WGU D027 EXAM OBJECTIVE ASSESMENT LATEST 2024-
2025 COMPLETE 400 QUESTIONS AND CORRECT
VERIFIED ANSWERS JUST RELEASED
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
What is the normal ejection fraction? - ANSWER-55-60%. Less than 50% is BAD
Is an ejection fraction of 50% reduced or preserved? - ANSWER-Preserved
What are symptoms of left sided heart failure? - ANSWER-Think PULMONARY. JVD, FVO, rails,
S3 murmurs. Number one cause of right sided heart failure!
What are symptoms of right sided heart failure? - ANSWER-Think peripheral vascular. Lower
extremity edema, abdominal distension.
What is the gold standard lab test for heart failure? - ANSWER-BNP. Heart failure is a result
greater than 100
What heart disease is worse with exertion? - ANSWER-Ischemic heart disease because the
demand requirements are higher.
What should you assess before giving Digoxin? - ANSWER-Apical pulse
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How should Warfarin be started? - ANSWER-Start initial dose at half to monitor the effects
What causes the destruction of alveolar walls? Air goes in but can't get out which leads to
hyperinflation - ANSWER-Emphysema
What causes excess mucus production and smooth muscle hypertrophy? - ANSWER-Bronchitis
What is a chronic inflammatory obstruction of bronchi? - ANSWER-Asthma, Triggers cause
mucus to clog bronchial tubes.
What organ does cystic fibrosis affect? - ANSWER-Affects the pancreas causing secretions into
the lungs
What is Klinefelter syndrome? - ANSWER-An extra X chromosome for males so example XXY
causing female-like qualities
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
What is beta thalassemia? - ANSWER-a condition in which the synthesis of the beta-globin
chains is decreased or absent. Causes low hemoglobin.
Which medication is contraindicated in a patient with Beta Thalassemia? - ANSWER-Ferrous
Sulfate
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What causes an overbite and buffalo hump? - ANSWER-Endocrine disorder called acromegaly
(overproduction of growth hormone)
What causes Addison's disease? - ANSWER-Decreased glucocorticoid (due to autoimmune
destruction of adrenal cortex)
What causes Cushing's syndrome? - ANSWER-excess cortisol
What causes Grave's disease? - ANSWER-overproduction of thyroid hormone.
HYPERthyroidism.
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.
What are side effects of ACE inhibitors? - ANSWER-dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to patients with Asthma? - ANSWER-
Nonselective beta blocker (-lol) because both beta-2 receptors are effected
What is the first choice of calcium channel blocker? - ANSWER-Verapamil
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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.
Which diuretic is NOT used in patients with kidney failure and sickle cell disease? - ANSWER-
Thiazide diuretics
What type of drug is spironolactone? - ANSWER-potassium sparing diuretic
Which type of insulin is the most painful during injection? - ANSWER-Lantus (long-acting)
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%
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.
What lab test would we recommend for thyroid? - ANSWER-Thyroid peroxidase antibodies
(TPO)
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.
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