Page 1 of 463
WGU D115 ADVANCED PATHOPHYSIOLOGY OA EXAM
QUESTION BANK ALL 800 QUESTIONS AND CORRECT
DETAILED SOLUTIONS JUST RELEASED THIS YEAR
WGU D115 ADVANCED PATHOPHYSIOLOGY OA
QUESTION: The FNP is assessing a newborn who is demonstrating a high-pitched cry,
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP would suspect which
of the following genetic conditions?
A) Down Syndrome
B) Cri du chat
C) Charge syndrome
D) Duncan disease - ANSWER✔✔B) Cri du chat
The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-like cry, mental
retardation, delayed development, distinctive facial features, small head size (microcephaly),
widely-spaced eyes (hypertelorism), low birth weight and weak muscle tone (hypotonia) in
infancy.
QUESTION: When explaining the types of adaptive immunity, the FNP student is aware that:
A) Adaptive immunity is a cell-mediated immune response which is
B) Adaptive immunity is the level of immunity that all persons are born with.
C) Adaptive immunity occurs when antibodies are passed from the mother to the fetus.
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D) Adaptive immunity occurs through immunization. - ANSWER✔✔A) Adaptive immunity is a
cell-mediated immune response which is carried out by T cells and B cells.
There are two types of adaptive immunity responses: the cell-mediated immune response,
which is carried out by T cells, and the humoral immune response, which is controlled by
activated B cells and antibodies.
QUESTION: A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
A) Coma
B) Persistent vegetative state
C) Minimally conscious
D) Locked-in syndrome - ANSWER✔✔C) Minimally conscious
When responses to the environment are seen, the patient is said to be in a minimally conscious
state
QUESTION: Age and the admission of the Glasgow Coma Scale (GCS) are important diagnostic
factors in TBI. Which GCS score describes a severe TBI?
A) 13-15
B) 12-13
C) 9-12
D) 3-8 - ANSWER✔✔D) 3-8
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The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
QUESTION: Which term describes recurrent, intrusive thoughts or impulses?
A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing
emotions such as anxiety or disgust.
D) Delusions - ANSWER✔✔C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing
emotions such as anxiety or disgust.
What is the most common indication for genetic counseling?
A) maternal age
B) drug exposure during the first trimester?
C) Increased maternal alpha-fetoprotein
D) history of previous still birth - ANSWER✔✔A) maternal age
The largest group of women who benefit from genetic counseling are those over the age of 35
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QUESTION: The FNP schedules a 38-year-old primigravida (first time pregnancy) for an
amniocentesis at 16 weeks gestation. The FNP would explain that the purpose of this procedure
is to:
A) Assess for the possibility of twins
B) Deterime the biliruben level
C) Perform genetic studies
D) Assess L/S ratio - ANSWER✔✔C) Perform genetic studies
This womans age puts her at risk for Down Syndrome
QUESTION: In the most commonly seen form of Turner Syndrome, how is the X chromosome
affected?
A) Each cell has only one X chromosome?
B) Some cells have two X chromsomes, while the other cells have only one.
C) Each cell has two X chromsomes, but part of the chromosome is missing.
D) Each cell has an extra X chromosome - ANSWER✔✔A) Each cell has only one X chromsome
45% of persons with Turner Syndrome have monosomy X meaning there is only one copy of the
X chromosome in each cell.
QUESTION: During an intake interview with a 26-year-old man diagnosed with generalized
anxiety disorder, the FNP might observe what type of behavior?
A) An inflated sense of self
WGU D115 ADVANCED PATHOPHYSIOLOGY OA EXAM
QUESTION BANK ALL 800 QUESTIONS AND CORRECT
DETAILED SOLUTIONS JUST RELEASED THIS YEAR
WGU D115 ADVANCED PATHOPHYSIOLOGY OA
QUESTION: The FNP is assessing a newborn who is demonstrating a high-pitched cry,
microcephaly, hypertelorism, hypotonia, and a low birth weight. The FNP would suspect which
of the following genetic conditions?
A) Down Syndrome
B) Cri du chat
C) Charge syndrome
D) Duncan disease - ANSWER✔✔B) Cri du chat
The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-like cry, mental
retardation, delayed development, distinctive facial features, small head size (microcephaly),
widely-spaced eyes (hypertelorism), low birth weight and weak muscle tone (hypotonia) in
infancy.
QUESTION: When explaining the types of adaptive immunity, the FNP student is aware that:
A) Adaptive immunity is a cell-mediated immune response which is
B) Adaptive immunity is the level of immunity that all persons are born with.
C) Adaptive immunity occurs when antibodies are passed from the mother to the fetus.
, Page 2 of 463
D) Adaptive immunity occurs through immunization. - ANSWER✔✔A) Adaptive immunity is a
cell-mediated immune response which is carried out by T cells and B cells.
There are two types of adaptive immunity responses: the cell-mediated immune response,
which is carried out by T cells, and the humoral immune response, which is controlled by
activated B cells and antibodies.
QUESTION: A woman has sustained a traumatic brain injury. She is able to follow simple
commands and can manipulate objects. Which term describes this state?
A) Coma
B) Persistent vegetative state
C) Minimally conscious
D) Locked-in syndrome - ANSWER✔✔C) Minimally conscious
When responses to the environment are seen, the patient is said to be in a minimally conscious
state
QUESTION: Age and the admission of the Glasgow Coma Scale (GCS) are important diagnostic
factors in TBI. Which GCS score describes a severe TBI?
A) 13-15
B) 12-13
C) 9-12
D) 3-8 - ANSWER✔✔D) 3-8
, Page 3 of 463
The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
QUESTION: Which term describes recurrent, intrusive thoughts or impulses?
A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing
emotions such as anxiety or disgust.
D) Delusions - ANSWER✔✔C) Obsessions
Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing
emotions such as anxiety or disgust.
What is the most common indication for genetic counseling?
A) maternal age
B) drug exposure during the first trimester?
C) Increased maternal alpha-fetoprotein
D) history of previous still birth - ANSWER✔✔A) maternal age
The largest group of women who benefit from genetic counseling are those over the age of 35
, Page 4 of 463
QUESTION: The FNP schedules a 38-year-old primigravida (first time pregnancy) for an
amniocentesis at 16 weeks gestation. The FNP would explain that the purpose of this procedure
is to:
A) Assess for the possibility of twins
B) Deterime the biliruben level
C) Perform genetic studies
D) Assess L/S ratio - ANSWER✔✔C) Perform genetic studies
This womans age puts her at risk for Down Syndrome
QUESTION: In the most commonly seen form of Turner Syndrome, how is the X chromosome
affected?
A) Each cell has only one X chromosome?
B) Some cells have two X chromsomes, while the other cells have only one.
C) Each cell has two X chromsomes, but part of the chromosome is missing.
D) Each cell has an extra X chromosome - ANSWER✔✔A) Each cell has only one X chromsome
45% of persons with Turner Syndrome have monosomy X meaning there is only one copy of the
X chromosome in each cell.
QUESTION: During an intake interview with a 26-year-old man diagnosed with generalized
anxiety disorder, the FNP might observe what type of behavior?
A) An inflated sense of self
