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Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment.
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Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment.
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Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Phys 6 6 6 6 6 6cal Assessment
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1. Sarcomere stretch beyond 2.2 microns is the physiologic mechanism be- 6 6 6 6 6 6 6 6 6
hind which condition?: CHF
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2. A female patient is taking amlodipine 10 mg daily, which controlled her bloo
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d pressure, but she could not tolerate the side effects. She was switchedto los
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artan 100 mg daily, but her blood pressure never achieved goal. Which statem
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ent best characterizes the clinical comparison of these two medica-
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6tions?: Amlodipine is more efficacious than losartan
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3. During a routine health assessment, the NP appreciates a decrease in perip
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heral vision bilaterally while performing visual field assessment by con-
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frontation. Consequently, the NP anticipates which of the following findings d
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uring fundoscopic assessment?: A cup-to-disk ratio of 70%.
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4. A 66-year-old woman presents with a complaint of a 4-
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day history of a unilateral headache that will not go away despite taking ibupr
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ofen and aceta- 6 6
minophen. She has a history of hypertension that is usually well controlled wi
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th an ACE inhibitor, but today her blood pressure is 162/92 mm Hg. Duringthe
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HPI she admits that she has had some transient visual loss over the few days,
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but it has been very short lived and resolves completely. The next stepin the e
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valuation of this patient should include:: An erythrocyte sedimentation rate
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5. Which information best describes the pathophysiology of most mental
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health disorders?: Dysregulation of neurotransmitters in relevant pathways
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6. The commonality among all seizure etiologies is:: Increased neuron excitabil-
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ity
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7. The NP is managing a patient newly diagnosed with essential tremor dis-
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6order and prescribed propranolol. The patient did an internet search for the m
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edication and wants to know how a "heart medication" can make her stop havi
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ng hand tremors.What is the best explanation for this patient?: Propranololblock
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s the action of the sympathetic nervous system in all body systems and so it will cal
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m many things, including the tremors
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8. A 48-year-old man presents with a complaint of a 3-week history of inter-
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6mittent shooting pain that runs down the buttocks and left leg. Suspecting sc
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iatica, the NP would expect which of the following during physical examina-
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tion?: Pain with straight leg raise
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9. During the routine wellness examination of a 12-year-
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old male patient, theNP appreciates a grade II/VI systolic murmur at the apex
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while the patient is lying on the exam table. The murmur is louder when the pat
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ient moves to thesitting position, appreciated at grade IV/VI. The cardiac histo
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ry and review ofsymptoms is negative. The appropriate approach to this patie
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nt is to:: Order an echocardiogram
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16/612
, Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Phys 6 6 6 6 6 6
cal Assessment 6
Study6online6at6https://quizlet.com/_cmo8ur
10. A 57-year-old woman presents with a 3-
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day history of fever, dyspnea, anda purulent cough. Auscultation of the lungs i
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dentifies an area of egophony inthe lower left lobe. Palpation reveals increased
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tactile fremitus.The NP expectswhich of the following percussion findings?: D
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ullness
11. The NP is learning about anginal chest pain unresponsive to nitroglycerin,
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when does necrotic injury occur?: The mitochondrial membrane ruptures
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12. A 35-year- 6
old female is skiing fast down a steep trail. She falls forward andlands on an ab
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ducted and extended arm. She immediately feels a pop, has exquisite pain ove
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r her right upper shoulder, and has no sensation in her righthand. Her diagnosis
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is most likely:: Anterior dislocation of the glenohumeral joint.
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13. The NP is evaluating a patient with markedly elevated blood pressure thati
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s unresponsive to traditional medications. There is some mild pedal edema,b
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ut other than the elevated BP, the physical exam is essentially normal. A meta
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bolic panel reveals the following:
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Na+ 151 mEq/LK+ 3.0 mEq/LCl- 114 mEq/LCO2 28 mEq/LBUN 10 mg/dLCrea-
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tinine 0.9 mg/dL 6 6
The NP considers which of the following as a secondary cause of hyperten-
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sion in this patient?: Hyperaldosteronism
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14. Which of the following statins is preferred for a 67-year-
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old man with hypercholesterolemia who drinks a glass of grapefruit juice ever
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y morning?-
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: Pravastatin
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15. A 41-year- 6
old female is being managed by her mental health provider withlithium. She pre
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sents for a primary care wellness exam and has no complaints,but routine labor
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atory assessment reveals a TSH of 4.5 iU/L. What is the mostappropriate appro
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ach for this patient?: Begin thyroid replacement therapy
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16. A 42-year-old man was recently evaluated for progressive fatigue. His di-
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agnostic evaluation included a comprehensive laboratory assessment which
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showed a HgbA1c of 8.4% and a urinalysis with 4+ glucose. Which of the follo
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wing laboratory assessments is consistent with the presumed diagno-
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6sis?: C-peptide of 9 ng/dL 6 6 6 6
17. Which pathophysiologic feature do multiple sclerosis and Guillain-
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Barresyndrome share?: Immune-mediated demyelination
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18. A 41-year- 6
old woman presents with chronic diarrhea. She says she has hadproblems with
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her bowels for as long as she can remember, but it is getting worse; more ofte
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26/612
, Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Phys
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cal Assessment
6
Study6online6at6https://quizlet.com/_cmo8ur
n she has the urge to have a bowel movement and does nothave time to get to
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the bathroom. To pursue a diagnosis of irritable bowel syndrome, which findin
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g in the HPI is most likely present in this patient?: - Intermittent constipation
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36/612
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