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D027 Pathopharmacology Exam Questions and Answers
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D027 Pathopharmacology ExamQuestions and Answers
Celiac disease gold standard - -Endoscopy with small intestine biopsy
-advanced metastatic non-small-cell lung cancer genetic mutation - -EGFR
mutation
-20-year-old male falling frequently. Since childhood, his gait has consisted
of walking on his toes. During middle school, he was able to participate in
sports but was unable to participate in high school sports due to difficulty
with running and jumping. Lately, he has noticed it takes longer and is more
difficult to change positions from sitting to standing than it used to in the
past. He has also been waking up with muscle and joint stiffness. Which
condition? - -Becker muscular dystrophy
-Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - -SLE disrupts
immune homeostasis and promotes development of self-reactive antibodies.
-elevated ferritin level. She has no previous medical history and is currently
asymptomatic. She is concerned about the elevated ferritin and would like to
know if she should be worried. What should the provider do next for this
patient? - -Order a liver function test
-A 75-year-old female presents to the emergency department with an
irregular heart rate of 130. What can be ascertained about this patient's
findings given the limited information? - -She is diagnosed with atrial
fibrillation and needs her heart rate controlled with metoprolol (Lopressor).
-Which condition from this patient's medical history is contributing to the
loss of contractility? - -Acute myocardial infarction
-A two-year-old child presents with a clear runny nose and cough which has
lasted 3 days. The child's mother reports the cough sounds like a barking
noise. The child is sleeping in the mother's arms and appears to have stridor.
The child's mother also reports an axillary temperature of 101°F last night.
Which management technique is appropriate for this child's symptoms? - -
Oral steroids and breathing treatments
-ED with blurred vision, fatigue, SOB, disoriented. Labs= glucose >400,
sodium 150, potassium 7, serum bicarbonate 12, creatinine 3. Which
condition is this patient suffering from? - -Diabetic ketoacidosis
, -A 45-year-old female fears that she is having a stroke and takes herself to
an emergency room. After several diagnostic and laboratory tests, the
patient is diagnosed with Cushing disease. Which lab abnormality would be
present in this patient? - -Increased cortisol
-16yo coughing and wheezing, worse with exercise - -Asthma
-Pt with memory loss, incontinence, hallucinations; sleepiness and impaired
judgement. What labs should be ordered? - -Complete blood count,
complete metabolic profile, and urinalysis
-An 18-year-old male is involved in a motorcycle crash while not wearing a
helmet. He is brought into an emergency room and is immediately taken for
a CT scan. The provider tells the patient's parents he has bleeding between
the dura mater and the skull. What is this patient's condition called? - -
Epidural hematoma
-40yo abdominal pain and diarrhea- colonoscopy shows skip lesions - -
Crohn's disease
-15yo pain in scrotum, increasing since morning and nausea. What test
should be ordered? - -Ultrasound
-A 45-year-old male is being seen in the clinic for a yearly check-up and lab
work. His history includes hypertension and hyperlipidemia for which he
currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a
family history of diabetes, hypertension, heart disease, and hyperlipidemia.
After obtaining lab work, the provider notices the patient's hgbA1c is
elevated at 7.5. The patient is already on a DASH diet and watching the
amount of sweets and carbohydrates he eats daily. The patient is not
overweight and participates in moderate physical activity at least 4-5 days a
week. He was started on Metformin three months ago, and his hemoglobin
A1c is now 6.9. The nurse expects to see a class of medication prescribed
which is proven to reduce the risk of cardiovascular events.Considering the
treatment guidelines from the American College of Cardiology, which
medication should be recommended for this patient - -Invokana 100 mg
daily
-A 78-year-old female presents to the clinic for a checkup and refills on her
medications. She is currently taking lisinopril (Zestril), metformin
(Glucophage), and levothyroxine (Synthroid). The patient has a history of
hypertension, type 2 diabetes, hypothyroidism, GERD, and gastric ulcers.
The patient is concerned about heart disease and wants to start taking a low-
dose aspirin. Which aspirin regimen recommendation should the advanced
professional nurse (APN) give to the patient? - -Low-dose enteric coated
aspirin 81 mg daily
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