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Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment WITH CORRECT ANSWERS.
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Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment WITH CORRECT ANSWERS.Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment WITH CORRECT ANSWERS.Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment WITH CORRECT A...

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  • August 27, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • academic 3ps assessment pathophysiology pharmac

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  • APEA 3P
  • APEA 3P

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Academic- 3Ps Assessment-
Pathophysiology, Pharmacology, and
Physical Assessment WITH CORRECT ANSWERS




Sarcomere \stretch \beyond \2.2 \microns \is \the \physiologic \mechanism \behind \which \condition? \- \
correct \Answers \✔✔ \-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? \- \correct \Answers \✔✔ \-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? \- \correct \Answers \✔✔
\-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: \- \correct \Answers \✔✔ \-An \erythrocyte \sedimentation \
rate

Which \information \best \describes \the \pathophysiology \of \most \mental \health \disorders? \- \
correct \Answers \✔✔ \-Dysregulation \of \neurotransmitters \in \relevant \pathways

The \commonality \among \all \seizure \etiologies \is: \- \correct \Answers \✔✔ \-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? \- \correct \Answers \✔✔ \-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? \- \correct \Answers \✔✔ \-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: \- \correct \Answers \✔✔ \-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? \- \
correct \Answers \✔✔ \-Dullness

The \NP \is \learning \about \anginal \chest \pain \unresponsive \to \nitroglycerin, \when \does \necrotic \
injury \occur? \- \correct \Answers \✔✔ \-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: \- \correct \
Answers \✔✔ \-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? \- \
correct \Answers \✔✔ \-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? \- \correct \Answers \✔✔ \-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 \4.5 \iU/L. \What \is \the \most \appropriate \approach \for \this \patient? \- \
correct \Answers \✔✔ \-Begin \thyroid \replacement \therapy

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