WGU D118 ADULT PRIMARY CARE OA
EXAM STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Evidenced-Based Practice (EBP) - ANSWER A systematic approach to
decision-making in healthcare that integrates the best available research
evidence with clinical expertise and patient values.
2. Translational Research - ANSWER This type of research aims to translate
findings from basic science into practical applications that enhance human
health.
3. Research Designs - ANSWER Key quantitative research designs include
Randomized Controlled Trials (RCTs), Cohort Studies, and Case-Control
Studies.
4. Implementation Science - ANSWER Focuses on methods to promote the
uptake of research findings into routine practice.
5. Lewin's Change Theory - ANSWER This theory outlines three stages of
change: Unfreezing, Changing, and Refreezing.
6. Domains of Wellness - ANSWER These include physical, emotional, social,
spiritual, intellectual, environmental, and occupational wellness.
,7. Primary Prevention - ANSWER Aims to prevent disease before it occurs
(e.g., vaccinations).
8. Secondary Prevention - ANSWER Focuses on early detection and treatment
(e.g., screenings).
9. Tertiary Prevention - ANSWER Involves managing disease post-diagnosis
to prevent complications.
10.Polymyalgia Rheumatica - ANSWER Causes muscle pain and stiffness,
particularly in the shoulders. Treated with corticosteroids.
11.Giant Cell Arteritis - ANSWER Inflammation of blood vessels, often
associated with headaches and vision problems. Requires high-dose
corticosteroids to prevent complications.
12.Raynaud Phenomenon - ANSWER A condition causing reduced blood flow
to extremities, often triggered by cold or stress. Management includes
lifestyle changes and medications to improve blood flow.
13.Systemic Lupus Erythematosus - ANSWER An autoimmune disease
affecting multiple organ systems. Treatment involves immunosuppressants
and corticosteroids.
14.Vasculitis - ANSWER Inflammation of blood vessels, requiring
corticosteroids and immunosuppressive therapy.
,15.Amyotrophic Lateral Sclerosis (ALS) - ANSWER A progressive
neurodegenerative disease affecting motor neurons. Management focuses on
symptom relief and supportive care.
16.Bell's Palsy - ANSWER Sudden weakness in facial muscles. Treatment may
include corticosteroids and physical therapy.
17.Of the following people, who has no significant increased risk for
developing bacterial endocarditis?
A. 43yo woman with a bicuspid aortic valve
B. 55yo man who was diagnosed with a Still's murmur during childhood
C. 45yo woman with a history of IV heroin use
D. 75yo man with dilated cardiomyopathy - ANSWER B. Still's murmur
(also known as vibratory murmur) is a common type of benign or
"innocent" functional heart murmur that is not associated with any
sort of cardiac disorder or any other medical condition.[1] It can occur
at any age although it is most common among children two to seven
years of age and it is rare in adulthood
18.44 y/o man admits to drinking "a few beers now and then" presents for
exam. after obtaining a health hx and performing a PE, you suspect he is a
heavy alcohol user. your next best action is to:
A. Obtain liver enzymes
B. Administer the CAGE questionnaire
C. Confront the pt with your observations
D. Advise him abut the hazards of excessive alcohol use - ANSWER B.
Administer the CAGE questionnaire
, 19.What insulin has a gradual onset of 1-2 hrs, no peak and a duration of 24
hours? Select all that apply:
A. Glargine (lantus)
B. Humulin R
C. Novolin M
D. Humulin N - ANSWER A. Long acting insulin analogs (Insulin
Glargine, Insulin Detemir) which have an onset of insulin effect in 1
1/2-2 hours. The insulin effect plateaus over the next few hours and is
followed by a relatively flat duration of action that lasts 12-24 hours
for insulin detemir and 24 hours for insulin glargine.
20.A 45-year-old man with asthma is evaluated in the office because of malaise,
myalgias, coryza, and a cough. Both influenza A and B are occurring in the
community, and the patient has not been immunized against influenza. He
takes an inhaled bronchodilator and inhaled corticosteroids. The patient has
never traveled outside the United States. On physical examination, he
appears ill. Temperature is 38.3 C (101 F), blood pressure is 130/78 mm Hg,
heart rate is 95/min, and respiration rate is 24/min. Expiratory wheezing is
present. A chest radiograph is normal. Which of the following antiviral
agents is most appropriate for this patient?
A. Oseltamivir
B. Cephalexin
C. acyclovir
D. remdesivir - ANSWER A. Oseltamivir is used in the treatment of the
infection caused by the flu virus (influenza A and influenza B).
Oseltamivir may also be used to prevent and treat swine influenza A.
Oseltamivir may reduce flu symptoms (weakness, headache, fever,
cough, runny or stuffy nose, and sore throat) by 1 day.
