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t.filter(i=>i.hypotheses.some(o=>o.type!=="dom"&&(o.isControl&&o.type===s&&o.affix===template.suffix||o.type==="theme"||o.isControl&&o.type==="urlRedirect"&&o.redirectPath&&e.pathname.endsWith(o.redirectPath)||o.type==="basicScript"))&&(i.ignoreTestViewParameterEnforcement||!e.searchParams.has("view")||i.hypotheses.map(o=>o.affix).includes(e.searchParams.get("view")??"")))}domTestsForUrl(t){const e=new URL(window.location.href);return t.filter(s=>s.hypotheses.some(i=>i.type==="dom"&&i.domSelectors&&i.domSelectors.some(o=>new RegExp(V(o)).test(e.toString()))))}async filterTestsByAudience(t,e,s){const i=[];let o=e.country;!o&&t.some(n=>n.requiresCountry&&!s.some(a=>a.testId===n.id))&&(this.log("Hiding page to check geoip"),this.hidePage(),o=await this.makeJsonRequest({method:"get",url:`${this.eventHost}/api/v0/visitors/get-country`,signal:AbortSignal.timeout(this.getCountryTimeout)}).catch(n=>(this.log("Error getting country",n),null)));for(const n of t){this.log("Checking audience for 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t.length===0?null:t.some(e=>e.isThemeTest)?"theme":"templateOrUrlRedirect"}pickHypothesis(t){let e=Math.random();const s=t.hypotheses.reduce((o,n)=>o+n.visitorCount,0);return t.hypotheses.sort((o,n)=>o.isControl?n.isControl?0:-1:n.isControl?1:0).reduce((o,n)=>{if(o!==null)return o;const c=t.hypotheses.reduce((h,d)=>h&&d.visitorCount>20,!0)?n.visitorCount/s-n.trafficPercentage:0;return e<=n.trafficPercentage-c?n:(e-=n.trafficPercentage,null)},null)}typeFromTemplate(){switch(template.type){case"collection-list":return"collectionList";case"page":return"landing";case"article":case"blog":case"cart":case"collection":case"index":case"product":case"search":return template.type;default:return null}}queueRedirect(t){this.saveState(),window.setTimeout(()=>window.location.assign(t),0)}async syncAllEvents(){const t=async()=>{if(this.isSyncing){window.setTimeout(()=>void(async()=>await t())(),500);return}try{this.isSyncing=!0,await 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t=this.state.essential.visitorTests.filter(e=>e.shouldSendToGa);this.log("Syncing %s ga events",length);try{for(const e of t)this.sendGtagEvent(e.testId,e.hypothesisId),e.shouldSendToGa=!1}catch(e){this.log("Failed sending event to gtag",e)}finally{this.persistEssentialState()}}sendGtagEvent(t,e){this.log("Sending gtag event for",t,e);const s={exp_variant_string:`SL-${t}-${e}`};this.shopliftDebug&&Object.assign(s,{debug_mode:!0}),typeof window.gtag=="function"?gtag("event","experience_impression",s):(this.log("gtag not found, pushing to dataLayer"),window.dataLayer=window.dataLayer||[],window.dataLayer.push({event:"experience_impression",...s}))}updateLocalVisitor(t){let e;({visitorTests:e,...this.state.analytics.visitor}=t);for(const s of this.state.essential.visitorTests.filter(i=>!e.some(o=>o.testId===i.testId)))s.isSaved=!0,s.isInvalid=!0;for(const s of e)this.state.essential.visitorTests.some(o=>o.testId===s.testId)||this.state.essential.visitorTests.push(s);this.state.analytics.visitor.storedAt=new