BARKLEY 3P ACTUAL EXAM SCRIPT QUESTIONS AND
ANSWERS SURE A+
✔✔Occur primarily in childhood and are rarely seen in older adults. - ✔✔Acute
leukemias
✔✔Include mild to high fever, cough, rhinorrhea, crackles, rhonchi, and wheezes. -
✔✔Community acquired viral pneumonia signs
✔✔A method used to acquire information about what makes symptoms worse. -
✔✔PQRSTU method
✔✔Include high fever, productive cough, and pleuritic chest pain. - ✔✔Symptoms of
bacterial CAP
✔✔Wheezing is especially more common in children. - ✔✔Symptoms of viral CAP
✔✔Not usually a hallmark symptom of community-acquired pneumonia. -
✔✔Respiratory alkalosis
✔✔Things that make the pain worse, identified in the PQRSTU method. -
✔✔Aggravating factors
✔✔Helps alleviate symptoms of acid reflux. - ✔✔Active lifestyle
✔✔Refers to the part that identifies what makes the symptoms worse. - ✔✔P in
PQRSTU
✔✔A symptom characterized by a runny nose. - ✔✔Rhinorrhea
✔✔Abnormal lung sounds heard during auscultation. - ✔✔Crackles
✔✔Low-pitched wheezing sounds often associated with airway obstruction. -
✔✔Rhonchi
✔✔High-pitched sounds produced by narrowed airways. - ✔✔Wheezes
✔✔Difficulty or labored breathing. - ✔✔Dyspnea
✔✔Commonly seen in cases of pneumonia. - ✔✔Increased respiratory rate
✔✔A treatment that has no therapeutic effect, often used in clinical trials. - ✔✔Placebo
agent
,✔✔The patient's medical background and symptom presentation used for diagnosis. -
✔✔Clinical history
✔✔Indicates that the eye muscles are properly aligned. - ✔✔Symmetrical light reflection
✔✔This condition is characterized by a repetitive use injury of the anterior tibial
tubercle. - ✔✔Osgood-Schlatter disease
✔✔Inflammation of Bursa, a soft, fluid filled sac that cushions movement between
bones. - ✔✔Bursitis
✔✔A patient with sepsis is at risk of developing shock via loss of systemic vascular
resistance. - ✔✔Sepsis
✔✔This antiepileptic drug would cause the lowest drug interactions. - ✔✔Levetiracetam
(Keppra)
✔✔These are not used for insulin induced hypoglycemia, as they will not aid and are
more likely to retard recovery. - ✔✔Beta blockers
✔✔A presumptive diagnosis for a patient with pustular lesions on her perineum and
groin, oral mucous membrane lesions, a warty rash on hands and feet,
lymphadenopathy, and pruritis. - ✔✔Syphilis
✔✔A patient who has suffered this has speech dysphasia involving word finding and
difficulty writing, likely affecting the left frontal lobe. - ✔✔Cerebrovascular accident
✔✔Located in the left frontal lobe, it is one of the language centers associated with non-
fluency, sparse output, and impaired repetition. - ✔✔Broca's area
✔✔Recommended as part of the treatment plan for postmenopausal females, though
they are not traditionally at risk for Osgood-Schlatter disease. - ✔✔Calcium and vitamin
D supplementation
✔✔The result of this through the patellar tendon can lead to multiple subacute fractures
or tendinous inflammation. - ✔✔Quadriceps contraction
✔✔Individuals in this category are at risk for Osgood-Schlatter disease. - ✔✔Active
adult or athlete
✔✔A method to assess the scale of pain experienced by a patient. - ✔✔Pain scale
, ✔✔Refers to the patient's comprehension of their health issue. - ✔✔Understanding of
problem
✔✔Refers to when symptoms occur in relation to the patient's condition. - ✔✔Timing of
symptoms
✔✔Describes the amount and nature of pain experienced by the patient. - ✔✔Quantity
and quality of pain
✔✔Swelling of lymph nodes, often associated with infections or malignancies. -
✔✔Lymphadenopathy
✔✔An uncomfortable sensation that provokes the urge to scratch. - ✔✔Pruritis
✔✔A type of skin lesion that may appear on hands and feet, often associated with viral
infections. - ✔✔Warty rash
✔✔A period of rapid growth during adolescence that can be associated with conditions
like Osgood-Schlatter disease. - ✔✔Adolescent growth spurt
✔✔The site of injury in Osgood-Schlatter disease due to repetitive stress. - ✔✔Anterior
tibial tubercle
✔✔A condition affecting a person's ability to communicate, often resulting from brain
injury. - ✔✔Speech dysphasia
✔✔The area of the brain most likely affected in a patient with speech dysphasia
involving word finding and difficulty writing. - ✔✔Left frontal lobe
✔✔A potential effect of damage to the limbic system. - ✔✔Emotional instability
✔✔A condition characterized by the inability to recognize objects, typically associated
with parietal lobe damage. - ✔✔Agnosia
✔✔Typically benign. - ✔✔Tender and movable masses
✔✔Most likely diagnosis for a tender and movable lump. - ✔✔Fibroadenoma
✔✔Noted in the peripheral lung fields. - ✔✔Vesicular breath sounds
✔✔Considered first choice medications for managing breakthrough pain in opioid
tolerant cancer patients. - ✔✔Transmucosal fentanyl (Actiq) or immediate release oral
