WGU D118 OBJECTIVE ASSESSMENT V1, V2 AND V3
NEWEST 2026 TEST BANK| D118 ADULT PRIMARY
CARE OA EXAM WITH COMPLETE 450 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
D118 ADULT PRIMARY CARE OA V1.
Which inflammatory mediator is responsible for bronchoconstriction,
coronary vasoconstriction, and peripheral vasodilation?
A. Basophils
B. Platelet activating factor
C. Prostaglandins
D. Heparin - Correct answer - C. Prostaglandins
In anaphylaxis, the release of prostaglandins results in
bronchoconstriction, coronary vasoconstriction, and peripheral
vasodilation.
A 45-year-old patient with a history of alcohol use disorder has
developed weakness, fatigue, loss of appetite, weight loss and physical
exam reveals ascites, hepatosplenomegaly, spider nevi, clubbing, and
Dupuytren contracture. His ALT/AST ratio is 2.7 and hemoglobin is 8.8
mg/dL. His MCV is 104 and ultrasonography detects nodularity and
increased echogenicity of the liver. Which of the following would
confirm a diagnosis of the suspected condition in this patient?
A. Scleral icterus
B. Hyperbilirubinemia
C. Biopsy of the liver tissue
pg. 1
,D. Elevated prothrombin time - Correct Answer - C.
A liver biopsy is required to confirm cirrhosis. elevated LFTs, bilirubin
and decreased albumin are indicative of cirrhosis but not confirmatory.
predictors of cirrhosis are ascites, platelet count less than 160,000 mm3,
spider angiomata, and bonacini cirrhosis discriminant score greater than
7.
A 28-year-old primigravida presented to the antenatal clinic for a routine
check-up. She has been exposed to someone with chickenpox but has
not developed any skin lesions. She has no varicella-zoster antibodies.
What would be the best possible treatment for her?
A. Chickenpox vaccine
B. Immunoglobulins
C. Antivirals
D. No medication is required - Correct Answer - B. Immunoglobulins.
An immunocompromised patient, when exposed to someone with
chickenpox, is given immunoglobulins unless he develops the disease. •
An immunocompromised patient, when exposed to someone with
chickenpox, is given antivirals when he develops the disease. • When a
pregnant patient is exposed to someone with chickenpox, and she has
not developed the disease. Her varicella-zoster antibodies are checked. If
she has antibodies, no further treatment is required. • If a pregnant
patient is exposed to someone with chickenpox and she has developed
skin lesions, then antivirals are given.
A 40-year-old female of Japanese descent presents to the clinic wanting
to know if she should be screened for diabetes because her second
cousin was recently diagnosed with diabetes mellitus. The patient's body
mass index (BMI) is 23 kg/m2, her blood pressure is 135/85 mmHg, her
triglycerides level is 200 mg/dL, and her high-density lipoprotein (HDL)
pg. 2
,level is 40 mg/dL. Which of the following warrants screening for
diabetes mellitus according to the American Diabetes Association
Standards of Care published in January 2020?
A. BMI of 23 kg/m2
B. HDL level of 40 mg/dL
C. Triglycerides of 200 mg/dL
D. Blood pressure of 135/85 mmHg - Correct Answer - A.
Screening for diabetes should be done on any adult of a high-risk ethnic
population (e.g., African American, Latino Americans, Native
Americans, Asian Americans, or Pacific Islanders) if they are overweight
or obese which includes a BMI greater than or equal to 25 kg/m2 in the
general population or greater than or equal to 23 kg/m2 in Asian
Americans. Any adult that is overweight or obese per BMI with and
HDL less than 35 mg/dL should be tested for diabetes, even if they are
asymptomatic. Screening for diabetes should be done on overweight or
obese adults under 45 if they are on therapy for hypertension or if their
blood pressure is 140/99 mmHg. Any adult over the age of 45 years
should be tested for diabetes. Screening for diabetes should be done if an
adult is overweight or obese, and if their triglycerides are above 250
mg/dL.
