BARKLEY 3P EXAM WITH 75 VERIFIED QUESTIONS AND ANSWERS (WITH RATIONALE)

BARKLEY 3P EXAM WITH 75 VERIFIED QUESTIONS AND ANSWERS (WITH RATIONALE)

A male patient requests a phosphodiesterase inhibitor to treat erectile
dysfunction. Which of the following is appropriate?
a. Tadalafil (Cialis) may be used at a dose of 2.5 mg daily if sexual activity
will take place two or more times per week.
b. Vardenafil (Levitra), 5 mg, may be taken with a high-fat meal four hours
before sexual activity
c. Sildenafil (Viagra), 50 mg, may be taken one hour before sexual activity
as long as the patient has a resting blood pressure below 170/110 mm Hg
d. Avanafil (Stendra) is recommended at 50 mg for all patients, and may be
taken 30 minutes before sexual activity. - a. Tadalafil (Cialis) may be used at
a dose of 2.5 mg daily if sexual activity will take place two or more times
per week.
Which of the following is NOT part of Virchow's Triad?
a. Hypercoagulability
b. Damage to endothelial cells
c. Sympathetic tone
d. Turbulent blood flow - c. Sympathetic tone
Virchow's triad is a method of describing the three main factors that lead to
a thrombosis -- sympathetic tone is not one of those and doesn't affect
blood clotting.
Hypercoagulability does lead to clotting, including malignancy, trauma,
sepsis, and thrombophilia. Endothelial cell damage is part of Virchow's triad
bc it causes blood to clot by promoting platelet adherence to the wall of the
vessels; vascular wall injury is the second aspect of Virchow's triad. Lastly,
turbulent blood flow is a constituent of circulatory stasis the third
component of the triad, which can be caused by atrial fibrillation, venous
obstruction, and ventricular dysfunction
You are auscultating Jon's chest. When he sits up and leans forward, you
can hear a high pitched, blowing murmur at S2. What does this type of
murmur most likely indicate?
a. Mitral stenosis
b. Aortic Stenosis
c. Mitral regurgitation
d. Aortic regurgitation - d. Aortic regurgitation
Aortic regurg is soft, high pitched, blowing diastolic decrescendo that best
heard at the 3rd left interspace at base. Murmur initiated w/ S2 and heard
when Pt sits up and leans forward. Mitral Stenosis= low pitched diastolic
rumble & doesn't radiate. Best heard in apex when in left lateral position.
Aortic stenosis= loud, harsh murmur midsystole, radiated down the side of
neck and down apex. Mitral regurg= loud blowing murmur heard at apex and
is pansystolic.
Which of the following is the most common clinical manifestation of
osteoporosis?
a. Bone deformity
b. Bone pain
c. Pathologic fracture
d. Fat embolism - a. Bone deformity