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Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment well solved

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Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment well solvedSarcomere stretch beyond 2.2 microns is the physiologic mechanism behind which condition? CHF A female patient is taking amlodipine 10 mg daily, which controlled her blood pressure, but she could n...

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  • May 8, 2024
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  • 2023/2024
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Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment
Sarcomere stretch beyond 2.2 microns is the physiologic mechanism behind which condition?
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?
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?
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:
An erythrocyte sedimentation rate
Which information best describes the pathophysiology of most mental health disorders?
Dysregulation of neurotransmitters in relevant pathways
The commonality among all seizure etiologies is:
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?
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? 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:
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?
Dullness
The NP is learning about anginal chest pain unresponsive to nitroglycerin, when does necrotic injury occur?
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:
Anterior dislocation of the glenohumeral joint.

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