An 18-year-old male college student is brought to the emergency
department with fever, headache, and confusion. He lives in a dormitory
at a boarding school. He has no significant past medical history. His vital
signs reveal temperature 39 C, blood pressure 105/77 mmHg, respiratory
rate 22/min, and pulse 98/min. Physical examination shows mild neck
stiffness, photophobia, and petechiae on his shins bilaterally. A vaccine
with which of the following properties is most likely to have prevented
this patient's disease?
A. Live attenuated antigen
B. Conjugated capsular polysaccharide (CPS)
pg. 3
, C. Activated antigen
D. Antibiotic-enhanced - Correct Answer - B.
The conjugation of a bacterial CPS to a protein induces stronger
antibody responses. The use of this vaccine has eliminated all Hib
disease, providing strong evidence that the conjugate vaccine is highly
effective.
A 2-month-old child is being seen for a check-up. If pneumococcal
conjugate vaccine (PCV13) is started today, the routine schedule for
PCV13 would be a dose today and then doses at:
A. 3 months, 4 months, and 6 months of age
B. 4 months, 6 months, and 12 through 15 months of age
C. 6 months, 12 months, and 18 months of age
D. 9 months and 12 through 15 months of age - Correct Answer - B.
The CDC recommends PCV13 for all infants as a series of 4 doses.
Doses are given at 2, 4, 6, and 12 to 15 months of age.
Which type of pneumococcal vaccine is indicated for a 19-year-old
woman with HIV infection who has never received pneumococcal
vaccine?
A. PCV13
B. PPSV23
C. Both PCV13 and PPSV23
D. Neither vaccine is recommended - Correct Answer - C.
A 19-year-old with HIV should receive both PCV13 and PPSV23.
Administer 1 dose of PCV13 first, then 2 doses of PPSV23. Give the
first dose of PPSV23 at least 8 weeks after PCV13. Give the 2nd dose of
PPSV23 at least 5 years after the 1st.
pg. 4
NEWEST 2026 TEST BANK| D118 ADULT PRIMARY
CARE OA EXAM WITH COMPLETE 450 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
D118 ADULT PRIMARY CARE OA V1.
Which inflammatory mediator is responsible for bronchoconstriction,
coronary vasoconstriction, and peripheral vasodilation?
A. Basophils
B. Platelet activating factor
C. Prostaglandins
D. Heparin - Correct answer - C. Prostaglandins
In anaphylaxis, the release of prostaglandins results in
bronchoconstriction, coronary vasoconstriction, and peripheral
vasodilation.
A 45-year-old patient with a history of alcohol use disorder has
developed weakness, fatigue, loss of appetite, weight loss and physical
exam reveals ascites, hepatosplenomegaly, spider nevi, clubbing, and
Dupuytren contracture. His ALT/AST ratio is 2.7 and hemoglobin is 8.8
mg/dL. His MCV is 104 and ultrasonography detects nodularity and
increased echogenicity of the liver. Which of the following would
confirm a diagnosis of the suspected condition in this patient?
A. Scleral icterus
B. Hyperbilirubinemia
C. Biopsy of the liver tissue
pg. 1
,D. Elevated prothrombin time - Correct Answer - C.
A liver biopsy is required to confirm cirrhosis. elevated LFTs, bilirubin
and decreased albumin are indicative of cirrhosis but not confirmatory.
predictors of cirrhosis are ascites, platelet count less than 160,000 mm3,
spider angiomata, and bonacini cirrhosis discriminant score greater than
7.
A 28-year-old primigravida presented to the antenatal clinic for a routine
check-up. She has been exposed to someone with chickenpox but has
not developed any skin lesions. She has no varicella-zoster antibodies.
What would be the best possible treatment for her?
