WGU D027 Study Guide

WGU D027 Study Guide Questions With Correct Answers Latest 2023 Rated A+ WGU D027 Study guide Questions With Correct Answers!! What organ does cystic fibrosis affect? - Answer Affects the pancreas causing secretions into the lungs What is Klinefelter syndrome? - Answer An extra X chromosome for males so example XXY causing female-like qualities What is Turner Syndrome? - Answer females. missing or deformed x chromosome. right hemisphere dysfunction, hearing loss, ear infection, language and articulation disorders, visual spatial and attentional problems What is beta thalassemia? - Answer a condition in which the synthesis of the betaglobin chains is decreased or absent. Causes low hemoglobin. Which medication is contraindicated in a patient with Beta Thalassemia? - Answer Ferrous Sulfate What drug is used in combination with other agent to treat lymphoid tissue (leukemia). Directly toxic to lymphoid tissues Selective estrogen receptor modulators (SERM) - for hormone receptor positive and advanced breast cancer. (Tomaxafin - reduces risk and recurrence risk) - Answer Glucocorticoids What is the normal ejection fraction? - Answer 55-60%. Less than 50% is BAD Is an ejection fraction of 50% reduced or preserved? - Answer Preserved What are symptoms of left sided heart failure? - Answer Think PULMONARY. JVD, FVO, rails, S3 murmurs. Number one cause of right sided heart failure! What are symptoms of right sided heart failure? - Answer Think peripheral vascular. Lower extremity edema, abdominal distension. What is the gold standard lab test for heart failure? - Answer BNP. Heart failure is a result greater than 100 What heart disease is worse with exertion? - Answer Ischemic heart disease because the demand requirements are higher. What should you assess before giving Digoxin? - Answer Apical pulse How should Warfarin be started? - Answer Start initial dose at half to monitor the effects What causes the destruction of alveolar walls? Air goes in but can't get out which leads to hyperinflation - Answer Emphysema What causes excess mucus production and smooth muscle hypertrophy? - Answer Bronchitis What is a chronic inflammatory obstruction of bronchi? - Answer Asthma, Triggers cause mucus to clog bronchial tubes. What causes an overbite and buffalo hump? - Answer Endocrine disorder called acromegaly (overproduction of growth hormone) What causes Addison's disease? - Answer Decreased glucocorticoid (due to autoimmune destruction of adrenal cortex) What causes Cushing's syndrome? - Answer excess cortisol What causes Grave's disease? - Answer overproduction of thyroid hormone. HYPERthyroidism. When should you instruct the patient to take their FIRST dose of antihypertensive? - Answer At night to avoid orthostatic hypotension. Educate slow position changes and lay down if needed. What are side effects of ACE inhibitors? - Answer dry cough angioedema hyperkalemia *Contraindicated in pregnancy Which type of antihypertensive should NOT be given to patients with Asthma? - Answer Nonselective beta blocker (-lol) because both beta-2 receptors are effected What is the first choice of calcium channel blocker? - Answer Verapamil What side effect should you watch for in a patient taking a statin drug? - Answer Muscle pain which can lead to rhabdomyolysis, kidney failure, and death. Which diuretic is NOT used in patients with kidney failure and sickle cell disease? - Answer Thiazide diuretics What type of drug is spironolactone? - Answer potassium sparing diuretic Which type of insulin is the most painful during injection? - Answer Lantus (longacting) Why test glycosylated hemoglobin (HgbA1c)? - Answer Most reliable assessment of blood sugar over the past 3 months. The goal is 6.5%. A poor result is 9% What is the normal range for TSH level? - Answer The normal range of TSH levels is 0.4 to 4.0 milli-international units per liter. If you're already being treated for a thyroid disorder, the normal range is 0.5 to 3.0 milli-international units per liter. A value ABOVE the normal range usually indicates hypothyroidism