Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment Fully Solved.
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Course
3p
Institution
3p
Sarcomere stretch beyond 2.2 microns is the physiologic mechanism behind which condition? - Answer CHF
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 ...
Academic- 3Ps Assessment-
Pathophysiology, Pharmacology, and
Physical Assessment Fully Solved.
Sarcomere stretch beyond 2.2 microns is the physiologic mechanism behind which condition? - Answer
CHF
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 medications? -
Answer Amlodipine is more efficacious than losartan
During a routine health assessment, the NP appreciates a decrease in peripheral vision bilaterally while
performing visual field assessment by confrontation. Consequently, the NP anticipates which of the
following findings during fundoscopic assessment? - Answer A cup-to-disk ratio of 70%.
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 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 patient should include: - Answer An
erythrocyte sedimentation rate
Which information best describes the pathophysiology of most mental health disorders? - Answer
Dysregulation of neurotransmitters in relevant pathways
The commonality among all seizure etiologies is: - Answer Increased neuron excitability
The NP is managing a patient newly diagnosed with essential tremor disorder 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
, A 48-year-old man presents with a complaint of a 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? - Answer Pain with straight leg raise
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: - Answer Order an
echocardiogram
A 57-year-old woman presents with a 3-day history of 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 findings? - Answer Dullness
The NP is learning about anginal chest pain unresponsive to nitroglycerin, when does necrotic injury
occur? - Answer The mitochondrial membrane ruptures
A 35-year-old female is skiing fast down a steep trail. She falls forward and lands on an abducted and
extended arm. She immediately feels a pop, has exquisite pain over her right upper shoulder, and has no
sensation in her right hand. Her diagnosis is most likely: - Answer Anterior dislocation of the
glenohumeral joint.
The NP is evaluating a patient with markedly elevated blood pressure that is unresponsive to traditional
medications. There is some mild pedal edema, but other than the elevated BP, the physical exam is
essentially normal. A metabolic panel reveals the following:
The NP considers which of the following as a secondary cause of hypertension in this patient? - Answer
Hyperaldosteronism
Which of the following statins is preferred for a 67-year-old man with hypercholesterolemia who drinks a
glass of grapefruit juice every morning? - Answer Pravastatin
A 41-year-old female is being managed by her mental health provider with lithium. She presents for a
primary care wellness exam and has no complaints, but routine laboratory assessment reveals a TSH of
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