morphine
ANSWERS SURE A+
✔✔Occur primarily in childhood and are rarely seen in older adults. - ✔✔Acute
leukemias
✔✔Include mild to high fever, cough, rhinorrhea, crackles, rhonchi, and wheezes. -
✔✔Community acquired viral pneumonia signs
✔✔A method used to acquire information about what makes symptoms worse. -
✔✔PQRSTU method
✔✔Include high fever, productive cough, and pleuritic chest pain. - ✔✔Symptoms of
bacterial CAP
✔✔Wheezing is especially more common in children. - ✔✔Symptoms of viral CAP
✔✔Not usually a hallmark symptom of community-acquired pneumonia. -
✔✔Respiratory alkalosis
✔✔Things that make the pain worse, identified in the PQRSTU method. -
✔✔Aggravating factors
✔✔Helps alleviate symptoms of acid reflux. - ✔✔Active lifestyle
✔✔Refers to the part that identifies what makes the symptoms worse. - ✔✔P in
PQRSTU
✔✔A symptom characterized by a runny nose. - ✔✔Rhinorrhea
✔✔Abnormal lung sounds heard during auscultation. - ✔✔Crackles
✔✔Low-pitched wheezing sounds often associated with airway obstruction. -
✔✔Rhonchi
✔✔High-pitched sounds produced by narrowed airways. - ✔✔Wheezes
✔✔Difficulty or labored breathing. - ✔✔Dyspnea
✔✔Commonly seen in cases of pneumonia. - ✔✔Increased respiratory rate
✔✔A treatment that has no therapeutic effect, often used in clinical trials. - ✔✔Placebo
agent
,✔✔The patient's medical background and symptom presentation used for diagnosis. -
✔✔Clinical history
✔✔Indicates that the eye muscles are properly aligned. - ✔✔Symmetrical light reflection
✔✔This condition is characterized by a repetitive use injury of the anterior tibial
tubercle. - ✔✔Osgood-Schlatter disease
✔✔Inflammation of Bursa, a soft, fluid filled sac that cushions movement between
bones. - ✔✔Bursitis
✔✔A patient with sepsis is at risk of developing shock via loss of systemic vascular
resistance. - ✔✔Sepsis
✔✔This antiepileptic drug would cause the lowest drug interactions. - ✔✔Levetiracetam
(Keppra)
✔✔These are not used for insulin induced hypoglycemia, as they will not aid and are
more likely to retard recovery. - ✔✔Beta blockers
✔✔A presumptive diagnosis for a patient with pustular lesions on her perineum and
groin, oral mucous membrane lesions, a warty rash on hands and feet,
lymphadenopathy, and pruritis. - ✔✔Syphilis
✔✔A patient who has suffered this has speech dysphasia involving word finding and
difficulty writing, likely affecting the left frontal lobe. - ✔✔Cerebrovascular accident
✔✔Located in the left frontal lobe, it is one of the language centers associated with non-
fluency, sparse output, and impaired repetition. - ✔✔Broca's area
✔✔Recommended as part of the treatment plan for postmenopausal females, though
they are not traditionally at risk for Osgood-Schlatter disease. - ✔✔Calcium and vitamin
D supplementation
✔✔The result of this through the patellar tendon can lead to multiple subacute fractures
or tendinous inflammation. - ✔✔Quadriceps contraction
✔✔Individuals in this category are at risk for Osgood-Schlatter disease. - ✔✔Active
adult or athlete
✔✔A method to assess the scale of pain experienced by a patient. - ✔✔Pain scale
, ✔✔Refers to the patient's comprehension of their health issue. - ✔✔Understanding of
problem
✔✔Refers to when symptoms occur in relation to the patient's condition. - ✔✔Timing of
symptoms
✔✔Describes the amount and nature of pain experienced by the patient. - ✔✔Quantity
and quality of pain
✔✔Swelling of lymph nodes, often associated with infections or malignancies. -
✔✔Lymphadenopathy
✔✔An uncomfortable sensation that provokes the urge to scratch. - ✔✔Pruritis
✔✔A type of skin lesion that may appear on hands and feet, often associated with viral
infections. - ✔✔Warty rash
✔✔A period of rapid growth during adolescence that can be associated with conditions
like Osgood-Schlatter disease. - ✔✔Adolescent growth spurt
✔✔The site of injury in Osgood-Schlatter disease due to repetitive stress. - ✔✔Anterior
tibial tubercle
✔✔A condition affecting a person's ability to communicate, often resulting from brain
injury. - ✔✔Speech dysphasia
✔✔The area of the brain most likely affected in a patient with speech dysphasia
involving word finding and difficulty writing. - ✔✔Left frontal lobe
✔✔A potential effect of damage to the limbic system. - ✔✔Emotional instability
✔✔A condition characterized by the inability to recognize objects, typically associated
with parietal lobe damage. - ✔✔Agnosia
✔✔Typically benign. - ✔✔Tender and movable masses
✔✔Most likely diagnosis for a tender and movable lump. - ✔✔Fibroadenoma
✔✔Noted in the peripheral lung fields. - ✔✔Vesicular breath sounds
✔✔Considered first choice medications for managing breakthrough pain in opioid
tolerant cancer patients. - ✔✔Transmucosal fentanyl (Actiq) or immediate release oral
morphine
