Academic- 3Ps Assessment-
Pathophysiology, Pharmacology, and
Physical Assessment Exam Question
and Answers A+ Guide
Sarcomere stretch beyond 2.2 microns is the physiologic
mechanism behind which condition? - correct answer
✅✅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 answer
✅✅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 answer ✅✅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
,Academic- 3Ps Assessment-
Pathophysiology, Pharmacology, and
Physical Assessment Exam Question
and Answers A+ Guide
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
answer ✅✅An erythrocyte sedimentation rate
Which information best describes the pathophysiology of
most mental health disorders? - correct answer
✅✅Dysregulation of neurotransmitters in relevant
pathways
The commonality among all seizure etiologies is: -
correct answer ✅✅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 answer ✅✅Propranolol
blocks the action of the sympathetic nervous system in
all body systems and so it will calm many things,
including the tremors
,Academic- 3Ps Assessment-
Pathophysiology, Pharmacology, and
Physical Assessment Exam Question
and Answers A+ Guide
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 answer ✅✅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
answer ✅✅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 answer ✅✅Dullness
, Academic- 3Ps Assessment-
Pathophysiology, Pharmacology, and
Physical Assessment Exam Question
and Answers A+ Guide
The NP is learning about anginal chest pain unresponsive
to nitroglycerin, when does necrotic injury occur? -
correct answer ✅✅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
answer ✅✅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 answer
✅✅Hyperaldosteronism
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