WGU D027 EXAM/93 QUESTIONS AND
ANSWERS
What organ does cystic fibrosis affect? - -Affects the pancreas causing
secretions into the lungs
-What is Klinefelter syndrome? - -An extra X chromosome for males so
example XXY causing female-like qualities
-What is Turner Syndrome? - -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? - -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? - -
Ferrous Sulfate
-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) - -Glucocorticoids
-What is the normal ejection fraction? - -55-60%. Less than 50% is BAD
-Is an ejection fraction of 50% reduced or preserved? - -Preserved
-What are symptoms of left sided heart failure? - -Think PULMONARY. JVD,
FVO, rails, S3 murmurs. Number one cause of right sided heart failure!
-What are symptoms of right sided heart failure? - -Think peripheral
vascular. Lower extremity edema, abdominal distension.
-What is the gold standard lab test for heart failure? - -BNP. Heart failure is
a result greater than 100
-What heart disease is worse with exertion? - -Ischemic heart disease
because the demand requirements are higher.
-What should you assess before giving Digoxin? - -Apical pulse
-How should Warfarin be started? - -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 - -Emphysema
-What causes excess mucus production and smooth muscle hypertrophy? - -
Bronchitis
-What is a chronic inflammatory obstruction of bronchi? - -Asthma, Triggers
cause mucus to clog bronchial tubes.
-What causes an overbite and buffalo hump? - -Endocrine disorder called
acromegaly (overproduction of growth hormone)
-What causes Addison's disease? - -Decreased glucocorticoid (due to
autoimmune destruction of adrenal cortex)
-What causes Grave's disease? - -overproduction of thyroid hormone.
HYPERthyroidism.
-When should you instruct the patient to take their FIRST dose of
antihypertensive? - -At night to avoid orthostatic hypotension. Educate slow
position changes and lay down if needed.
-What are side effects of ACE inhibitors? - -dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
-Which type of antihypertensive should NOT be given to patients with
Asthma? - -Nonselective beta blocker (-lol) because both beta-2 receptors
are effected
-What is the first choice of calcium channel blocker? - -Verapamil
-What side effect should you watch for in a patient taking a statin drug? - -
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? - -Thiazide diuretics
-What type of drug is spironolactone? - -potassium sparing diuretic
-Which type of insulin is the most painful during injection? - -Lantus (long-
acting)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.56. You're not tied to anything after your purchase.