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WGU D027 EXAM OA ACTUAL EXAM ALL 400 QUESTIONS AND CORRECT DETAILED VERIFIED SOLUTIONS LATEST
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WGU D027 EXAM OA ACTUAL EXAM ALL 400 QUESTIONS AND CORRECT DETAILED VERIFIED SOLUTIONS LATEST
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Page 1 of 138WGU D027 EXAM OA ACTUAL EXAM ALL 400
QUESTIONS AND CORRECT DETAILED VERIFIED
SOLUTIONS LATEST 2024-2025
QUESTION: What organ does cystic fibrosis affect? - ANSWER-Affects the pancreas causing
secretions into the lungs
QUESTION: What is Klinefelter syndrome? - ANSWER-An extra X chromosome for males so
example XXY causing female-like qualities
QUESTION: What is Turner Syndrome? - ANSWER-females. missing or deformed x chromosome.
right hemisphere dysfunction, hearing loss, ear infection, language and articulation disorders,
visual spatial and attentional problems
QUESTION: What is beta thalassemia? - ANSWER-a condition in which the synthesis of the beta-
globin chains is decreased or absent. Causes low hemoglobin.
QUESTION: Which medication is contraindicated in a patient with Beta Thalassemia? - ANSWER-
Ferrous Sulfate
QUESTION: What drug is used in combination with other agent to treat lymphoid tissue
(leukemia). Directly toxic to lymphoid tissues Selective estrogen receptor modulators (SERM) -
for hormone receptor positive and advanced breast cancer. (Tomaxafin - reduces risk and
recurrence risk) - ANSWER-Glucocorticoids
QUESTION: What is the normal ejection fraction? - ANSWER-55-60%. Less than 50% is BAD
QUESTION: Is an ejection fraction of 50% reduced or preserved? - ANSWER-Preserved
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QUESTION: What are symptoms of left sided heart failure? - ANSWER-Think PULMONARY. JVD,
FVO, rails, S3 murmurs. Number one cause of right sided heart failure!
QUESTION: What are symptoms of right sided heart failure? - ANSWER-Think peripheral
vascular. Lower extremity edema, abdominal distension.
QUESTION: What is the gold standard lab test for heart failure? - ANSWER-BNP. Heart failure is
a result greater than 100
QUESTION: What heart disease is worse with exertion? - ANSWER-Ischemic heart disease
because the demand requirements are higher.
QUESTION: What should you assess before giving Digoxin? - ANSWER-Apical pulse
QUESTION: How should Warfarin be started? - ANSWER-Start initial dose at half to monitor the
effects
QUESTION: What causes the destruction of alveolar walls? Air goes in but can't get out which
leads to hyperinflation - ANSWER-Emphysema
QUESTION: What causes excess mucus production and smooth muscle hypertrophy? -
ANSWER-Bronchitis
QUESTION: What is a chronic inflammatory obstruction of bronchi? - ANSWER-Asthma, Triggers
cause mucus to clog bronchial tubes.
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QUESTION: What causes an overbite and buffalo hump? - ANSWER-Endocrine disorder called
acromegaly (overproduction of growth hormone)
QUESTION: What causes Addison's disease? - ANSWER-Decreased glucocorticoid (due to
autoimmune destruction of adrenal cortex)
QUESTION: What causes Cushing's syndrome? - ANSWER-excess cortisol
QUESTION: What causes Grave's disease? - ANSWER-overproduction of thyroid hormone.
HYPERthyroidism.
QUESTION: When should you instruct the patient to take their FIRST dose of antihypertensive? -
ANSWER-At night to avoid orthostatic hypotension. Educate slow position changes and lay
down if needed.
QUESTION: What are side effects of ACE inhibitors? - ANSWER-dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
QUESTION: Which type of antihypertensive should NOT be given to patients with Asthma? -
ANSWER-Nonselective beta blocker (-lol) because both beta-2 receptors are effected
QUESTION: What is the first choice of calcium channel blocker? - ANSWER-Verapamil
QUESTION: What side effect should you watch for in a patient taking a statin drug? - ANSWER-
Muscle pain which can lead to rhabdomyolysis, kidney failure, and death.
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QUESTION: Which diuretic is NOT used in patients with kidney failure and sickle cell disease? -
ANSWER-Thiazide diuretics
QUESTION: What type of drug is spironolactone? - ANSWER-potassium sparing diuretic
QUESTION: Which type of insulin is the most painful during injection? - ANSWER-Lantus (long-
acting)
QUESTION: Why test glycosylated hemoglobin (HgbA1c)? - ANSWER-Most reliable assessment
of blood sugar over the past 3 months. The goal is < 6.5%. A poor result is > 9%
QUESTION: What is the normal range for TSH level? - ANSWER-The normal range of TSH levels
is 0.4 to 4.0 milli-international units per liter. If you're already being treated for a thyroid
disorder, the normal range is 0.5 to 3.0 milli-international units per liter. A value ABOVE the
normal range usually indicates hypothyroidism.
QUESTION: What lab test would we recommend for thyroid? - ANSWER-Thyroid peroxidase
antibodies (TPO)
QUESTION: symptoms of hypothyroidism - ANSWER-Bradycardia; cold intolerance; lethargy;
memory loss; dry skin; brittle dry hair; decreased appetite; weight gain; constipation; increased
serum lipids; decreased libido; erectile dysfunction
QUESTION: What if a newborn has hypothyroidism? - ANSWER-Requires replacement within a
few days and last for 3 years to prevent mental development changes and dwarfism.
QUESTION: What is Hashimoto's disease? - ANSWER-An autoimmune cause of hypothyroid.
Symptoms include weight gain and fatigue.
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