WGU D118 Practice OA
Exam | Practice
Questions, Study Guide &
Exam Review
|Guaranteed success|
,A 54-year-old woman with fatigue B. Iron deficiency anemia — microcytic anemia with
has the following labs: Hgb 9.8 g/dL, low ferritin and high TIBC is classic.
MCV 69, ferritin low, TIBC high. What
is the most likely diagnosis? A.
Anemia of chronic disease B. Iron
deficiency anemia C. Thalassemia D.
Vitamin B12 deficiency
A 28-year-old woman presents with A. Nitrofurantoin — first-line for uncomplicated
dysuria, urinary frequency, and cystitis.
urgency for 2 days. No fever, flank
pain, vaginal discharge, or pregnancy.
UA is positive for nitrites and
leukocyte esterase. Best first-line
treatment? A. Nitrofurantoin B.
Ciprofloxacin C. Amoxicillin-
clavulanate D. Metronidazole
A 72-year-old smoker presents with C. CT urogram and urology referral — painless
painless gross hematuria. No dysuria hematuria in a smoker is urinary tract malignancy
or fever. What is the next best step? until proven otherwise.
A. Treat empirically for UTI B. Repeat
urinalysis in 1 month C. CT urogram
and urology referral D. PSA level
, A 37-year-old woman presents with B. Primary adrenal insufficiency — classic Addison
fatigue, salt craving, weight loss, disease presentation.
hyperpigmentation, hypotension,
hyponatremia, and hyperkalemia.
Which diagnosis is most likely? A.
Cushing syndrome B. Primary adrenal
insufficiency C. Hyperthyroidism D.
SIADH
A patient with suspected primary B. ACTH stimulation test — confirms adrenal
adrenal insufficiency needs insufficiency.
confirmatory testing. Which test is
most appropriate? A. TSH and free T4
B. ACTH stimulation test C. Overnight
dexamethasone suppression test D.
Plasma renin alone
A 67-year-old patient has chronic B. High-resolution CT chest — best next test for
cough, exertional dyspnea, fatigue, suspected interstitial lung disease.
bibasilar crackles, and chest X-ray
showing bilateral interstitial markings
without focal infiltrate. What is the
next best diagnostic test? A. Repeat
chest X-ray in 4 weeks B. High-
resolution CT chest C. Sputum culture
D. Bronchodilator challenge first
A patient presents with fever, B. Focal crackles with fever — more consistent with
productive cough, pleuritic chest pneumonia.
pain, and focal crackles. Which
finding most strongly supports
community-acquired pneumonia over
acute bronchitis? A. Rhinorrhea B.
Focal crackles with fever C. Cough
lasting 5 days D. Mild wheeze alone
Exam | Practice
Questions, Study Guide &
Exam Review
|Guaranteed success|
,A 54-year-old woman with fatigue B. Iron deficiency anemia — microcytic anemia with
has the following labs: Hgb 9.8 g/dL, low ferritin and high TIBC is classic.
MCV 69, ferritin low, TIBC high. What
is the most likely diagnosis? A.
Anemia of chronic disease B. Iron
deficiency anemia C. Thalassemia D.
Vitamin B12 deficiency
A 28-year-old woman presents with A. Nitrofurantoin — first-line for uncomplicated
dysuria, urinary frequency, and cystitis.
urgency for 2 days. No fever, flank
pain, vaginal discharge, or pregnancy.
UA is positive for nitrites and
leukocyte esterase. Best first-line
treatment? A. Nitrofurantoin B.
Ciprofloxacin C. Amoxicillin-
clavulanate D. Metronidazole
A 72-year-old smoker presents with C. CT urogram and urology referral — painless
painless gross hematuria. No dysuria hematuria in a smoker is urinary tract malignancy
or fever. What is the next best step? until proven otherwise.
A. Treat empirically for UTI B. Repeat
urinalysis in 1 month C. CT urogram
and urology referral D. PSA level
, A 37-year-old woman presents with B. Primary adrenal insufficiency — classic Addison
fatigue, salt craving, weight loss, disease presentation.
hyperpigmentation, hypotension,
hyponatremia, and hyperkalemia.
Which diagnosis is most likely? A.
Cushing syndrome B. Primary adrenal
insufficiency C. Hyperthyroidism D.
SIADH
A patient with suspected primary B. ACTH stimulation test — confirms adrenal
adrenal insufficiency needs insufficiency.
confirmatory testing. Which test is
most appropriate? A. TSH and free T4
B. ACTH stimulation test C. Overnight
dexamethasone suppression test D.
Plasma renin alone
A 67-year-old patient has chronic B. High-resolution CT chest — best next test for
cough, exertional dyspnea, fatigue, suspected interstitial lung disease.
bibasilar crackles, and chest X-ray
showing bilateral interstitial markings
without focal infiltrate. What is the
next best diagnostic test? A. Repeat
chest X-ray in 4 weeks B. High-
resolution CT chest C. Sputum culture
D. Bronchodilator challenge first
A patient presents with fever, B. Focal crackles with fever — more consistent with
productive cough, pleuritic chest pneumonia.
pain, and focal crackles. Which
finding most strongly supports
community-acquired pneumonia over
acute bronchitis? A. Rhinorrhea B.
Focal crackles with fever C. Cough
lasting 5 days D. Mild wheeze alone
