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3P Exam – Questions With Solutions (Well Detailed)
3P Exam – Questions With Solutions (Well Detailed)
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3P Exam – Questions With Solutions (Well Detailed)Major difference between varicose veins and arteriosclerosis is the: Right
Ans - vessels affected.
Varicose affects veins
arteriosclerosis affects the arteries
Pt has poorly controlled HTN > 10 years; indicate most likely position of his
point of maximal impulse (PMI) Right Ans - PMI is normally found at the
5th intercostal space; midclavicular line but due to heart disease or prolonged
hypertension, this may be to the left; uncontrolled HTN will lead PMI to be 5th
ICS, LEFT of MCL.
34 year old had an audible diastolic murmur best heard in the mitral listening
point. no audible click. his status has been monitored for the past 2 years. this
murmur is probably: Right Ans - Mitral stenosis. Mitral stenosis is a
diastolic murmur that has NO click.
Pt with diabetes presents w/ pain in his lower legs when he walks and pain
resolution w/ rest. when specifically asked about the pain in his lower leg, he
likely reports pain to be where? Right Ans - Patient is describing pain that
is typical of arteriosclerosis. this pain is described as intermittent
claudication. When there is compromised arterial blood flow in the lower leg,
a common complaint is reproducible pain in a specific group of muscles. This
pain is due to an incongruence between blood supply and demand. produces a
pain that the patient
A pt w/ hypertension describes a previous allergic reaction to a sulfa
antibiotic as a 'sloughing of the skin' and hospitalization; which medication is
contraindicated in this pt?
a. Ramipril
b. metoprolol
c. hydrochlorothiazide
d. verapamil Right Ans - C. Hydrochlorothiazide
This pt is describing Stevens-Johnson syndrome, a potentially life-threatening
allergic reaction.
, Hydrochlorothiazide has a sulfonamide ring in its chemical structure
a 75 y/o patient who has aortic stenosis wants to know what symptoms
indicate worsening of his stenosis. the NP replies:
a. palpitations & weakness
b. ventricular arrhythmias
c. sob & syncope
d. fatigue and exercise intolerance Right Ans - most common symptoms
associated w/aortic stenosis are angina, syncope, and heart failure evidenced
by dyspnea. Syncope is usually exertional. angina may be due to aortic
stenosis, but underlying coronary artery disease accounts for half of anginal
symptoms in these patients.
**Usually a rapid decline in patients status and this means there is a need for
valve replacement. w/o replacement, death will ensue.
a 74 y/o pt has peripheral artery disease (PAD). which item listed below is an
important nonmodifiable risk factor for PAD?
a. cigarette smoking
b. hyperlipidemia
c. diabetes
d. alcohol consumption Right Ans - C. diabetes
Diabetes is typically a nonmodifiable risk factor.
*cigarette smoking is often considered the most important risk factor for PAD
Which choice below characterizes a pt who has aortic regurgitation?
a. long asymptomatic period followed by exercise intolerance then dyspnea at
rest
b. an acute onset of SOB in 5th or 6th decade
c. dyspnea on exertion for a long period of time before sudden cardiac death
d. a long asymptomatic period w/ sudden death, usually during exercise
Right Ans - pt w/ aortic regurgitation will experience long asymptomatic
period followed by exercise intolerance then dyspnea at rest.
**L ventricle eventually fails - requires replacement of valve
A characteristic of an CE inhibitor induced cough is that it:
a. is mildly productive
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