2
Academic- 3Ps Assessment- Pathophysiology, Pharmacology, || || || || ||
and Physical Assessment Exam with accurate answers
|| || || || || ||
Sarcomere stretch beyond 2.2 microns is the physiologic mechanism behind which || || || || || || || || || || ||
condition?
CHF
A female patient is taking amlodipine 10 mg daily, which controlled her blood pressure, but
|| || || || || || || || || || || || || || ||
she could not tolerate the side effects. She was switched to losartan 100 mg daily, but her
|| || || || || || || || || || || || || || || || ||
blood pressure never achieved goal. Which statement best characterizes the clinical
|| || || || || || || || || || ||
comparison of these two medications? || || || ||
Amlodipine is more efficacious than losartan || || || || ||
During a routine health assessment, the NP appreciates a decrease in peripheral vision
|| || || || || || || || || || || || ||
bilaterally while performing visual field assessment by confrontation. Consequently, the NP
|| || || || || || || || || || ||
anticipates which of the following findings during fundoscopic assessment? || || || || || || || ||
A cup-to-disk ratio of 70%.
|| || || ||
A 66-year-old woman presents with a complaint of a 4-day history of a unilateral headache
|| || || || || || || || || || || || || || ||
that will not go away despite taking ibuprofen and acetaminophen. She has a history of
|| || || || || || || || || || || || || || ||
hypertension that is usually well controlled with an ACE inhibitor, but today her blood || || || || || || || || || || || || || ||
pressure is 162/92 mm Hg. During the HPI she admits that she has had some transient
|| || || || || || || || || || || || || || || ||
visual loss over the few days, but it has been very short lived and resolves completely. The
|| || || || || || || || || || || || || || || || ||
next step in the evaluation of this patient should include:
|| || || || || || || || ||
An erythrocyte sedimentation rate
|| || ||
Which information best describes the pathophysiology of most mental health disorders?
|| || || || || || || || || ||
Dysregulation of neurotransmitters in relevant pathways || || || || ||
The commonality among all seizure etiologies is:
|| || || || || ||
Increased neuron excitability || ||
The NP is managing a patient newly diagnosed with essential tremor disorder and
|| || || || || || || || || || || || ||
prescribed propranolol. The patient did an internet search for the medication and wants to
|| || || || || || || || || || || || || ||
know how a “heart medication” can make her stop having hand tremors. What is the best
|| || || || || || || || || || || || || || || ||
explanation for this patient? || || ||
, 2
Propranolol blocks the action of the sympathetic nervous system in all body systems and so it will || || || || || || || || || || || || || || || || ||
calm many things, including the tremors
|| || || || ||
A 48-year-old man presents with a complaint of a 3-week history of intermittent shooting
|| || || || || || || || || || || || || ||
pain that runs down the buttocks and left leg. Suspecting sciatica, the NP would expect
|| || || || || || || || || || || || || || ||
which of the following during physical examination?
|| || || || || ||
Pain with straight leg raise
|| || || ||
During the routine wellness examination of a 12-year-old male patient, the NP appreciates a
|| || || || || || || || || || || || || ||
grade II/VI systolic murmur at the apex while the patient is lying on the exam table. The
|| || || || || || || || || || || || || || || || ||
murmur is louder when the patient moves to the sitting position, appreciated at grade
|| || || || || || || || || || || || || ||
IV/VI. The cardiac history and review of symptoms is negative. The appropriate approach
|| || || || || || || || || || || || ||
to this patient is to:
|| || || ||
Order an echocardiogram || ||
A 57-year-old woman presents with a 3-day history of fever, dyspnea, and a purulent cough.
|| || || || || || || || || || || || || || ||
Auscultation of the lungs identifies an area of egophony in the lower left lobe. Palpation || || || || || || || || || || || || || || ||
reveals increased tactile fremitus. The NP expects which of the following percussion
|| || || || || || || || || || || ||
findings?
Dullness
The NP is learning about anginal chest pain unresponsive to nitroglycerin, when does
|| || || || || || || || || || || || ||
necrotic injury occur? || ||
The mitochondrial membrane ruptures
|| || ||
A 35-year-old female is skiing fast down a steep trail. She falls forward and lands on an
|| || || || || || || || || || || || || || || || ||
abducted and extended arm. She immediately feels a pop, has exquisite pain over her right
|| || || || || || || || || || || || || || ||
upper shoulder, and has no sensation in her right hand. Her diagnosis is most likely:
|| || || || || || || || || || || || || ||
Anterior dislocation of the glenohumeral joint. || || || || ||
The NP is evaluating a patient with markedly elevated blood pressure that is unresponsive to
|| || || || || || || || || || || || || || ||
traditional medications. There is some mild pedal edema, but other than the elevated BP, the
|| || || || || || || || || || || || || || ||
physical exam is essentially normal. A metabolic panel reveals the following:
|| || || || || || || || || ||
Na+ 151 mEq/LK+ 3.0 mEq/LCl- 114 mEq/LCO2 28 mEq/LBUN 10 mg/dLCreatinine 0.9
|| || || || || || || || || || || ||
mg/dL
The NP considers which of the following as a secondary cause of hypertension in this patient?
|| || || || || || || || || || || || || || ||
Hyperaldosteronism
Which of the following statins is preferred for a 67-year-old man with hypercholesterolemia
|| || || || || || || || || || || || ||
who drinks a glass of grapefruit juice every morning?
|| || || || || || || ||
Academic- 3Ps Assessment- Pathophysiology, Pharmacology, || || || || ||
and Physical Assessment Exam with accurate answers
|| || || || || ||
Sarcomere stretch beyond 2.2 microns is the physiologic mechanism behind which || || || || || || || || || || ||
condition?
