ACNP II Exam 3-Questions & Answers
You are evaluating SCI with radiology. What Xray should be ordered first? Correct Ans-
Lateral x-ray then AP
In order to visualize cord contusion or hemorrhage what Dx order should be placed? Correct
Ans-MRI
Warm, dry extremities, and bradycardia:
a. neurogenic shock
b. hypovolemic shock Correct Ans-neurogenic shock
cool, clammy skin, tachycardia:
a. neurogenic shock
b. hypovolemic shock Correct Ans-hypovolemic shock
Hypotension must be avoided to prevent ischemia caused by decreased blood flow and perfusion
to spinal cord. What is MAP goal? Correct Ans-MAP 85-90 mmHg
In management of SCI, what pharmacological agent is used within 8 hours to decrease secondary
cord injury?? Correct Ans-high dose methylprednisolone
, Cardinal signs and symptoms of CNS infection: Correct Ans-fever, HA, spine pain and
generalized or focal neurologic dysfunction
Predisposing risk factors for meningitis: Correct Ans-sinusitis
otitis media
mastoiditis
PNA
trauma
Method of transmission for bacterial meningitis Correct Ans-respiratory droplets
contact with saliva or respiratory tract secretions
Most common causative organism of fungal meningitis: Correct Ans-cryptococcus
neoformans
You suspect S. pneumonia meningitis. what meds should be given empirically? Correct Ans-
PCN G sodium q4 hours.
if allergic; ceftriaxone 2 g or cefotaxime 2 g IV
+ dexamethasone IV 0.15 mg/kg q6 hours
Most common cause of new onset seizures in adults Correct Ans-alcohol or barbiturate
withdrawal
You are evaluating SCI with radiology. What Xray should be ordered first? Correct Ans-
Lateral x-ray then AP
In order to visualize cord contusion or hemorrhage what Dx order should be placed? Correct
Ans-MRI
Warm, dry extremities, and bradycardia:
a. neurogenic shock
b. hypovolemic shock Correct Ans-neurogenic shock
cool, clammy skin, tachycardia:
a. neurogenic shock
b. hypovolemic shock Correct Ans-hypovolemic shock
Hypotension must be avoided to prevent ischemia caused by decreased blood flow and perfusion
to spinal cord. What is MAP goal? Correct Ans-MAP 85-90 mmHg
In management of SCI, what pharmacological agent is used within 8 hours to decrease secondary
cord injury?? Correct Ans-high dose methylprednisolone
, Cardinal signs and symptoms of CNS infection: Correct Ans-fever, HA, spine pain and
generalized or focal neurologic dysfunction
Predisposing risk factors for meningitis: Correct Ans-sinusitis
otitis media
mastoiditis
PNA
trauma
Method of transmission for bacterial meningitis Correct Ans-respiratory droplets
contact with saliva or respiratory tract secretions
Most common causative organism of fungal meningitis: Correct Ans-cryptococcus
neoformans
You suspect S. pneumonia meningitis. what meds should be given empirically? Correct Ans-
PCN G sodium q4 hours.
if allergic; ceftriaxone 2 g or cefotaxime 2 g IV
+ dexamethasone IV 0.15 mg/kg q6 hours
Most common cause of new onset seizures in adults Correct Ans-alcohol or barbiturate
withdrawal
