WGU D115 OA Advanced Pathophysiology Exam
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Question 1
A 45-year-old male is involved in a motor vehicle accident and sustains a traumatic
brain injury. He is unresponsive to painful stimuli and has no eye opening or verbal
response. What is his Glasgow Coma Scale (GCS) score?
A) 15
B) 10
C) 3
D) 8
E) 5
ANSWER>>>C
RATIONALE: The Glasgow Coma Scale is scored between 3 and 15, with 3
being the worst and 15 being the best. A patient with no eye opening, no verbal
response, and no motor response scores 3 (1+1+1). This indicates a severe TBI. A
score of 3-8 describes a severe TBI, 9-12 moderate, and 13-15 mild.
Question 2
A 32-year-old female presents with recurrent and persistent thoughts about
contamination that cause her significant anxiety. She spends hours washing her
hands daily to relieve these thoughts. What term best describes these recurrent
thoughts?
A) Delusions
B) Hallucinations
C) Obsessions
,D) Compulsions
E) Phobias
ANSWER>>>C
RATIONALE: Obsessions are recurrent and persistent thoughts, impulses, or
images that cause distressing emotions such as anxiety or disgust. Compulsions are
repetitive behaviors performed in response to obsessions. Delusions are fixed false
beliefs, and hallucinations are perceptual disturbances.
Question 3
A 28-year-old female presents with excessive worry about multiple aspects of her
life, including work, finances, and health. She reports difficulty concentrating,
irritability, and trouble sleeping. What is the most likely diagnosis?
A) Panic disorder
B) Major depressive disorder
C) Generalized Anxiety Disorder (GAD)
D) Obsessive-compulsive disorder
E) Post-traumatic stress disorder
ANSWER>>>C
RATIONALE: Generalized Anxiety Disorder (GAD) is characterized by
excessive, uncontrollable worry about multiple domains, along with symptoms
such as impaired concentration, irritability, muscle tension, sleep disturbance, and
fatigue. Panic disorder involves recurrent panic attacks. OCD involves obsessions
and compulsions.
Question 4
A 22-year-old male presents with paranoia, delusions, disorganized behavior, and
auditory hallucinations. He reports that his thoughts are being controlled by
external forces. What is the most likely diagnosis?
A) Bipolar disorder
B) Major depressive disorder with psychotic features
C) Schizophrenia
,D) Schizoaffective disorder
E) Delusional disorder
ANSWER>>>C
RATIONALE: Schizophrenia is characterized by positive symptoms
(hallucinations, delusions, disorganized speech/behavior), negative symptoms (flat
affect, alogia, avolition), and cognitive symptoms. Paranoia, delusions (thought
control), tangential thoughts, suspiciousness, disorganized behavior, and
hallucinations are classic features.
Question 5
A 65-year-old male with Alzheimer's disease is found wandering in the street and
cannot recall his address or name. What is the most appropriate assessment tool for
this patient?
A) Hamilton Rating Scale for Depression
B) Mini-Mental State Examination (MMSE)
C) Glasgow Coma Scale
D) Confusion Assessment Method
E) Montreal Cognitive Assessment
ANSWER>>>B
RATIONALE: The Mini-Mental State Examination (MMSE) is used to assess
cognitive function in patients with suspected dementia. It evaluates orientation,
registration, attention, calculation, recall, and language. The Confusion Assessment
Method is used for delirium. The GCS is for TBI.
Question 6
A 55-year-old male with a history of alcohol use disorder presents with confusion,
ataxia, and ophthalmoplegia. What is the most likely diagnosis?
A) Korsakoff syndrome
B) Wernicke encephalopathy
C) Hepatic encephalopathy
, D) Delirium tremens
E) Alcohol withdrawal
ANSWER>>>B
RATIONALE: Wernicke encephalopathy is caused by thiamine deficiency,
commonly seen in chronic alcohol use. It presents with the classic triad of
confusion, ataxia, and ophthalmoplegia. Korsakoff syndrome is a chronic
complication with memory impairment. Delirium tremens is alcohol withdrawal
with autonomic hyperactivity.
Question 7
A 30-year-old female presents with episodes of sudden overwhelming fear,
palpitations, sweating, and shortness of breath lasting about 10 minutes. She fears
she is dying during these episodes. What is the most likely diagnosis?
A) Generalized anxiety disorder
B) Panic disorder
C) Social anxiety disorder
D) Specific phobia
E) Agoraphobia
ANSWER>>>B
RATIONALE: Panic disorder is characterized by recurrent, unexpected panic
attacks with physical symptoms (palpitations, sweating, shortness of breath) and
cognitive symptoms (fear of dying, losing control). The episodes are acute (peak
within 10 minutes) and cause significant distress.
Question 8
A 42-year-old female with bipolar disorder presents with decreased need for sleep,
grandiosity, pressured speech, and increased goal-directed activity. What is the
most likely phase of bipolar disorder?