Date}async getVisitor(t){try{return await this.makeJsonRequest({method:"get",url:`${this.eventHost}/api/v0/visitors/by-key/${this.shop}/${t}`})}catch{return null}}async sendEvents(t){return await this.makeJsonRequest({method:"post",url:`${this.eventHost}/api/v0/events`,data:JSON.stringify(t)})}async getRemoteVisitor(t){return await this.makeJsonRequest({method:"get",url:`${this.eventHost}/api/v0/visitors/${t}`})}async updateShopifyAnalyticsId(t,e){return await this.makeJsonRequest({method:"put",url:`${this.eventHost}/api/v0/visitors/${t}`,data:JSON.stringify({shop:this.shop,shopifyAnalyticsId:e})})}getUTMValue(t){const s=decodeURIComponent(window.location.search.substring(1)).split("&");for(let i=0;i<s.length;i++){const o=s[i].split("=");if(o[0]===t)return o[1]||null}return null}hidePage(){this.log("Hiding 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wa|abac|ac(er|oo|s\-)|ai(ko|rn)|al(av|ca|co)|amoi|an(ex|ny|yw)|aptu|ar(ch|go)|as(te|us)|attw|au(di|\-m|r |s )|avan|be(ck|ll|nq)|bi(lb|rd)|bl(ac|az)|br(e|v)w|bumb|bw\-(n|u)|c55\/|capi|ccwa|cdm\-|cell|chtm|cldc|cmd\-|co(mp|nd)|craw|da(it|ll|ng)|dbte|dc\-s|devi|dica|dmob|do(c|p)o|ds(12|\-d)|el(49|ai)|em(l2|ul)|er(ic|k0)|esl8|ez([4-7]0|os|wa|ze)|fetc|fly(\-|_)|g1 u|g560|gene|gf\-5|g\-mo|go(\.w|od)|gr(ad|un)|haie|hcit|hd\-(m|p|t)|hei\-|hi(pt|ta)|hp( i|ip)|hs\-c|ht(c(\-| |_|a|g|p|s|t)|tp)|hu(aw|tc)|i\-(20|go|ma)|i230|iac( |\-|\/)|ibro|idea|ig01|ikom|im1k|inno|ipaq|iris|ja(t|v)a|jbro|jemu|jigs|kddi|keji|kgt( |\/)|klon|kpt |kwc\-|kyo(c|k)|le(no|xi)|lg( g|\/(k|l|u)|50|54|\-[a-w])|libw|lynx|m1\-w|m3ga|m50\/|ma(te|ui|xo)|mc(01|21|ca)|m\-cr|me(rc|ri)|mi(o8|oa|ts)|mmef|mo(01|02|bi|de|do|t(\-| |o|v)|zz)|mt(50|p1|v )|mwbp|mywa|n10[0-2]|n20[2-3]|n30(0|2)|n50(0|2|5)|n7(0(0|1)|10)|ne((c|m)\-|on|tf|wf|wg|wt)|nok(6|i)|nzph|o2im|op(ti|wv)|oran|owg1|p800|pan(a|d|t)|pdxg|pg(13|\-([1-8]|c))|phil|pire|pl(ay|uc)|pn\-2|po(ck|rt|se)|prox|psio|pt\-g|qa\-a|qc(07|12|21|32|60|\-[2-7]|i\-)|qtek|r380|r600|raks|rim9|ro(ve|zo)|s55\/|sa(ge|ma|mm|ms|ny|va)|sc(01|h\-|oo|p\-)|sdk\/|se(c(\-|0|1)|47|mc|nd|ri)|sgh\-|shar|sie(\-|m)|sk\-0|sl(45|id)|sm(al|ar|b3|it|t5)|so(ft|ny)|sp(01|h\-|v\-|v )|sy(01|mb)|t2(18|50)|t6(00|10|18)|ta(gt|lk)|tcl\-|tdg\-|tel(i|m)|tim\-|t\-mo|to(pl|sh)|ts(70|m\-|m3|m5)|tx\-9|up(\.b|g1|si)|utst|v400|v750|veri|vi(rg|te)|vk(40|5[0-3]|\-v)|vm40|voda|vulc|vx(52|53|60|61|70|80|81|83|85|98)|w3c(\-| )|webc|whit|wi(g |nc|nw)|wmlb|wonu|x700|yas\-|your|zeto|zte\-/i.test(i.substr(0,4)))&&(s=!0)}(navigator.userAgent||navigator.vendor),s}return t()?"mobile":e()?"tablet":"desktop"}removeAsyncHide(t){return()=>{t&&window.document.documentElement.classList.remove(t)}}async getCartState(){try{let t=await this.makeJsonRequest({method:"get",url:`${window.location.origin}/cart.js`});return t===null?null:(t.note===null&&(t=await this.makeJsonRequest({method:"post",url:`${window.location.origin}/cart/update.js`,data:JSON.stringify({note:""})})),t)}catch(t){return this.log("Error sending cart info",t),null}}async makeJsonRequest(t){const e=await