Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physi
Assessment
Study online at https://quizlet.com/_cmo8ur
1. Sarcomere stretch beyond 2.2 microns is the physio- CHF
logic mechanism behind which condition?
2. A female patient is taking amlodipine 10 mg daily, Amlodipine is more effica-
which controlled her blood pressure, but she could not cious than losartan
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?
3. During a routine health assessment, the NP appreci- A cup-to-disk ratio of 70%.
ates a decrease in peripheral vision bilaterally while
performing visual field assessment by confrontation.
Consequently, the NP anticipates which of the follow-
ing findings during fundoscopic assessment?
4. A 66-year-old woman presents with a complaint of a An erythrocyte sedimenta-
4-day history of a unilateral headache that will not go tion rate
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 pa-
tient should include:
5. Which information best describes the pathophysiolo- Dysregulation of neuro-
gy of most mental health disorders? transmitters in relevant
pathways
6. The commonality among all seizure etiologies is:
, Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physi
Assessment
Study online at https://quizlet.com/_cmo8ur
Increased neuron ex-
citability
7. The NP is managing a patient newly diagnosed with Propranolol blocks the ac-
essential tremor disorder and prescribed propranolol. tion of the sympathetic
The patient did an internet search for the medication nervous system in all body
and wants to know how a "heart medication" can make systems and so it will calm
her stop having hand tremors. What is the best expla- many things, including the
nation for this patient? tremors
8. A 48-year-old man presents with a complaint of a Pain with straight leg raise
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?
9. During the routine wellness examination of a Order an echocardiogram
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, appreciat-
ed at grade IV/VI. The cardiac history and review of
symptoms is negative. The appropriate approach to
this patient is to:
10. A 57-year-old woman presents with a 3-day history of Dullness
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 find-
ings?
, Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physi
Assessment
Study online at https://quizlet.com/_cmo8ur
11. The NP is learning about anginal chest pain unrespon- The mitochondrial mem-
sive to nitroglycerin, when does necrotic injury occur? brane ruptures
12. A 35-year-old female is skiing fast down a steep trail. Anterior dislocation of the
She falls forward and lands on an abducted and ex- glenohumeral joint.
tended arm. She immediately feels a pop, has exquisite
pain over her right upper shoulder, and has no sensa-
tion in her right hand. Her diagnosis is most likely:
13. The NP is evaluating a patient with markedly elevat- Hyperaldosteronism
ed blood pressure that is unresponsive to traditional
medications. There is some mild pedal edema, but oth-
er 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?
14. Which of the following statins is preferred for Pravastatin
a 67-year-old man with hypercholesterolemia who
drinks a glass of grapefruit juice every morning?
15. A 41-year-old female is being managed by her men- Begin thyroid replacement
tal health provider with lithium. She presents for a therapy
primary care wellness exam and has no complaints,
but routine laboratory assessment reveals a TSH of 4.5
iU/L. What is the most appropriate approach for this
patient?
16. A 42-year-old man was recently evaluated for pro- C-peptide of 9 ng/dL
gressive fatigue. His diagnostic evaluation included a
Assessment
Study online at https://quizlet.com/_cmo8ur
1. Sarcomere stretch beyond 2.2 microns is the physio- CHF
logic mechanism behind which condition?
2. A female patient is taking amlodipine 10 mg daily, Amlodipine is more effica-
which controlled her blood pressure, but she could not cious than losartan
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?
3. During a routine health assessment, the NP appreci- A cup-to-disk ratio of 70%.
ates a decrease in peripheral vision bilaterally while
performing visual field assessment by confrontation.
Consequently, the NP anticipates which of the follow-
ing findings during fundoscopic assessment?
4. A 66-year-old woman presents with a complaint of a An erythrocyte sedimenta-
4-day history of a unilateral headache that will not go tion rate
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 pa-
tient should include:
5. Which information best describes the pathophysiolo- Dysregulation of neuro-
gy of most mental health disorders? transmitters in relevant
pathways
6. The commonality among all seizure etiologies is:
, Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physi
Assessment
Study online at https://quizlet.com/_cmo8ur
Increased neuron ex-
citability
7. The NP is managing a patient newly diagnosed with Propranolol blocks the ac-
essential tremor disorder and prescribed propranolol. tion of the sympathetic
The patient did an internet search for the medication nervous system in all body
and wants to know how a "heart medication" can make systems and so it will calm
her stop having hand tremors. What is the best expla- many things, including the
nation for this patient? tremors
8. A 48-year-old man presents with a complaint of a Pain with straight leg raise
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?
9. During the routine wellness examination of a Order an echocardiogram
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, appreciat-
ed at grade IV/VI. The cardiac history and review of
symptoms is negative. The appropriate approach to
this patient is to:
10. A 57-year-old woman presents with a 3-day history of Dullness
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 find-
ings?
, Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physi
Assessment
Study online at https://quizlet.com/_cmo8ur
11. The NP is learning about anginal chest pain unrespon- The mitochondrial mem-
sive to nitroglycerin, when does necrotic injury occur? brane ruptures
12. A 35-year-old female is skiing fast down a steep trail. Anterior dislocation of the
She falls forward and lands on an abducted and ex- glenohumeral joint.
tended arm. She immediately feels a pop, has exquisite
pain over her right upper shoulder, and has no sensa-
tion in her right hand. Her diagnosis is most likely:
13. The NP is evaluating a patient with markedly elevat- Hyperaldosteronism
ed blood pressure that is unresponsive to traditional
medications. There is some mild pedal edema, but oth-
er 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?
14. Which of the following statins is preferred for Pravastatin
a 67-year-old man with hypercholesterolemia who
drinks a glass of grapefruit juice every morning?
15. A 41-year-old female is being managed by her men- Begin thyroid replacement
tal health provider with lithium. She presents for a therapy
primary care wellness exam and has no complaints,
but routine laboratory assessment reveals a TSH of 4.5
iU/L. What is the most appropriate approach for this
patient?
16. A 42-year-old man was recently evaluated for pro- C-peptide of 9 ng/dL
gressive fatigue. His diagnostic evaluation included a
