WGU D027 PATHOPHARMACOLOGY QUESTIONS
WITH VERIFIED ANSWERS
Celiac disease gold standard - Answers - Endoscopy with small intestine biopsy
advanced metastatic non-small-cell lung cancer genetic mutation - Answers - EGFR
mutation
20-year-old male 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. Which condition? - Answers - Becker muscular dystrophy
Which statement should the provider give the patient regarding the pathophysiology of
SLE and its relation to thrombocytopenia? - Answers - SLE disrupts immune
homeostasis and promotes development of self-reactive antibodies.
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? - Answers -
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? - Answers - 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? - Answers - Acute myocardial infarction
A two-year-old child presents with a clear runny nose and cough which has lasted 3
days. The child's mother reports the cough sounds like a barking noise. The child is
sleeping in the mother's arms and appears to have stridor. The child's mother also
reports an axillary temperature of 101°F last night. Which management technique is
appropriate for this child's symptoms? - Answers - Oral steroids and breathing
treatments
ED with blurred vision, fatigue, SOB, disoriented. Labs= glucose >400, sodium 150,
potassium 7, serum bicarbonate 12, creatinine 3. Which condition is this patient
suffering from? - Answers - Diabetic ketoacidosis
, A 45-year-old female fears that she is having a stroke and takes herself to an
emergency room. After several diagnostic and laboratory tests, the patient is diagnosed
with Cushing disease. Which lab abnormality would be present in this patient? -
Answers - Increased cortisol
16yo coughing and wheezing, worse with exercise - Answers - Asthma
Pt with memory loss, incontinence, hallucinations; sleepiness and impaired judgement.
What labs should be ordered? - Answers - Complete blood count, complete metabolic
profile, and urinalysis
An 18-year-old male is involved in a motorcycle crash while not wearing a helmet. He is
brought into an emergency room and is immediately taken for a CT scan. The provider
tells the patient's parents he has bleeding between the dura mater and the skull. What is
this patient's condition called? - Answers - Epidural hematoma
40yo abdominal pain and diarrhea- colonoscopy shows skip lesions - Answers - Crohn's
disease
15yo pain in scrotum, increasing since morning and nausea. What test should be
ordered? - Answers - Ultrasound
A 45-year-old male is being seen in the clinic for a yearly check-up and lab work. His
history includes hypertension and hyperlipidemia for which he currently takes Norvasc 5
mg daily and Lipitor 20 mg nightly. Patient has a family history of diabetes,
hypertension, heart disease, and hyperlipidemia. After obtaining lab work, the provider
notices the patient's hgbA1c is elevated at 7.5. The patient is already on a DASH diet
and watching the amount of sweets and carbohydrates he eats daily. The patient is not
overweight and participates in moderate physical activity at least 4-5 days a week. He
was started on Metformin three months ago, and his hemoglobin A1c is now 6.9. The
nurse expects to see a class of medication prescribed which is proven to reduce the risk
of cardiovascular events.Considering the treatment guidelines from the American
College of Cardiology, which medication should be recommended for this patient -
Answers - Invokana 100 mg daily
A 78-year-old female presents to the clinic for a checkup and refills on her medications.
She is currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine
(Synthroid). The patient has a history of hypertension, type 2 diabetes, hypothyroidism,
GERD, and gastric ulcers. The patient is concerned about heart disease and wants to
start taking a low-dose aspirin. Which aspirin regimen recommendation should the
advanced professional nurse (APN) give to the patient? - Answers - Low-dose enteric
coated aspirin 81 mg daily
In reviewing the patient's thyroid-stimulating hormone (TSH) level, which result
correlates with her hypothyroid symptoms? - Answers - 5.31 mIU/L
WITH VERIFIED ANSWERS
Celiac disease gold standard - Answers - Endoscopy with small intestine biopsy
advanced metastatic non-small-cell lung cancer genetic mutation - Answers - EGFR
mutation
20-year-old male 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. Which condition? - Answers - Becker muscular dystrophy
Which statement should the provider give the patient regarding the pathophysiology of
SLE and its relation to thrombocytopenia? - Answers - SLE disrupts immune
homeostasis and promotes development of self-reactive antibodies.
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? - Answers -
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? - Answers - 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? - Answers - Acute myocardial infarction
A two-year-old child presents with a clear runny nose and cough which has lasted 3
days. The child's mother reports the cough sounds like a barking noise. The child is
sleeping in the mother's arms and appears to have stridor. The child's mother also
reports an axillary temperature of 101°F last night. Which management technique is
appropriate for this child's symptoms? - Answers - Oral steroids and breathing
treatments
ED with blurred vision, fatigue, SOB, disoriented. Labs= glucose >400, sodium 150,
potassium 7, serum bicarbonate 12, creatinine 3. Which condition is this patient
suffering from? - Answers - Diabetic ketoacidosis
, A 45-year-old female fears that she is having a stroke and takes herself to an
emergency room. After several diagnostic and laboratory tests, the patient is diagnosed
with Cushing disease. Which lab abnormality would be present in this patient? -
Answers - Increased cortisol
16yo coughing and wheezing, worse with exercise - Answers - Asthma
Pt with memory loss, incontinence, hallucinations; sleepiness and impaired judgement.
What labs should be ordered? - Answers - Complete blood count, complete metabolic
profile, and urinalysis
An 18-year-old male is involved in a motorcycle crash while not wearing a helmet. He is
brought into an emergency room and is immediately taken for a CT scan. The provider
tells the patient's parents he has bleeding between the dura mater and the skull. What is
this patient's condition called? - Answers - Epidural hematoma
40yo abdominal pain and diarrhea- colonoscopy shows skip lesions - Answers - Crohn's
disease
15yo pain in scrotum, increasing since morning and nausea. What test should be
ordered? - Answers - Ultrasound
A 45-year-old male is being seen in the clinic for a yearly check-up and lab work. His
history includes hypertension and hyperlipidemia for which he currently takes Norvasc 5
mg daily and Lipitor 20 mg nightly. Patient has a family history of diabetes,
hypertension, heart disease, and hyperlipidemia. After obtaining lab work, the provider
notices the patient's hgbA1c is elevated at 7.5. The patient is already on a DASH diet
and watching the amount of sweets and carbohydrates he eats daily. The patient is not
overweight and participates in moderate physical activity at least 4-5 days a week. He
was started on Metformin three months ago, and his hemoglobin A1c is now 6.9. The
nurse expects to see a class of medication prescribed which is proven to reduce the risk
of cardiovascular events.Considering the treatment guidelines from the American
College of Cardiology, which medication should be recommended for this patient -
Answers - Invokana 100 mg daily
A 78-year-old female presents to the clinic for a checkup and refills on her medications.
She is currently taking lisinopril (Zestril), metformin (Glucophage), and levothyroxine
(Synthroid). The patient has a history of hypertension, type 2 diabetes, hypothyroidism,
GERD, and gastric ulcers. The patient is concerned about heart disease and wants to
start taking a low-dose aspirin. Which aspirin regimen recommendation should the
advanced professional nurse (APN) give to the patient? - Answers - Low-dose enteric
coated aspirin 81 mg daily
In reviewing the patient's thyroid-stimulating hormone (TSH) level, which result
correlates with her hypothyroid symptoms? - Answers - 5.31 mIU/L