this.makeRequest(t);return e===null?null:JSON.parse(await e.text(),g)}async makeRequest(t){const{url:e,method:s,headers:i,data:o,signal:n}=t,a=new Headers;if(i)for(const h in i)a.append(h,i[h]);(!i||!i.Accept)&&a.append("Accept","application/json"),(!i||!i["Content-Type"])&&a.append("Content-Type","application/json"),(this.eventHost.includes("ngrok.io")||this.eventHost.includes("ngrok-free.app"))&&a.append("ngrok-skip-browser-warning","1234");const c=await this.fetch(e,{method:s,headers:a,body:o,signal:n});if(!c.ok){if(c.status===204)return null;if(c.status===422){const h=await c.json();if(typeof h<"u"&&h.isBot)throw new w}throw new Error(`Error sending shoplift request ${c.status}`)}return c}queueAddVisitorToTest(t,e){this.state.essential.visitorTests.some(s=>s.testId===t)||this.state.essential.visitorTests.push({createdAt:new Date,testId:t,hypothesisId:e.id,isThemeTest:e.type==="theme",themeId:e.themeId,isSaved:!1,isInvalid:!1,shouldSendToGa:!0})}queueCartUpdate(t){this.queueEvent(new E(t))}queuePageView(t){this.queueEvent(new x(t))}queueEvent(t){!this.state.essential.consentApproved&&this.state.essential.hasConsentInteraction||this.state.analytics.queue.length>10||this.state.analytics.queue.push(t)}legacyGetLocalStorageVisitor(){const t=this.localStorageGet(this.legacySessionKey);if(t)try{return JSON.parse(t,g)}catch{}return null}pruneStateAndSave(){this.state.essential.visitorTests=this.state.essential.visitorTests.filter(t=>this.testConfigs.some(e=>e.id==t.testId)||this.inactiveTestConfigs.filter(e=>this.testIsPaused(e)).some(e=>e.id===t.testId)),this.saveState()}saveState(){this.persistEssentialState(),this.persistAnalyticsState()}loadState(){const t=this.loadAnalyticsState(),e={analytics:t,essential:this.loadEssentialState(t)},s=this.legacyGetLocalStorageVisitor(),i=this.legacyGetCookieVisitor(),o=[s,i].filter(n=>n!==null).sort((n,a)=>+a.storedAt-+n.storedAt)[0];return e.analytics.visitor===null&&o&&({visitorTests:e.essential.visitorTests,...e.analytics.visitor}=o,e.essential.isFirstLoad=!1,e.essential.initialState={createdAt:o.createdAt,referrer:o.referrer,utmCampaign:o.utmCampaign,utmContent:o.utmContent,utmMedium:o.utmMedium,utmSource:o.utmSource,device:o.device},this.deleteCookie("SHOPLIFT"),this.deleteLocalStorage(this.legacySessionKey)),!e.essential.consentApproved&&e.essential.hasConsentInteraction&&this.deleteLocalStorage(this.analyticsSessionKey),e}loadEssentialState(t){var a;const e=this.loadLocalStorage(this.essentialSessionKey),s=this.loadCookie(this.essentialSessionKey),i=this.getInitialState();(a=t.visitor)!=null&&a.device&&(i.device=t.visitor.device);const o={timestamp:new Date,consentApproved:!1,hasConsentInteraction:!1,debugMode:!1,initialState:i,visitorTests:[],isMerchant:!1,isFirstLoad:!0},n=[e,s].filter(c=>c!==null).sort((c,h)=>+h.timestamp-+c.timestamp)[0]??o;return n.initialState||(t.visitor!==null?n.initialState=t.visitor:(n.initialState=i,n.initialState.createdAt=n.timestamp)),n}loadAnalyticsState(){const t=this.loadLocalStorage(this.analyticsSessionKey),e=this.loadCookie(this.analyticsSessionKey),s={timestamp:new Date,visitor:null,queue:[]};return[t,e].filter(i=>i!