WGU D027 2023/2024 FINAL EXAM(DETAILED
QUESTIONS AND ANSWERS)/LATEST UPDATE
What organ does cystic fibrosis affect? (correct answers)Affects the pancreas causing secretions into the
lungs
What is Klinefelter syndrome? (correct answers)An extra X chromosome for males so example XXY
causing female-like qualities
What is Turner Syndrome? (correct answers)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? (correct answers)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? (correct answers)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) (correct answers)Glucocorticoids
What is the normal ejection fraction? (correct answers)55-60%. Less than 50% is BAD
Is an ejection fraction of 50% reduced or preserved? (correct answers)Preserved
, What are symptoms of left sided heart failure? (correct answers)Think PULMONARY. JVD, FVO, rails, S3
murmurs. Number one cause of right sided heart failure!
What are symptoms of right sided heart failure? (correct answers)Think peripheral vascular. Lower
extremity edema, abdominal distension.
What is the gold standard lab test for heart failure? (correct answers)BNP. Heart failure is a result
greater than 100
What heart disease is worse with exertion? (correct answers)Ischemic heart disease because the
demand requirements are higher.
What should you assess before giving Digoxin? (correct answers)Apical pulse
How should Warfarin be started? (correct answers)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
(correct answers)Emphysema
What causes excess mucus production and smooth muscle hypertrophy? (correct answers)Bronchitis
What is a chronic inflammatory obstruction of bronchi? (correct answers)Asthma, Triggers cause mucus
to clog bronchial tubes.
What causes an overbite and buffalo hump? (correct answers)Endocrine disorder called acromegaly
(overproduction of growth hormone)
What causes Addison's disease? (correct answers)Decreased glucocorticoid (due to autoimmune
destruction of adrenal cortex)
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