Pathophysiology, Pharmacology, and
Physical Assessment solved questions.
Sarcomere stretch beyond 2.2 microns is the physiologic
mechanism behind which condition? - Ans>> 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? -
Ans>> 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? - Ans>> 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: - Ans>> An
erythrocyte sedimentation rate
A 51-year-old patient is being evaluated for a chief complaint of
cough. He had viral bronchitis two months ago, and while things
have improved a lot, he still has residual cough. What is the most
appropriate treatment for this patient's cough? - Ans>> An
inhaled muscarinic antagonist
Relative anemia is most likely when the patient's physiologic state
is characterized by: - Ans>> hypothermia
Creatinine clearance usually. - Ans>> Approximates glomerular
filtration rate.
, The NP is evaluating a 50-year-old male with type 2 diabetes
mellitus being treated with metformin monotherapy and
furosemide. Today his HbA1C is 7.0%. The patient reports drinking
1-2 beers daily. Which education is most important for this
patient? - Ans>> Alcohol is safe to drink while on metformin
A 41-year-old-female patient presents complaining of new onset
"dizziness." She says that her friends think she is intoxicated
because she cannot seem to walk a straight line. She finds herself
oriented leftward when trying to walk between two points. It is not
an issue when she is sitting or lying down, and initially reports no
other complaints. Considering the leading differential diagnoses
after observing the unsteady gait, the NP should next perform: -
Ans>> The Romberg test.
A 41-year-old woman is being managed for Addison's disease. She
was started on prednisone 15 mg every morning and 10 mg every
afternoon 2 months ago. Today her blood pressure is 98/60 mm
Hg, and a basic metabolic panel is as follows:
Na+ 129 mEq/LK+ 5.9 mEq/LCl- 94 mEq/LCO2 25 mEq/LBUN 10
mg/dLCr 0.8 mg/dL
What is the next step is this patient's care? - Ans>> Begin a
mineralocorticoid
The NP is examining a 15-year-old with an 8-hour history of
abdominal pain progressing to nausea and vomiting. Suspecting