A 52 year-old male presents to the ED with ascending leg weakness that has progressed over the past week after he had an upper respiratory illness. He is areflexic in his lower extremities. You suspect he may have an Acute Inflammatory Demyelinating Polyradiculoneuropathy like Guillain-Barre Syndrome. Before starting treatment, you want to confirm the diagnosis. Which test is most appropriate? 

Large cerebellar ischemic strokes require 72 hours of monitoring in the ICU to monitor for changes in the neurologic exam that could indicate obstructive hydrocephalus necessitating a sub-occipital decompression surgery. What would be the FIRST clinical sign you would expect to see in this patient that would indicate a clinical deterioration? 

What, if anything, does Petronius’ Trimalchio’s Dinner Party teach us about the position of freedmen in the Roman empire? If it is not a useful source, explain why; if it is useful, describe 2 pieces of information it provides. In either case, cite 1-2 examples from the text to support your claim.

Ovid’s Ars Amatoria is a valuable source for studying Augustan gender norms because

The Lex de imperio Vespasiani

Match the following hyperosmolar therapy to the correct dose:

Jim is a 65 year old obese male with a history of hypertension treated with HCTZ and Atenolol, DM type 2 treated with Metformin, and PVD treated with an exercise program. He had a 75 second suspected seizure while at Kroger’s. Bystanders report that he had left head turning, left arm flexion, and then generalized shaking. He is brought to your ED. On arrival, he is alert and oriented x4.  He tells you he has no history of seizures. What is the first test that you would order? 

A 64 year old woman is being evaluated in the emergency department 30 minutes after she suddenly developed right hemiparesis and aphasia while visiting her husband in the hospital.  Her blood pressure is 150/90 mmHg, her serum glucose is 104. Her NIHSS is 13. A non-contrast head CT shows no evidence of hemorrhage.  A CT angiogram shows occlusion of the M1 segment of the left MCA.  She is about to be transferred to a nearby comprehensive stroke center for mechanical thrombectomy.  Before being transferred, which of the following medications should be administered?

Question 6 (10 Points) A bucket of sand (8 kg total) is whirled in a vertical circle.  The length of the rope plus the bucket is 1.3 meters. What is the minimum speed that the bucket must move so that the sand does not spill out of the bucket? The bucket is now rotated at a speed of 6.5 m/s. What is the tension of the rope at the top of the circle? What is the tension of the rope at the bottom of the circle?

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