Exam (elaborations)
D027 PATHOPHARMACOLOGY
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D027 PATHOPHARMACOLOGY
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D027 PATHOPHARMACOLOGYCeliac7disease7gold7standard7-7-Endoscopy7with7small7intestine7biopsy
advanced7metastatic7non-small-cell7lung7cancer7genetic7mutation7-7-EGFR7mutation
20-year-
old7male7falling7frequently.7Since7childhood,7his7gait7has7consisted7of7walking7on7his7to
es.7During7middle7school,7he7was7able7to7participate7in7sports7but7was7unable7to7partici
pate7in7high7school7sports7due7to7difficulty7with7running7and7jumping.7Lately,7he7has7not
iced7it7takes7longer7and7is7more7difficult7to7change7positions7from7sitting7to7standing7tha
n7it7used7to7in7the7past.7He7has7also7been7waking7up7with7muscle7and7joint7stiffness.7W
hich7condition?7-7-Becker7muscular7dystrophy
Which7statement7should7the7provider7give7the7patient7regarding7the7pathophysiology7of7
SLE7and7its7relation7to7thrombocytopenia?7-7-
SLE7disrupts7immune7homeostasis7and7promotes7development7of7self-
reactive7antibodies.
elevated7ferritin7level.7She7has7no7previous7medical7history7and7is7currently7asymptoma
tic.7She7is7concerned7about7the7elevated7ferritin7and7would7like7to7know7if7she7should7b
e7worried.7What7should7the7provider7do7next7for7this7patient?7-7-
Order7a7liver7function7test
A775-year-
old7female7presents7to7the7emergency7department7with7an7irregular7heart7rate7of7130.7
What7can7be7ascertained7about7this7patient's7findings7given7the7limited7information?7-7-
She7is7diagnosed7with7atrial7fibrillation7and7needs7her7heart7rate7controlled7with7metopr
olol7(Lopressor).
Which7condition7from7this7patient's7medical7history7is7contributing7to7the7loss7of7contract
ility?7-7-Acute7myocardial7infarction
A7two-year-
old7child7presents7with7a7clear7runny7nose7and7cough7which7has7lasted737days.7The7chi
ld's7mother7reports7the7cough7sounds7like7a7barking7noise.7The7child7is7sleeping7in7the7
mother's7arms7and7appears7to7have7stridor.7The7child's7mother7also7reports7an7axillary7t
emperature7of7101°F7last7night.7Which7management7technique7is7appropriate7for7this7c
hild's7symptoms?7-7-Oral7steroids7and7breathing7treatments
, ED7with7blurred7vision,7fatigue,7SOB,7disoriented.7Labs=7glucose7>400,7sodium7150,7po
tassium77,7serum7bicarbonate712,7creatinine73.7Which7condition7is7this7patient7suffering7
from?7-7-Diabetic7ketoacidosis
A745-year-
old7female7fears7that7she7is7having7a7stroke7and7takes7herself7to7an7emergency7room.7
After7several7diagnostic7and7laboratory7tests,7the7patient7is7diagnosed7with7Cushing7dis
ease.7Which7lab7abnormality7would7be7present7in7this7patient?7-7-Increased7cortisol
16yo7coughing7and7wheezing,7worse7with7exercise7-7-Asthma
Pt7with7memory7loss,7incontinence,7hallucinations;7sleepiness7and7impaired7judgement.
7What7labs7should7be7ordered?7-7-
Complete7blood7count,7complete7metabolic7profile,7and7urinalysis
An718-year-
old7male7is7involved7in7a7motorcycle7crash7while7not7wearing7a7helmet.7He7is7brought7in
to7an7emergency7room7and7is7immediately7taken7for7a7CT7scan.7The7provider7tells7the7
patient's7parents7he7has7bleeding7between7the7dura7mater7and7the7skull.7What7is7this7p
atient's7condition7called?7-7-Epidural7hematoma
40yo7abdominal7pain7and7diarrhea-7colonoscopy7shows7skip7lesions7-7-Crohn's7disease
15yo7pain7in7scrotum,7increasing7since7morning7and7nausea.7What7test7should7be7order
ed?7-7-Ultrasound
A745-year-old7male7is7being7seen7in7the7clinic7for7a7yearly7check-
up7and7lab7work.7His7history7includes7hypertension7and7hyperlipidemia7for7which7he7cur
rently7takes7Norvasc757mg7daily7and7Lipitor7207mg7nightly.7Patient7has7a7family7history7
of7diabetes,7hypertension,7heart7disease,7and7hyperlipidemia.7After7obtaining7lab7work,7
the7provider7notices7the7patient's7hgbA1c7is7elevated7at77.5.7The7patient7is7already7on7a
7DASH7diet7and7watching7the7amount7of7sweets7and7carbohydrates7he7eats7daily.7The7
patient7is7not7overweight7and7participates7in7moderate7physical7activity7at7least74-
57days7a7week.7He7was7started7on7Metformin7three7months7ago,7and7his7hemoglobin7A
1c7is7now76.9.7The7nurse7expects7to7see7a7class7of7medication7prescribed7which7is7pro
ven7to7reduce7the7risk7of7cardiovascular7events.Considering7the7treatment7guidelines7fr
om7the7American7College7of7Cardiology,7which7medication7should7be7recommended7for
7this7patient7-7-Invokana71007mg7daily
A778-year-
old7female7presents7to7the7clinic7for7a7checkup7and7refills7on7her7medications.7She7is7c
urrently7taking7lisinopril7(Zestril),7metformin7(Glucophage),7and7levothyroxine7(Synthroid
).7The7patient7has7a7history7of7hypertension,7type727diabetes,7hypothyroidism,7GERD,7a
nd7gastric7ulcers.7The7patient7is7concerned7about7heart7disease7and7wants7to7start7taki
ng7a7low-
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