WGU D118 COMPREHENSIVE QUESTIONS
AND SOLUTIONS UPDATED STUDY
RESOURCE
◉ Which finding indicates target organ damage from uncontrolled
hypertension?
Answer: Left ventricular hypertrophy — LVH reflects chronic
pressure overload and end-organ damage.
◉ Exertional chest pain relieved by rest suggests what diagnosis?
Answer: Stable angina — Predictable ischemic pain relieved by
rest or nitroglycerin.
◉ First-line treatment for stable angina?
Answer: Nitroglycerin — Rapid coronary vasodilation relieves
ischemic pain.
◉ Which lipid abnormality most increases ASCVD risk?
Answer: Elevated LDL — LDL directly contributes to
atherosclerosis.
◉ Chronic cough, weight loss, and night sweats are most
concerning for what diagnosis?
, Answer: Tuberculosis — Classic constitutional symptoms raise
concern for TB.
◉ GOLD criteria classify which disease?
Answer: COPD — GOLD staging is used to assess severity and
management.
◉ Best initial test for suspected pulmonary embolism in a low-
risk patient?
Answer: D-dimer — Used to rule out PE in low-risk patients.
◉ Which inhaler is a rescue medication?
Answer: Albuterol — Short-acting beta agonist provides rapid
bronchodilation.
◉ When are antibiotics indicated for acute bronchitis?
Answer: Never routinely — Acute bronchitis is usually viral.
◉ What lab value confirms diabetes mellitus?
Answer: A1C ≥ 6.5% — Diagnostic threshold per ADA guidelines.
◉ First-line medication for type 2 diabetes?
Answer: Metformin — Improves insulin sensitivity and reduces
hepatic glucose output.
AND SOLUTIONS UPDATED STUDY
RESOURCE
◉ Which finding indicates target organ damage from uncontrolled
hypertension?
Answer: Left ventricular hypertrophy — LVH reflects chronic
pressure overload and end-organ damage.
◉ Exertional chest pain relieved by rest suggests what diagnosis?
Answer: Stable angina — Predictable ischemic pain relieved by
rest or nitroglycerin.
◉ First-line treatment for stable angina?
Answer: Nitroglycerin — Rapid coronary vasodilation relieves
ischemic pain.
◉ Which lipid abnormality most increases ASCVD risk?
Answer: Elevated LDL — LDL directly contributes to
atherosclerosis.
◉ Chronic cough, weight loss, and night sweats are most
concerning for what diagnosis?
, Answer: Tuberculosis — Classic constitutional symptoms raise
concern for TB.
◉ GOLD criteria classify which disease?
Answer: COPD — GOLD staging is used to assess severity and
management.
◉ Best initial test for suspected pulmonary embolism in a low-
risk patient?
Answer: D-dimer — Used to rule out PE in low-risk patients.
◉ Which inhaler is a rescue medication?
Answer: Albuterol — Short-acting beta agonist provides rapid
bronchodilation.
◉ When are antibiotics indicated for acute bronchitis?
Answer: Never routinely — Acute bronchitis is usually viral.
◉ What lab value confirms diabetes mellitus?
Answer: A1C ≥ 6.5% — Diagnostic threshold per ADA guidelines.
◉ First-line medication for type 2 diabetes?
Answer: Metformin — Improves insulin sensitivity and reduces
hepatic glucose output.
