QUESTION AND ANSWER 2022/2023
1. Following a 10-foot fall, a young adult presents on a backboard with a c-collar on. The pt had an initial
LOC at the scene and was lucid on arrival, but LOC is rapidly deteriorating. The right pupil is round and
reactive, but the left is dilated and unresponsive to light. The ACNP should *first* suspect:
a. a basilar skull fx
b. a subdural hematoma
c. an epidural hematoma
d. a cerebellar herniation
(correct answers)an epidural hematoma
2.A pt is readmitted d/t suspected PE. Home meds include metformin (Glucophage). Which of the
following available dx methods would be indicated?
a. V/Q scan
b. spiral CT
c. pulmonary angiogram
d. venous doppler study
(correct answers)a. V/Q scan
3.The ACNP should recognize that a toxic exposure to
a. methanol is best tx with a sodium bicarb infusion
b. salicylates is best tx with n-acetylcysteine (Mucomyst)
c. benzos are best tx with hemodialysis
d. carbon monoxide is best tx with hyperbaric oxygen
(correct answers)d. carbon monoxide is best tx with hyperbaric oxygen