WGU D027 2023/2024 Final
Exam(Detailed Questions
And Answers)
What is the normal range for TSH level? - correct 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? - correct answer-Thyroid peroxidase
antibodies (TPO)
What if a newborn has hypothyroidism? - correct answer-Requires replacement within a
few days and last for 3 years to prevent mental development changes and dwarfism.
What is Hashimoto's disease? - correct answer-An autoimmune cause of hypothyroid.
Symptoms include weight gain and fatigue.
Symptoms of hyperthyroidism (thyrotoxicosis) - correct answer-Tachyarrhythmias,
anxiety, insomnia, rapid flow/speech, hot
GRAVES DISEASE
how to treat grave's disease? - correct answer-Remove or destroy thyroid tissue or
suppress with drug (methimazole or propylthiouracil)
, Treat with Iodine-131
Beta blockers also used to suppress release of thyroid hormones and reduce HR.
What causes vasodilation, bronchoconstriction, and helps with memory and sleep? -
correct answer-histamine- 1
What are side effects of antihistamines? - correct answer-sedation (only H-1), dry
mucus membranes, urinary hesitancy, and constipation.
Which medication is given after an MI? - correct answer-Beta blocker is given for 6
months to prevent another MI
When should medication reconciliation be done? - correct answer-Within 30 days of
discharge
Which drug class is used as the first line of treatment for depression? - correct answer-
SSRIs because of the low side effects and effectiveness.
What is the first line of treatment for uncomplicated otitis media in pediatric patient
without comorbidities? - correct answer-Amoxicillin
How do you test for postural orthostatic tachycardia syndrome? - correct answer-Tilt test
What is Florinef (corticosteroid) used for? - correct answer-Used to treat postural
hypotension and adrenal insufficiency.
What are the side effects of Florinef? - correct answer-Nausea, headache, sleep
problems, and mood changes.
What is the off label use for prazosin/minipress (alpha- 1 blocker)? - correct answer-
Sleep aid for patients diagnosed with PTSD
Which medications are used to treat myasthenia gravis? - correct answer-
Corticosteroids and cholinesterase inhibitors.
Side effects of cholinesterase inhibitors (neostigmine): - correct answer-Excessive
salvation, urinary urgency, sweating, spasm, bradycardia
What is the first line of treatment for uncomplicated hypertension? - correct answer-
Hydrochlorothiazide(thiazide diuretic) orally with lifestyle changes.
What might cause ataxia in a pediatric patient? - correct answer-- Fragile X syndrome
- Prader Willie Syndrome by deletion of chromosome 15 from father
Combined ___________ are contraindicated when breast feeding. - correct answer-Oral
contraceptives
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