, APEA – 3Ps Assessment- Pathophysiology, Pharmacology, and
Physical Assessment Exam Review Questions and Answers
1. Sarcomere stretch beyond 2.2 microns is the CHF
physio- logic mechanism behind which condition?
2. A female patient is taking amlodipine 10 mg daily,
Amlodipine is
which controlled her blood pressure, but she could more
not tolerate the side effects. She was switched to efficacious
losartan 100 mg daily, but her blood pressure
than losartan
never achieved goal. Which statement best
characterizes the clinical comparison of these two
medications?
3. During a routine health assessment, the NP appreci-
A cup-to-disk
ates a decrease in peripheral vision bilaterally while
ratio of 70%.
performing visual field assessment by
confrontation. Consequently, the NP anticipates
which of the follow- ing findings during fundoscopic
assessment?
4. A 66-year-old woman presents with a complaint of An erythrocyte
a 4-day history of a unilateral headache that will not sedimentation
go away despite taking ibuprofen and rate
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:
5. Which information best describes the Dysregulation
pathophysiolo- gy of most mental health disorders? of
neurotransmitt
ers in relevant
pathways
6. The commonality among all seizure etiologies is: Increased
neuron
excitability
, APEA – 3Ps Assessment- Pathophysiology, Pharmacology, and
Physical Assessment Exam Review Questions and Answers
7. The NP is managing a patient newly diagnosed with Propranolol
blocks
essential tremor disorder and prescribed propranolol. the action of
the
The patient did an internet search for the sympathetic
medication and wants to know how a "heart ner- vous
medication" can system in
, APEA – 3Ps Assessment- Pathophysiology, Pharmacology, and
Physical Assessment Exam Review Questions and Answers
make her stop having hand tremors. What is the best all body sys-
explanation for this patient? tems and so it
will calm
many things,
including the
tremors
8. A 48-year-old man presents with a complaint of a
3-week history of intermittent shooting pain that Pain with
runs down the buttocks and left leg. Suspecting straight leg
sciatica, the NP would expect which of the following raise
during physical examination?
9. 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 Order an
lying on the exam table. The murmur is louder when echocar-
the patient moves to the sitting position, appreciat- diogram
ed at grade IV/VI. The cardiac history and review of
symptoms is negative. The appropriate approach to
this patient is to:
10.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 Dullness
increased tactile fremitus. The NP expects which of
the following percussion findings?
11.The NP is learning about anginal chest pain unre-
sponsive to nitroglycerin, when does necrotic
injury occur?
12.A 35-year-old female is skiing fast down a steep trail. The
She falls forward and lands on an abducted and ex- mitochondri- al
tended arm. She immediately feels a pop, has membrane rup-
exquis- ite pain over her right upper shoulder, and tures
has no sensation in her right hand. Her diagnosis is
most likely: Anterior
disloca- tion of
the gleno-
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