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Exam (elaborations)

D027 WGU Questions and Correct Answers

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Exam of 29 pages for the course D027 WGU at D027 WGU

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  • August 15, 2024
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  • 2024/2025
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  • D027 WGU
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D027 WGU Questions and Correct Answers



What is the gold standard for the suspected diagnosis of Celiac Disease?

✓ ~~~ Endoscopy with small intestine biopsy




A 44-year-old woman has recently been diagnosed with advanced metastatic non-

small-cell lung cancer. Genetic testing is ordered to determine if the patient's tumor

has any genomic alterations and to guide treatment decisions. A few weeks later, the

patient's test results come back positive for a genetic mutation. The APN starts

osimertinib (Tagrisso). Based on this information, what type of genetic mutation does

this patient have?

✓ ~~~ EGFR mutation



A 20-year-old male meets with an advanced professional nurse (APN) to discuss

symptoms that have been slowly progressing over the past several years. He is

mainly concerned because he has been falling frequently. Since childhood, his gait

has consisted of walking on his toes. During middle school, he was able to

participate in sports but was unable to participate in high school sports due to

difficulty with running and jumping. Lately, he has noticed it takes longer and is more

difficult to change positions from sitting to standing than it used to in the past. He has

also been waking up with muscle and joint stiffness. The APRN notes that his family

history is not significant for any chronic or genetic diseases. Which condition is likely

to be the cause of these symptoms?

, ✓ ~~~ Becker muscular dystrophy
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular

dystrophy, a genetic disorder that gradually makes the body's muscles weaker and

smaller. It causes less severe problems than the most common type, Duchenne

muscular dystrophy.




Which statement should the provider give the patient regarding the pathophysiology

of SLE and its relation to thrombocytopenia?

✓ ~~~ SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.



A female patient presents to an office to establish care. Her previous primary care

provider told her to follow up regarding an elevated ferritin level. She has no previous

medical history and is currently asymptomatic. She is concerned about the elevated

ferritin and would like to know if she should be worried. What should the provider do

next for this patient?

✓ ~~~ Order a liver function test




A 75-year-old female presents to the emergency department with an irregular heart

rate of 130.What can be ascertained about this patient's findings given the limited

information?

✓ ~~~ She is diagnosed with atrial fibrillation and needs her heart rate controlled with
metoprolol (Lopressor).

, Which condition from this patient's medical history is contributing to the loss of

contractility?

✓ ~~~ Acute myocardial infarction



Which condition is this patient suffering from?

✓ ~~~ Diabetic ketoacidosis




A 45-year-old female fears that she is having a stroke and takes herself to an

emergency room. After several diagnostic and laboratory tests, the patient is

diagnosed with Cushing disease. Which lab abnormality would be present in this

patient?

✓ ~~~ Increased cortisol




SOB when lying down, and moving around --Based on the patient's presentation,

which disease process is the patient likely exhibiting?

✓ ~~~ Asthma




A two-year-old child presents with a clear runny nose and cough which has lasted 3

days. The child's mother reports the cough sounds like a barking noise. The child is

sleeping in the mother's arms and appears to have stridor. The child's mother also

reports an axillary temperature of 101°F last night. Which management technique is

appropriate for this child's symptoms?

✓ ~~~ Oral steroids and breathing treatments

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