WGU D027 OBJECTIVE ASSESSMENT 2024-2025 NEWEST
EXAM QUESTIONS with100 % CORRECT VERIFIED ANSWERS
ALREADY GRADED A+
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
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 is the gold standard for the suspected diagnosis of Celiac Disease? - Answer- Endoscopy with small
intestine biopsy
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
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).
Which condition from this patient's medical history is contributing to the loss of contractility? - Answer-
Acute myocardial infarction
Which condition is this patient suffering from? - Answer- Diabetic ketoacidosis
What should you assess before giving Digoxin? - Answer- Apical pulse
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 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
At Risk for HF - Stage A - Answer- no structural heart disease or symptoms of heart failure
Stage A HF co-morbidities - Answer- htn, atherosclerotic disease, diabetes, metabolic syndrome, patients
using cardiotoxins with family history
, Therapy goals of stage A HF - Answer- treat htn, encourage smoking cessation, encourage regular
exercise, treat lipid disorders, discourage alcohol intake/drug use, control metabolic syndrome
Meds: ACEI or Angiotensin II RB for vascular disease or diabetes (avapro, losartan, benicar, diovan, etc)
At Risk for HF - Stage B - Answer- structural heart disease but no symptoms of heart failure
Stage B HF co-morbidities - Answer- previous MI, LV remodeling with LV hypertrophy and low EF,
asymptomatic valvular disease
Therapy goals of Stage B HF - Answer- Meds: ACEI or ARB, Beta-blockers, inplantable defibrillators
Stage C heart failure - Answer- structural heart disease with prior or current symptoms of HF
Presentation of Stage C HF - Answer- known structural heart disease and shortness of breath and fatigue,
reduced exercise tolerance
Therapy for Stage C HF - Answer- dietary salt restriction, MEDS: diuretic, ACEI, beta blockers. Some
patients: aldosterone antagonist, ARBs, digitalis, hydralazine/nitrates, biventricular pacing, inplantable
defibrillators
Stage D heart failure - Answer- refractory HF requiring specialized interventions
Presentation of Stage D HF - Answer- marked symptoms at rest despite maximal medical therapy
(recurrently hospitalized or cannot be safely discharged without specialized interventions)
Therapy goals for Stage D HF - Answer- compassionate end-of-life care/hospice, extraordinary measures
,heart transplant, chronic inotropes, permanent mechanical support, experimental drugs or surgery
Ischemic heart Disease (CAD, MI) presentation - Answer- chest discomfort, pain in neck/jaw/chest
(crushing, squeezing, sharp), pain worse with exertion (demand requirement is higher), abnormal heart
sounds, hypoxia, arrhythmias (afib, ST elevation)
