PRACTICE QUESTIONS & VERIFIED ANSWERS WITH DETAILED
CLINICAL RATIONALES | ADVANCED PATHOPHYSIOLOGY,
PHARMACOLOGY & PHYSICAL ASSESSMENT STUDY GUIDE
Visual acuity test - ANSWER20/30 in the le eye and 20/40 in the right eye using the Snellen
eye chart indicates the need for further evalua on.
Munchausen Syndrome By Proxy - ANSWERA caregiver making up or causing an illness or
injury in a person under his or her care.
Symptoms of depression - ANSWERSide effect of medica ons such as serotonin and
norepinephrine.
Lesion characteris cs - ANSWERA dark raised and asymmetric lesion with irregular border is
indica ve of melanoma.
Puffiness of the eyes - ANSWERDull puffiness of the eyes pronounced not pi ng periorbital
edema suggests nephro c syndrome.
Prophylac c medica on for migraines - ANSWERAmitriptyline (Elavil) is considered off-label
use for prophylac c treatment of migraines.
Scaling on the scalp - ANSWERAreas of scaling on the scalp with round patches of alopecia
are consistent with nea capi s.
, Combined hormonal contracep ve contraindica ons - ANSWERContraindicated in women
older than 45, breas eeding, smoking, hypertension, diabetes, or history of stroke.
Bloody nipple discharge - ANSWERBloody spontaneous discharge from the right nipple
indicates the need for further evalua on.
Rho (D) immunoglobulin administra on - ANSWERRh nega ve women should receive Rho
(D) immunoglobulin at 28 weeks' gesta on.
Mean corpuscular volume (MCV) - ANSWERMCV describes the size of the RBCs; small-sized
RBCs result in a lower MCV, while larger RBCs result in a higher MCV.
Avoided medica on for headache prophylaxis - ANSWERVenlafaxine (Effexor) should be
avoided due to serious side effects.
Prostaglandin E1 (PG1) mechanism - ANSWERMaintains patency of the great arteries in a
pa ent with transposi on of the great arteries.
Calf pain in peripheral artery disease - ANSWERA dull pain or cramp describes lower
extremity calf pain associated with peripheral artery disease.
Hyperprolac nemia symptoms - ANSWERTypical symptoms include infer lity,
oligomenorrhea, or amenorrhea in premenopausal women.
Asthma treatment - ANSWERShort-ac ng bronchodilators are used to relieve acute
wheezing in asthma pa ents.