WGU D027 OBJECTIVE ASSESSMENT 2024-2025
NEWEST EXAM WITH 200 REVIEW QUESTIONS &
CORRECT VERIFIED ANSWERS ALREADY GRADED
A+/ WESTERN GOVERNORS UNIVERSITY D027
ACTUAL EXAM (LATEST)
What is the gold standard for the suspected diagnosis of
Celiac Disease? - ✔✔ANSWER✔✔-Endoscopy with small
intestine biopsy
A six-month-old female infant with failure to thrive comes
in to the office with her parents. It is noticed upon exam
that the patient has facial deformities and is jaundiced. A
complete blood count (CBC) is ordered, which reveals
anemia. When that patient's blood is examined under a
microscope, the red blood cells appear small and
abnormally shaped. A mutational analysis is ordered, and
alpha thalassemia is diagnosed.
What is the likelihood of incidence of these parent's future
children having alpha thalassemia? - ✔✔ANSWER✔✔-
25%
A 58-year-old woman comes in complaining of retrosternal
chest pain, worsening with recumbent position. She states
,she has had a low-grade fever for two days. Upon exam,
the patient has a friction rub. An EKG reveals sinus
tachycardia with inflammatory changes. An ultrasound is
performed, and she is diagnosed with an acute
pericarditis. - ✔✔ANSWER✔✔-Lupus
A 73-year-old man with Systolic congestive heart failure
(CHF) with reduced ejection fraction (HFrEF) comes to a
clinic complaining of shortness of breath. He is currently
taking 6.25 mg carvedilol (Coreg) twice a day and 50 mg
losartan (Cozaar) and 20 mg furosemide (Lasix) daily. His
oxygen saturation is 95%, and he has a pulse of 64. His
BP is 138/82, and his BNP is 1150. - ✔✔ANSWER✔✔-
Stop angiotensin receptor blockers (ARB) and add
sacubitril/valsartan (Entresto)
Entresto (ARNI) for severe CHF
Red Yeast Rice shouldn't be taken with which med? -
✔✔ANSWER✔✔-Statins
What pain med to avoid with Cymbalta (duloxetine)? -
✔✔ANSWER✔✔-tramadol
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? - ✔✔ANSWER✔✔-EGFR
mutation and ALK 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? - ✔✔ANSWER✔✔-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? - ✔✔ANSWER✔✔-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? - ✔✔ANSWER✔✔-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? - ✔✔ANSWER✔✔-She is diagnosed with
atrial fibrillation and needs her heart rate controlled with
metoprolol (Lopressor).
A 75-year-old male presents with a history of transient
ischemic attack, acute myocardial infarction, angina, and
atrial fibrillation. The patient's echocardiogram shows low
cardiac output and loss of contractility.
Which condition from this patient's medical history is
contributing to the loss of contractility? - ✔✔ANSWER✔✔-
Acute myocardial infarction
A patient presents to an emergency room with blurred
vision, fatigue, shortness of breath, and disorientation.
Some of the preliminary lab results reveal the following:
glucose >400 mg/dL, sodium 150 mEq/L, potassium 7
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