral edema. NG tube is present. BMP: Na+ 160, K+ 3.8, BUN 25, Cr 1.3, Ca+ 8.1, Mg+ 1.8. What is the preferred treatment of his hypernatremia?