ADVANCED PATHOPHYSIOLOGY WGU D115 EXAM /
WGU D115 OA ADVANCED PATHOPHYSIOLOGY
ACTUAL EXAM 2024 /2025 COMPLETE REAL
QUESTIONS AND WELL ELABORATED ANSWERS
(100% CORRECT VERIFIED ANSWERS) LATEST
UPDATED VERSION |GUARANTEED PASS. (REVISED
EXAM)
Herpes Keratitis - ANSWER-acute onset of severe eye pain, photophobia, and blurred
vision in one eye; diagnosed by using fluorescein dye - will appear like fernlike lines on
the corneal surface
-infection permanently damages corneal epithelium (may result in blindness)
-refer to ED or ophthalmologist STAT; avoid steroid ophthalmic drops
2 types of herpes virus that can infect the eyes - ANSWER1. Herpes Simplex = Herpes
simplex keratitis
2. Herpes Varicella Zoster/Shingles = Herpes Zoster Ophthalmicus
Acute Angle-Closure Glaucoma - ANSWER-acute onset of severe eye pain
accompanied by headache, N/V, halos around lights, and decreased vision
-mid-dilated pupil that is oval shaped
-cloudy cornea
-fundoscopic examination reveals cupping of the optic nerve
-Refer to ED
-TRUE OPHTHALMOLOGICAL EMERGENCY
-increases ICP
Multiple Sclerosis (optic neuritis) - ANSWER-new or intermittent loss of vision in one
eye alone or accompanied by nystagmus or other abnormal eye movements
- aphasia, abnormal gait, spasticity, paresthesia
-daily fatigue that worsens throughout the day
-heat worsens symptoms
-has recurrent episodes
, -refer to neurologist
Orbital Cellulitis - ANSWER-acute onset of erythematous swollen eyelid with bulging of
the eyeball and eye pain in affected eye
-abnormal extraocular movement exam with pain on eye movement
-look for hx of recent rhinosinusitis or URI
-caused by acute bacterial infection of the orbital contents
-more common in young children
-SERIOUS COMPLICATION
-Refer to ED
Retinal Detachment - ANSWER-sudden onset of a shower of floaters associated with
"looking through a curtain" sensation with sudden flashes of light
-refer to ED
Cholesteatoma - ANSWER-cauliflower like growth in the middle ear. Pt c/o foul smelling
discharge and hearing loss.
-hx of chronic otitis media infection
-NO tympanic membrane or ossicles are visible on examination because of destruction
by tumor
-tumor is not cancerous but it can erode into the bones of the face & damage the facial
nerve (CN VII)
-treated with antibiotics and surgical debridement
-refer to otolaryngologist
Battle Sign - ANSWER-Raccoon eyes
-periorbital ecchymosis
-bruising behind the ear- mastoid area 2-3 days after trauma
-look for clear golden serous discharge from the area or nose
-rule out basilar and/or temporal bone skull fracture, basilar skull fractures can cause
intracranial hemorrhage
-refer to ED
(CSF) Clear golden fluid discharge from the nose/ear - ANSWER-Indicative of a basilar
skull fracture. Cerebrospinal fluid (CSF) slowly leaks through the fracture.
-Testing the fluid with a urine dipstick will show that it is positive for glucose, whereas
plain mucus or mucopurulent drainage will be negative.
-Refer to ED.
Diphtheria - ANSWER-sore throat, fever, and markedly swollen neck
-"bull neck"
-low grade fever, hoarseness, and dysphagia
-posterior pharynx, tonsils, uvula, and soft palate are coated with a gray to yellow
colored pseudomembrane that is hard to displace
-very contagious
-contact prophylaxis required
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