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WGU D236 Objective Assessment Pathophysiology Exam (Updated for 2024/2025) – Verified Questions and Answers for an A Grade

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WGU D236 Objective Assessment Pathophysiology Exam (Updated for 2024/2025) – Verified Questions and Answers for an A Grade

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HESI RN PHARMACOLOGY
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Written for

Institution
HESI RN PHARMACOLOGY
Course
HESI RN PHARMACOLOGY

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Uploaded on
June 2, 2024
File latest updated on
August 29, 2025
Number of pages
29
Written in
2023/2024
Type
Exam (elaborations)
Contains
Questions & answers

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1. In chronic obstructive pulmonary disease (COPD),
which of the following is most accurate?

A. It is reversible

B. It only involves the alveoli

C. It includes chronic bronchitis and emphysema

D. It causes reduced lung compliance

Answer: C

Rationale: COPD is a combination of chronic
bronchitis and emphysema and is largely
irreversible.



2. Which of the following best describes the
pathophysiology of gout?

A. Increased calcium deposition in joints

B. Autoimmune destruction of synovial membrane

C. Accumulation of monosodium urate crystals in
joints

D. Bacterial infection of the joint capsule

Answer: C

,Rationale: Gout is caused by uric acid crystal
deposition in joints due to hyperuricemia.



3. What is the primary electrolyte imbalance in tumor
lysis syndrome?

A. Hypokalemia

B. Hypercalcemia

C. Hyperuricemia and hyperkalemia

D. Hyponatremia

Answer: C

Rationale: Tumor lysis syndrome involves release of
intracellular ions, causing hyperkalemia,
hyperuricemia, and hyperphosphatemia.



4. What type of hypersensitivity reaction is involved
in anaphylaxis?

A. Type I

B. Type II

C. Type III

D. Type IV

Answer: A

,Rationale: Type I hypersensitivity involves IgE-
mediated release of histamine and other mediators,
leading to anaphylaxis.



5. Hyperparathyroidism causes which of the
following lab abnormalities?

A. Low calcium

B. High phosphate

C. Low PTH

D. Hypercalcemia

Answer: D

Rationale: PTH increases calcium levels by
stimulating bone resorption and kidney reabsorption.



6. Which of the following conditions results from a
mutation in the dystrophin gene?

A. Multiple sclerosis

B. Duchenne muscular dystrophy

C. Myasthenia gravis

D. Guillain-Barré syndrome

Answer: B

, Rationale: Duchenne muscular dystrophy is caused
by a mutation in the dystrophin gene, leading to
progressive muscle weakness.



7. Which of the following best describes the
pathophysiology of Alzheimer’s disease?

A. Dopamine deficiency

B. Amyloid plaque accumulation and neurofibrillary
tangles

C. Increased GABA activity

D. Reduced serotonin levels

Answer: B

Rationale: Alzheimer’s disease is characterized by
abnormal protein aggregates and neuron loss in the
brain.



8. What is the hallmark of Hodgkin lymphoma?

A. Bence Jones proteins

B. Philadelphia chromosome

C. Reed-Sternberg cells

D. Myeloblast proliferation

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