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Academic - 3Ps Assessment- Pathophysiology, Pharmacology And Physical Assessment: Qs And As
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Academic - 3Ps Assessment- Pathophysiology,Pharmacology And Physical Assessment: Qs And As
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: Right Ans - An
erythrocyte sedimentation rate
Which information best describes the pathophysiology of most mental health
disorders? Right Ans - Dysregulation of neurotransmitters in relevant
pathways
The commonality among all seizure etiologies is: Right Ans - 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? Right
Ans - 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? Right Ans - 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: Right
Ans - 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? Right Ans - Dullness
The NP is learning about anginal chest pain unresponsive to nitroglycerin,
when does necrotic injury occur? Right Ans - The mitochondrial membrane
ruptures
Sarcomere stretch beyond 2.2 microns is the physiologic mechanism behind
which condition? Right Ans - 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? Right Ans - 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? Right Ans - A cup-to-disk ratio of
70%.
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: Right Ans - 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:
Na+ 151 mEq/LK+ 3.0 mEq/LCl- 114 mEq/LCO2 28 mEq/LBUN 10
mg/dLCreatinine 0.9 mg/dL
The NP considers which of the following as a secondary cause of hypertension
in this patient? Right Ans - Hyperaldosteronism
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