A. Chickenpox vaccine
B. Immunoglobulins
C. Antivirals
D. No medication is required - Correct Answer - B. Immunoglobulins.
An immunocompromised patient, when exposed to someone with
chickenpox, is given immunoglobulins unless he develops the disease. •
An immunocompromised patient, when exposed to someone with
chickenpox, is given antivirals when he develops the disease. • When a
pregnant patient is exposed to someone with chickenpox, and she has
not developed the disease. Her varicella-zoster antibodies are checked. If
she has antibodies, no further treatment is required. • If a pregnant
patient is exposed to someone with chickenpox and she has developed
skin lesions, then antivirals are given.
A 40-year-old female of Japanese descent presents to the clinic wanting
to know if she should be screened for diabetes because her second
cousin was recently diagnosed with diabetes mellitus. The patient's body
mass index (BMI) is 23 kg/m2, her blood pressure is 135/85 mmHg, her
triglycerides level is 200 mg/dL, and her high-density lipoprotein (HDL)
pg. 2
,level is 40 mg/dL. Which of the following warrants screening for
diabetes mellitus according to the American Diabetes Association
Standards of Care published in January 2020?
A. BMI of 23 kg/m2
B. HDL level of 40 mg/dL
C. Triglycerides of 200 mg/dL
D. Blood pressure of 135/85 mmHg - Correct Answer - A.
Screening for diabetes should be done on any adult of a high-risk ethnic
population (e.g., African American, Latino Americans, Native
Americans, Asian Americans, or Pacific Islanders) if they are overweight
or obese which includes a BMI greater than or equal to 25 kg/m2 in the
general population or greater than or equal to 23 kg/m2 in Asian
Americans. Any adult that is overweight or obese per BMI with and
HDL less than 35 mg/dL should be tested for diabetes, even if they are
asymptomatic. Screening for diabetes should be done on overweight or
obese adults under 45 if they are on therapy for hypertension or if their
blood pressure is 140/99 mmHg. Any adult over the age of 45 years
should be tested for diabetes. Screening for diabetes should be done if an
adult is overweight or obese, and if their triglycerides are above 250
mg/dL.
An 18-year-old male college student is brought to the emergency
department with fever, headache, and confusion. He lives in a dormitory
at a boarding school. He has no significant past medical history. His vital
signs reveal temperature 39 C, blood pressure 105/77 mmHg, respiratory
rate 22/min, and pulse 98/min. Physical examination shows mild neck
stiffness, photophobia, and petechiae on his shins bilaterally. A vaccine
with which of the following properties is most likely to have prevented
this patient's disease?
A. Live attenuated antigen
B. Conjugated capsular polysaccharide (CPS)
pg. 3
, C. Activated antigen
D. Antibiotic-enhanced - Correct Answer - B.
The conjugation of a bacterial CPS to a protein induces stronger
antibody responses. The use of this vaccine has eliminated all Hib
disease, providing strong evidence that the conjugate vaccine is highly
effective.
A 2-month-old child is being seen for a check-up. If pneumococcal
conjugate vaccine (PCV13) is started today, the routine schedule for
PCV13 would be a dose today and then doses at:
A. 3 months, 4 months, and 6 months of age
B. 4 months, 6 months, and 12 through 15 months of age
C. 6 months, 12 months, and 18 months of age
D. 9 months and 12 through 15 months of age - Correct Answer - B.
The CDC recommends PCV13 for all infants as a series of 4 doses.
Doses are given at 2, 4, 6, and 12 to 15 months of age.
Which type of pneumococcal vaccine is indicated for a 19-year-old
woman with HIV infection who has never received pneumococcal
vaccine?
A. PCV13
B. PPSV23
C. Both PCV13 and PPSV23
D. Neither vaccine is recommended - Correct Answer - C.
A 19-year-old with HIV should receive both PCV13 and PPSV23.
Administer 1 dose of PCV13 first, then 2 doses of PPSV23. Give the
first dose of PPSV23 at least 8 weeks after PCV13. Give the 2nd dose of
PPSV23 at least 5 years after the 1st.
pg. 4