CHF
A female patient is taking amlodipine 10 mg daily, which controlled her blood pressure, but
|| || || || || || || || || || || || || || ||
she could not tolerate the side effects. She was switched to losartan 100 mg daily, but her
|| || || || || || || || || || || || || || || || ||
blood pressure never achieved goal. Which statement best characterizes the clinical
|| || || || || || || || || || ||
comparison of these two medications? || || || ||
Amlodipine is more efficacious than losartan || || || || ||
During a routine health assessment, the NP appreciates a decrease in peripheral vision
|| || || || || || || || || || || || ||
bilaterally while performing visual field assessment by confrontation. Consequently, the NP
|| || || || || || || || || || ||
anticipates which of the following findings during fundoscopic assessment? || || || || || || || ||
A cup-to-disk ratio of 70%.
|| || || ||
A 66-year-old woman presents with a complaint of a 4-day history of a unilateral headache
|| || || || || || || || || || || || || || ||
that will not go away despite taking ibuprofen and acetaminophen. She has a history of
|| || || || || || || || || || || || || || ||
hypertension that is usually well controlled with an ACE inhibitor, but today her blood || || || || || || || || || || || || || ||
pressure is 162/92 mm Hg. During the HPI she admits that she has had some transient
|| || || || || || || || || || || || || || || ||
visual loss over the few days, but it has been very short lived and resolves completely. The
|| || || || || || || || || || || || || || || || ||
next step in the evaluation of this patient should include:
|| || || || || || || || ||
An erythrocyte sedimentation rate
|| || ||
Which information best describes the pathophysiology of most mental health disorders?
|| || || || || || || || || ||
Dysregulation of neurotransmitters in relevant pathways || || || || ||
The commonality among all seizure etiologies is:
|| || || || || ||
Increased neuron excitability || ||
The NP is managing a patient newly diagnosed with essential tremor disorder and
|| || || || || || || || || || || || ||
prescribed propranolol. The patient did an internet search for the medication and wants to
|| || || || || || || || || || || || || ||
know how a “heart medication” can make her stop having hand tremors. What is the best
|| || || || || || || || || || || || || || || ||
explanation for this patient? || || ||
, 2
Propranolol blocks the action of the sympathetic nervous system in all body systems and so it will || || || || || || || || || || || || || || || || ||
calm many things, including the tremors
|| || || || ||
A 48-year-old man presents with a complaint of a 3-week history of intermittent shooting
|| || || || || || || || || || || || || ||
pain that runs down the buttocks and left leg. Suspecting sciatica, the NP would expect
|| || || || || || || || || || || || || || ||
which of the following during physical examination?
|| || || || || ||
Pain with straight leg raise
|| || || ||
During the routine wellness examination of a 12-year-old male patient, the NP appreciates a
|| || || || || || || || || || || || || ||
grade II/VI systolic murmur at the apex while the patient is lying on the exam table. The
|| || || || || || || || || || || || || || || || ||
murmur is louder when the patient moves to the sitting position, appreciated at grade
|| || || || || || || || || || || || || ||
IV/VI. The cardiac history and review of symptoms is negative. The appropriate approach
|| || || || || || || || || || || || ||
to this patient is to:
|| || || ||
Order an echocardiogram || ||
A 57-year-old woman presents with a 3-day history of fever, dyspnea, and a purulent cough.
|| || || || || || || || || || || || || || ||
Auscultation of the lungs identifies an area of egophony in the lower left lobe. Palpation || || || || || || || || || || || || || || ||
reveals increased tactile fremitus. The NP expects which of the following percussion
|| || || || || || || || || || || ||
findings?
Dullness
The NP is learning about anginal chest pain unresponsive to nitroglycerin, when does
|| || || || || || || || || || || || ||
necrotic injury occur? || ||
The mitochondrial membrane ruptures
|| || ||
A 35-year-old female is skiing fast down a steep trail. She falls forward and lands on an
|| || || || || || || || || || || || || || || || ||
abducted and extended arm. She immediately feels a pop, has exquisite pain over her right
|| || || || || || || || || || || || || || ||
upper shoulder, and has no sensation in her right hand. Her diagnosis is most likely:
|| || || || || || || || || || || || || ||
Anterior dislocation of the glenohumeral joint. || || || || ||
The NP is evaluating a patient with markedly elevated blood pressure that is unresponsive to
|| || || || || || || || || || || || || || ||
traditional medications. There is some mild pedal edema, but other than the elevated BP, the
|| || || || || || || || || || || || || || ||
physical exam is essentially normal. A metabolic panel reveals the following:
|| || || || || || || || || ||
Na+ 151 mEq/LK+ 3.0 mEq/LCl- 114 mEq/LCO2 28 mEq/LBUN 10 mg/dLCreatinine 0.9
|| || || || || || || || || || || ||
mg/dL
The NP considers which of the following as a secondary cause of hypertension in this patient?
|| || || || || || || || || || || || || || ||
Hyperaldosteronism
Which of the following statins is preferred for a 67-year-old man with hypercholesterolemia
|| || || || || || || || || || || || ||
who drinks a glass of grapefruit juice every morning?
|| || || || || || || ||
