Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and PhysicaAssessment

Academic- 3Ps Assessment- s2 s2


Pathophysiology, Pharmacology, and Physica
Assessment
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1.Sarcomere stretch beyond 2.2 microns is the physiologic mechanism
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be- hind which condition?: CHF
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2.A female patient is taking amlodipine 10 mg daily, which controlled her
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2blood pressure, but she could not tolerate the side effects. She was switc
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hed to losartan 100 mg daily, but her blood pressure never achieved goal
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. Which statement best characterizes the clinical comparison of these two
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medica- tions?: Amlodipine is more efficacious than losartan
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3.During a routine health assessment, the NP appreciates a decrease in
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peripheral vision bilaterally while performing visual field assessment by c
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on-
frontation. Consequently, the NP anticipates which of the following findi
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ngs during fundoscopic assessment?: A cup-to-disk ratio of 70%.
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4.A 66-year-old woman presents with a complaint of a 4-
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day history of a unilateral headache that will not go away despite taking i
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buprofen and aceta- s2 s2

minophen. She has a history of hypertension that is usually well control
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led with an ACE inhibitor, but today her blood pressure is 162/92 mm Hg.
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During the HPI she admits that she has had some transient visual loss
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over the few days, but it has been very short lived and resolves complet
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ely. The next step in the evaluation of this patient should include:: An er
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ythrocyte sedimentation rate s2 s2


5.Which information best describes the pathophysiology of most men
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tal health disorders?: Dysregulation of neurotransmitters in relevan
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t pathways
s2


6.The commonality among all seizure etiologies is:: Increased neuron ex
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citabil- ity s2


7.The NP is managing a patient newly diagnosed with essential tremor di
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s-
order and prescribed propranolol. The patient did an internet search for
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the medication and wants to know how a "heart medication" can make h
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er stop having hand tremors. What is the best explanation for this patient?
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: Propranolol blocks the action of the sympathetic nervous system in
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all body systems and so it will calm many things, including the tremo
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rs
8.A 48-year-old man presents with a complaint of a 3-
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week history of inter-s2 s2 s2

mittent shooting pain that runs down the buttocks and left leg. Suspecti
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ng sciatica, the NP would expect which of the following during physical ex
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s223

, Academic- 3Ps Assessment- s2 s2


Pathophysiology, Pharmacology, and Physica
Assessment
s2 s2 s2 s2


Studys2onlines2ats2https://quizlet.com/
amina-_cmo8ur
s2tion?:s2Pains2withs2straights2legs2raise

9.During the routine wellness examination of a 12-year-
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old male patient, the NP appreciates a grade II/
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VI systolic murmur at the apex while the patient is lying on the exam tab
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le. The murmur is louder when the patient moves to the sitting position,
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appreciated at grade IV/VI. The cardiac history and review of
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2s2/
s223

, Academic- 3Ps Assessment- s2 s2


Pathophysiology, Pharmacology, and Physica
Assessment
s2 s2 s2 s2


Studys2onlines2ats2https://quizlet.com/
_cmo8ur
symptoms is negative. The appropriate approach to this patient is to:: O
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rder an echocardiogram s2 s2


10.A 57-year-old woman presents with a 3-
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day history of fever, dyspnea, and a purulent cough. Auscultation of the l
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ungs identifies an area of egophony in the lower left lobe. Palpation reveal
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s increased tactile fremitus. The NP expects which of the following percus
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sion findings?: Dullness s2 s2


11.The NP is learning about anginal chest pain unresponsive to nitroglyce
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rin, when does necrotic injury occur?: The mitochondrial membrane rup
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tures
12.A 35-year- s2

old female is skiing fast down a steep trail. She falls forward and lands on
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an abducted and extended arm. She immediately feels a pop, has exquis
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ite pain over her right upper shoulder, and has no sensation in her right h
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and. Her diagnosis is most likely:: Anterior dislocation of the glenohume
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ral joint. s2


13.The NP is evaluating a patient with markedly elevated blood pressure t
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hat is unresponsive to traditional medications. There is some mild pedal
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edema, but other than the elevated BP, the physical exam is essentially n
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ormal. A metabolic panel reveals the following:
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Na+ 151 mEq/LK+ 3.0 mEq/LCl- 114 mEq/LCO2 28 mEq/LBUN 10 mg/
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dLCrea-
tinine 0.9 mg/dL s2 s2

The NP considers which of the following as a secondary cause of hyperte
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- sion in this patient?: Hyperaldosteronism
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14.Which of the following statins is preferred for a 67-year-
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old man with hypercholesterolemia who drinks a glass of grapefruit juice
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every morning?- s2

: Pravastatin
s2

15.A 41-year- s2

old female is being managed by her mental health provider with lithium. S
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he presents for a primary care wellness exam and has no complaints, but r
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outine laboratory assessment reveals a TSH of 4.5 iU/
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L. What is the most appropriate approach for this patient?: Begin thyroid
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2replacement therapy s2


16.A 42-year- s2

old man was recently evaluated for progressive fatigue. His di-
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agnostic evaluation included a comprehensive laboratory assessment wh
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