==null).sort((i,o)=>+o.timestamp-+i.timestamp)[0]??s}persistEssentialState(){this.log("Persisting essential state"),this.state.essential.isFirstLoad=!1,this.persistLocalStorageState(this.essentialSessionKey,this.state.essential),this.persistCookieState(this.essentialSessionKey,this.state.essential)}persistAnalyticsState(){this.log("Persisting analytics state"),this.state.essential.consentApproved&&(this.persistLocalStorageState(this.analyticsSessionKey,this.state.analytics),this.persistCookieState(this.analyticsSessionKey,this.state.analytics))}loadLocalStorage(t){const e=this.localStorageGet(t);return e===null?null:JSON.parse(e,g)}loadCookie(t){const e=this.getCookie(t);return e===null?null:JSON.parse(e,g)}persistLocalStorageState(t,e){e.timestamp=new Date,this.localStorageSet(t,JSON.stringify(e))}persistCookieState(t,e){e.timestamp=new Date;const s=JSON.stringify(e),i=new Date(new Date().getTime()+864e5*365).toUTCString();document.cookie=`${t}=${s};domain=.${window.location.hostname};path=/;expires=${i};SameSite=Strict;`}deleteCookie(t){const e=new Date(0).toUTCString();document.cookie=`${t}=;domain=.${window.location.hostname};path=/;expires=${e};`}deleteLocalStorage(t){window.localStorage.removeItem(t)}getChannel(t){var s;return((s=[{"name":"cross-network","test":(v) => new RegExp(".*cross-network.*", "i").test(v.utmCampaign)},{"name":"direct","test":(v) => v.utmSource === "" && v.utmMedium === ""},{"name":"paid-shopping","test":(v) => (new RegExp("^(?:Google|IGShopping|aax-us-east\.amazon-adsystem\.com|aax\.amazon-adsystem\.com|alibaba|alibaba\.com|amazon|amazon\.co\.uk|amazon\.com|apps\.shopify\.com|checkout\.shopify\.com|checkout\.stripe\.com|cr\.shopping\.naver\.com|cr2\.shopping\.naver\.com|ebay|ebay\.co\.uk|ebay\.com|ebay\.com\.au|ebay\.de|etsy|etsy\.com|m\.alibaba\.com|m\.shopping\.naver\.com|mercadolibre|mercadolibre\.com|mercadolibre\.com\.ar|mercadolibre\.com\.mx|message\.alibaba\.com|msearch\.shopping\.naver\.com|nl\.shopping\.net|no\.shopping\.net|offer\.alibaba\.com|one\.walmart\.com|order\.shopping\.yahoo\.co\.jp|partners\.shopify\.com|s3\.amazonaws\.com|se\.shopping\.net|shop\.app|shopify|shopify\.com|shopping\.naver\.com|shopping\.yahoo\.co\.jp|shopping\.yahoo\.com|shopzilla|shopzilla\.com|simplycodes\.com|store\.shopping\.yahoo\.co\.jp|stripe|stripe\.com|uk\.shopping\.net|walmart|walmart\.com)$", "i").test(v.utmSource) || new RegExp("^(.*(([^a-df-z]|^)shop|shopping).*)$", "i").test(v.utmCampaign)) && new RegExp("^(.*cp.*|ppc|retargeting|paid.*)$", "i").test(v.utmMedium)},{"name":"paid-search","test":(v) => new 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Episode 41 – Medication – Side Effects – Scorebuilders
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Q&A Podcast
Take a deep dive into a variety of exam questions, gaining insight from seasoned Scorebuilders’ instructors as they help you understand and examine the why behind the correct answer. Ready to elevate your exam prep? Let’s go!