A) Depressive episode
B) Mixed episode
C) Manic episode
(Latest 2026) Actual Questions with Detailed Answers
and OA Readiness Practice Exam QUALITY
QUESTIONS WITH COMPLETE SOLUTIONS |
GRADED A+
Leave your honest rating⭐⭐⭐⭐⭐
Question 1
A 45-year-old male is involved in a motor vehicle accident and sustains a traumatic
brain injury. He is unresponsive to painful stimuli and has no eye opening or verbal
response. What is his Glasgow Coma Scale (GCS) score?
A) 15
B) 10
C) 3
D) 8
E) 5
ANSWER>>>C
RATIONALE: The Glasgow Coma Scale is scored between 3 and 15, with 3
being the worst and 15 being the best. A patient with no eye opening, no verbal
response, and no motor response scores 3 (1+1+1). This indicates a severe TBI. A
score of 3-8 describes a severe TBI, 9-12 moderate, and 13-15 mild.
Question 2
A 32-year-old female presents with recurrent and persistent thoughts about
contamination that cause her significant anxiety. She spends hours washing her
hands daily to relieve these thoughts. What term best describes these recurrent
thoughts?
A) Delusions
B) Hallucinations
C) Obsessions
,D) Compulsions
E) Phobias
ANSWER>>>C
RATIONALE: Obsessions are recurrent and persistent thoughts, impulses, or
images that cause distressing emotions such as anxiety or disgust. Compulsions are
repetitive behaviors performed in response to obsessions. Delusions are fixed false
beliefs, and hallucinations are perceptual disturbances.
Question 3
A 28-year-old female presents with excessive worry about multiple aspects of her
life, including work, finances, and health. She reports difficulty concentrating,
irritability, and trouble sleeping. What is the most likely diagnosis?
A) Panic disorder
B) Major depressive disorder
C) Generalized Anxiety Disorder (GAD)
D) Obsessive-compulsive disorder
E) Post-traumatic stress disorder
ANSWER>>>C
RATIONALE: Generalized Anxiety Disorder (GAD) is characterized by
excessive, uncontrollable worry about multiple domains, along with symptoms
such as impaired concentration, irritability, muscle tension, sleep disturbance, and
fatigue. Panic disorder involves recurrent panic attacks. OCD involves obsessions
and compulsions.
Question 4
A 22-year-old male presents with paranoia, delusions, disorganized behavior, and
auditory hallucinations. He reports that his thoughts are being controlled by
external forces. What is the most likely diagnosis?
A) Bipolar disorder
B) Major depressive disorder with psychotic features
C) Schizophrenia
,D) Schizoaffective disorder
E) Delusional disorder
ANSWER>>>C
RATIONALE: Schizophrenia is characterized by positive symptoms
(hallucinations, delusions, disorganized speech/behavior), negative symptoms (flat
affect, alogia, avolition), and cognitive symptoms. Paranoia, delusions (thought
control), tangential thoughts, suspiciousness, disorganized behavior, and
hallucinations are classic features.
Question 5
A 65-year-old male with Alzheimer's disease is found wandering in the street and
cannot recall his address or name. What is the most appropriate assessment tool for
this patient?
A) Hamilton Rating Scale for Depression
B) Mini-Mental State Examination (MMSE)
C) Glasgow Coma Scale
D) Confusion Assessment Method
E) Montreal Cognitive Assessment
ANSWER>>>B
RATIONALE: The Mini-Mental State Examination (MMSE) is used to assess
cognitive function in patients with suspected dementia. It evaluates orientation,
registration, attention, calculation, recall, and language. The Confusion Assessment
Method is used for delirium. The GCS is for TBI.
Question 6
A 55-year-old male with a history of alcohol use disorder presents with confusion,
ataxia, and ophthalmoplegia. What is the most likely diagnosis?
A) Korsakoff syndrome
B) Wernicke encephalopathy
C) Hepatic encephalopathy
, D) Delirium tremens
E) Alcohol withdrawal
ANSWER>>>B
RATIONALE: Wernicke encephalopathy is caused by thiamine deficiency,
commonly seen in chronic alcohol use. It presents with the classic triad of
confusion, ataxia, and ophthalmoplegia. Korsakoff syndrome is a chronic
complication with memory impairment. Delirium tremens is alcohol withdrawal
with autonomic hyperactivity.
Question 7
A 30-year-old female presents with episodes of sudden overwhelming fear,
palpitations, sweating, and shortness of breath lasting about 10 minutes. She fears
she is dying during these episodes. What is the most likely diagnosis?
A) Generalized anxiety disorder
B) Panic disorder
C) Social anxiety disorder
D) Specific phobia
E) Agoraphobia
ANSWER>>>B
RATIONALE: Panic disorder is characterized by recurrent, unexpected panic
attacks with physical symptoms (palpitations, sweating, shortness of breath) and
cognitive symptoms (fear of dying, losing control). The episodes are acute (peak
within 10 minutes) and cause significant distress.
Question 8
A 42-year-old female with bipolar disorder presents with decreased need for sleep,
grandiosity, pressured speech, and increased goal-directed activity. What is the
most likely phase of bipolar disorder?
A) Depressive episode
B) Mixed episode
C) Manic episode
