and Physical Assessment Exam Questions & Verified Answers
1. Sarcomere stretch beyond 2.2 microns is the physiologic mechanism be- hind which
condition?
Answer CHF
2. 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 medica- tions?
Answer Amlodipine is more efficacious than losartan
3. During a routine health assessment, the NP appreciates a decrease in peripheral vision
bilaterally while performing visual field assessment by con- frontation. Consequently, the
NP anticipates which of the following findings during fundoscopic assessment?
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Answer A cup-to-disk ratio of 70%.
4. 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 aceta- minophen. 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
Answer
An erythrocyte sedimentation rate
5. Which information best describes the pathophysiology of most mental health
disorders?
Answer Dysregulation of neurotransmitters in relevant pathways
6. The commonality among all seizure etiologies is
Answer
Increased neuron excitabil- ity
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7. The NP is managing a patient newly diagnosed with essential tremor dis- order and
prescribed propranolol. The patient did an internet search for the medication and wants
to know how a "heart medication" can make her stop having hand tremors.What is the
best explanation for this patient?
Answer Propranolol blocks the action of the sympathetic nervous system in all body systems
and so it will calm many things, including the tremors
8. A 48-year-old man presents with a complaint of a 3-week history of inter- mittent
shooting pain that runs down the buttocks and left leg. Suspecting sciatica, the NP would
expect which of the following during physical examina- tion?
Answer Pain with straight leg raise
9. During the routine wellness examination of a 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,
appreciated at grade IV/VI.The cardiac history and review of symptoms is negative. The
appropriate approach to this patient is to
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Answer
Order an echocardiogram
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