WGU D027
What organ does cystic fibrosis affect? - answers-Affects the pancreas causing
secretions into the lungs
What is Klinefelter syndrome? - answers-An extra X chromosome for males so example
XXY causing female-like qualities
What is Turner Syndrome? - answers-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? - answers-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? - answers-
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. (Tomax Afin - reduces risk and
recurrence risk) - answers-Glucocorticoids
What is the normal ejection fraction? - answers-55-60%. Less than 50% is BAD
Is an ejection fraction of 50% reduced or preserved? - answers-Preserved
What are symptoms of left sided heart failure? - answers-Think PULMONARY. JVD,
FVO, rails, S3 murmurs. Number one cause of right sided heart failure!
What are symptoms of right sided heart failure? - answers-Think peripheral vascular.
Lower extremity edema, abdominal distension
What is the gold standard lab test for heart failure? - answers-BNP. Heart failure is a
result greater than 100
What heart disease is worse with exertion? - answers-ischemic heart disease because
the demand requirements are higher
.
What should you assess before giving Digoxin? - answers-Apical pulse
, How should Warfarin be started? - answers-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 - answers-Emphysema
What causes excess mucus production and smooth muscle hypertrophy? - answers-
Bronchitis
What is a chronic inflammatory obstruction of bronchi? - answers-Asthma, Triggers
cause mucus to clog bronchial tubes.
What causes an overbite and buffalo hump? - answers-Endocrine disorder called
acromegaly (overproduction of growth hormone)
What causes Addison's disease? - answers-Decreased glucocorticoid (due to
autoimmune destruction of adrenal cortex)
What causes Cushing's syndrome? - answers-excess cortisol
What causes Grave's disease? - answers-overproduction of thyroid hormone.
Hyperthyroidism.
When should you instruct the patient to take their FIRST dose of antihypertensive? -
answers-At night to avoid orthostatic hypotension. Educate slow position changes and
lay down if needed.
What are side effects of ACE inhibitors? - answers-dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to patients with Asthma? -
answers-Nonselective beta blocker (-lol) because both beta-2 receptors are affected
What is the first choice of calcium channel blocker? - answers-Verapamil
What side effect should you watch for in a patient taking a statin drug? - answers-
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? -
answers-Thiazide diuretics
What type of drug is spironolactone? - answers-potassium sparing diuretic
Which type of insulin is the most painful during injection? - answers-Lantus (long-acting)
Why test glycosylated hemoglobin (HgbA1c)? - answers-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? - answers-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.
What lab test would we recommend for thyroid? - answers-Thyroid peroxidase
antibodies (TPO)
symptoms of hypothyroidism - answers-Bradycardia; cold intolerance; lethargy; memory
loss; dry skin; brittle dry hair; decreased appetite; weight gain; constipation; increased
serum lipids; decreased libido; erectile dysfunction
What if a newborn has hypothyroidism? - answers-Requires replacement within a few
days and last for 3 years to prevent mental development changes and dwarfism.
What organ does cystic fibrosis affect? - answers-Affects the pancreas causing
secretions into the lungs
What is Klinefelter syndrome? - answers-An extra X chromosome for males so example
XXY causing female-like qualities
What is Turner Syndrome? - answers-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? - answers-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? - answers-
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. (Tomax Afin - reduces risk and
recurrence risk) - answers-Glucocorticoids
What is the normal ejection fraction? - answers-55-60%. Less than 50% is BAD
Is an ejection fraction of 50% reduced or preserved? - answers-Preserved
What are symptoms of left sided heart failure? - answers-Think PULMONARY. JVD,
FVO, rails, S3 murmurs. Number one cause of right sided heart failure!
What are symptoms of right sided heart failure? - answers-Think peripheral vascular.
Lower extremity edema, abdominal distension
What is the gold standard lab test for heart failure? - answers-BNP. Heart failure is a
result greater than 100
What heart disease is worse with exertion? - answers-ischemic heart disease because
the demand requirements are higher
.
What should you assess before giving Digoxin? - answers-Apical pulse
, How should Warfarin be started? - answers-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 - answers-Emphysema
What causes excess mucus production and smooth muscle hypertrophy? - answers-
Bronchitis
What is a chronic inflammatory obstruction of bronchi? - answers-Asthma, Triggers
cause mucus to clog bronchial tubes.
What causes an overbite and buffalo hump? - answers-Endocrine disorder called
acromegaly (overproduction of growth hormone)
What causes Addison's disease? - answers-Decreased glucocorticoid (due to
autoimmune destruction of adrenal cortex)
What causes Cushing's syndrome? - answers-excess cortisol
What causes Grave's disease? - answers-overproduction of thyroid hormone.
Hyperthyroidism.
When should you instruct the patient to take their FIRST dose of antihypertensive? -
answers-At night to avoid orthostatic hypotension. Educate slow position changes and
lay down if needed.
What are side effects of ACE inhibitors? - answers-dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to patients with Asthma? -
answers-Nonselective beta blocker (-lol) because both beta-2 receptors are affected
What is the first choice of calcium channel blocker? - answers-Verapamil
What side effect should you watch for in a patient taking a statin drug? - answers-
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? -
answers-Thiazide diuretics
What type of drug is spironolactone? - answers-potassium sparing diuretic
Which type of insulin is the most painful during injection? - answers-Lantus (long-acting)
Why test glycosylated hemoglobin (HgbA1c)? - answers-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? - answers-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.
What lab test would we recommend for thyroid? - answers-Thyroid peroxidase
antibodies (TPO)
symptoms of hypothyroidism - answers-Bradycardia; cold intolerance; lethargy; memory
loss; dry skin; brittle dry hair; decreased appetite; weight gain; constipation; increased
serum lipids; decreased libido; erectile dysfunction
What if a newborn has hypothyroidism? - answers-Requires replacement within a few
days and last for 3 years to prevent mental development changes and dwarfism.
