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WGU D027 OBJECTIVE ASSESSMENT FINAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS

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WGU D027 OBJECTIVE ASSESSMENT FINAL EXAM QUESTIONS AND CORRECT DETAILED 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 beta-globin 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.

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WGU D027 OBJECTIVE ASSESSMENT
FINAL EXAM QUESTIONS AND
CORRECT DETAILED 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 beta-
globin 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.

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