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Episode 41 – Medication – Side Effects
Scott Giles PT, DPT, MBA
Posted 01/07/2025
Watch the video version of this Q&A episode on YouTube - https://youtu.be/PD-7ufwv9yY
A physical therapist notes the tendency of a patient to become dizzy and lightheaded with any positional change after starting a new medication. Which of the following medications would MOST likely produce the described side effects?
1. Furosemide (Lasix) 2. Clopidogrel (Plavix) 3. Warfarin (Coumadin) 4. Simvastatin (Zocor)
Transcript
Welcome back to the Scorebuilders’ Question and Answer Podcast! This podcast provides members of the Scorebuilders’ team with the opportunity to explore challenging multiple-choice examination questions with students actively preparing for the licensing examination. My name is Scott Giles and I will be your host for today’s journey.
Ready? Let’s go!
A physical therapist notes the tendency of a patient to become dizzy and lightheaded with any positional change after starting a new medication. Which of the following medications would MOST likely produce the described side effects?
1. Furosemide (Lasix) 2. Clopidogrel (Plavix) 3. Warfarin (Coumadin) 4. Simvastatin (Zocor)
Pharmacology Physical therapists must be aware of potential side effects of commonly utilized pharmacological agents. Knowledge of the unique side effects of a particular medication provides critically important information for physical therapists when determining appropriate patient care activities. This action dramatically reduces the probability of an adverse event.
Let’s explore each of the options:
Option 1 - Furosemide (Lasix) Furosemide (Lasix) is a diuretic agent. Diuretics increase the formation and excretion of urine and can be used as antihypertensive medications since they decrease the volume of fluid within the vascular system.
Orthostatic hypotension may occur as a side effect due to the fluid depletion produced by these medications.
Option 2 - Clopidogrel (Plavix) Clopidogrel (Plavix) is an antithrombotic agent.
Antithrombotic agents inhibit platelet aggregation and clot formation.
Clopidogrel (Plavix) – Side Effects
Hemorrhage
Thrombocytopenia
Potential liver toxicity with the use of aspirin
Gastrointestinal distress
Side effects include hemorrhage, thrombocytopenia, potential liver toxicity with the use of aspirin, and gastrointestinal distress.
Dizziness and lightheadedness are not characteristic side effects of antithrombotic agents.
Option 3 - Warfarin (Coumadin) Warfarin (Coumadin) is an anticoagulant agent. Anticoagulant agents inhibit platelet aggregation and thrombus formation.
Side effects include hemorrhage, increased risk of bleeding, and gastrointestinal stress with oral medication.
Dizziness and lightheadedness are not characteristic side effects of anticoagulant agents.
Option 4 - Simvastatin (Zocor) Simvastatin (Zocor) is an antihyperlipidemia agent known as a statin. Statins inhibit enzyme action in cholesterol synthesis, break down low-density lipoproteins, decrease triglyceride levels, and increase high-density lipoprotein levels.
Side effects include headache, gastrointestinal distress, myalgia, and skin rash.
Dizziness and lightheadedness are not characteristic side effects of antihyperlipidemia agents.
The correct answer is Option 1
Let’s explore the all student data: 48% of students selected Option 1, Furosemide (Lasix), the correct response 7% of students selected Option 2, Clopidogrel (Plavix) 35% of students selected Option 3, Warfarin (Coumadin) 10% of students selected Option 4, Simvastatin (Zocor)
System Classification This question is a Cardiovascular and Pulmonary Systems question which represents approximately 14% of all exam items.
Content Outline Classification This question is a Foundations for Evaluation, Differential Diagnosis, and Prognosis question which represents approximately 33% of all exam items.
Level Classification This question is a Level 1 question since the question requires students to possess basic foundational academic knowledge. Remediation of Level 1 questions occurs through academic review of entry-level content using textbooks, review books, Basecamp, and flash cards.
Academic Focus Area Looking to review related academic content? Check out pages 425-426 in PTEXAM: The Complete Study Guide.
Thanks for joining us on the Scorebuilders Q and A podcast! See you next week!