EXAM STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Evidenced-Based Practice (EBP) - ANSWER A systematic approach to
decision-making in healthcare that integrates the best available research
evidence with clinical expertise and patient values.
2. Translational Research - ANSWER This type of research aims to translate
findings from basic science into practical applications that enhance human
health.
3. Research Designs - ANSWER Key quantitative research designs include
Randomized Controlled Trials (RCTs), Cohort Studies, and Case-Control
Studies.
4. Implementation Science - ANSWER Focuses on methods to promote the
uptake of research findings into routine practice.
5. Lewin's Change Theory - ANSWER This theory outlines three stages of
change: Unfreezing, Changing, and Refreezing.
6. Domains of Wellness - ANSWER These include physical, emotional, social,
spiritual, intellectual, environmental, and occupational wellness.
,7. Primary Prevention - ANSWER Aims to prevent disease before it occurs
(e.g., vaccinations).
8. Secondary Prevention - ANSWER Focuses on early detection and treatment
(e.g., screenings).
9. Tertiary Prevention - ANSWER Involves managing disease post-diagnosis
to prevent complications.
10.Polymyalgia Rheumatica - ANSWER Causes muscle pain and stiffness,
particularly in the shoulders. Treated with corticosteroids.
11.Giant Cell Arteritis - ANSWER Inflammation of blood vessels, often
associated with headaches and vision problems. Requires high-dose
corticosteroids to prevent complications.
12.Raynaud Phenomenon - ANSWER A condition causing reduced blood flow
to extremities, often triggered by cold or stress. Management includes
lifestyle changes and medications to improve blood flow.
13.Systemic Lupus Erythematosus - ANSWER An autoimmune disease
affecting multiple organ systems. Treatment involves immunosuppressants
and corticosteroids.
14.Vasculitis - ANSWER Inflammation of blood vessels, requiring
corticosteroids and immunosuppressive therapy.
,15.Amyotrophic Lateral Sclerosis (ALS) - ANSWER A progressive
neurodegenerative disease affecting motor neurons. Management focuses on
symptom relief and supportive care.
16.Bell's Palsy - ANSWER Sudden weakness in facial muscles. Treatment may
include corticosteroids and physical therapy.
17.Of the following people, who has no significant increased risk for
developing bacterial endocarditis?
A. 43yo woman with a bicuspid aortic valve
B. 55yo man who was diagnosed with a Still's murmur during childhood
C. 45yo woman with a history of IV heroin use
D. 75yo man with dilated cardiomyopathy - ANSWER B. Still's murmur
(also known as vibratory murmur) is a common type of benign or
"innocent" functional heart murmur that is not associated with any
sort of cardiac disorder or any other medical condition.[1] It can occur
at any age although it is most common among children two to seven
years of age and it is rare in adulthood
18.44 y/o man admits to drinking "a few beers now and then" presents for
exam. after obtaining a health hx and performing a PE, you suspect he is a
heavy alcohol user. your next best action is to:
A. Obtain liver enzymes
B. Administer the CAGE questionnaire
C. Confront the pt with your observations
D. Advise him abut the hazards of excessive alcohol use - ANSWER B.
Administer the CAGE questionnaire
, 19.What insulin has a gradual onset of 1-2 hrs, no peak and a duration of 24
hours? Select all that apply:
A. Glargine (lantus)
B. Humulin R
C. Novolin M
D. Humulin N - ANSWER A. Long acting insulin analogs (Insulin
Glargine, Insulin Detemir) which have an onset of insulin effect in 1
1/2-2 hours. The insulin effect plateaus over the next few hours and is
followed by a relatively flat duration of action that lasts 12-24 hours
for insulin detemir and 24 hours for insulin glargine.
20.A 45-year-old man with asthma is evaluated in the office because of malaise,
myalgias, coryza, and a cough. Both influenza A and B are occurring in the
community, and the patient has not been immunized against influenza. He
takes an inhaled bronchodilator and inhaled corticosteroids. The patient has
never traveled outside the United States. On physical examination, he
appears ill. Temperature is 38.3 C (101 F), blood pressure is 130/78 mm Hg,
heart rate is 95/min, and respiration rate is 24/min. Expiratory wheezing is
present. A chest radiograph is normal. Which of the following antiviral
agents is most appropriate for this patient?
A. Oseltamivir
B. Cephalexin
C. acyclovir
D. remdesivir - ANSWER A. Oseltamivir is used in the treatment of the
infection caused by the flu virus (influenza A and influenza B).
Oseltamivir may also be used to prevent and treat swine influenza A.
Oseltamivir may reduce flu symptoms (weakness, headache, fever,
cough, runny or stuffy nose, and sore throat) by 1 day.
