WGU D118 Chat GPT High Yield EXAM PRACTICE 2 QUESTIONS WITH
WELL VERIFIED ANSWERS
First-line medication for uncomplicated hypertension - answer☑️✔️..Thiazide diuretic or ACE
inhibitor - Thiazides and ACE-Is are first-line; ACE-I preferred in diabetes for renal protection
Next step for ACE inhibitor-induced angioedema - answer☑️✔️..Discontinue ACE inhibitor
immediately - Angioedema is life-threatening and ACE-Is are permanently contraindicated
Labs to check before starting an ACE inhibitor - answer☑️✔️..Serum creatinine and potassium
- Risk of renal dysfunction and hyperkalemia
Low back pain red flag requiring imaging - answer☑️✔️..New urinary retention - Suggests
cauda equina syndrome
Next step for acute monoarticular arthritis with fever - answer☑️✔️..Joint aspiration - Must
rule out septic arthritis before treating gout
First-line treatment for acute gout flare - answer☑️✔️..NSAIDs - First-line unless
contraindicated
Diagnostic confirmation of gout - answer☑️✔️..Monosodium urate crystals on synovial fluid -
Serum uric acid is not diagnostic
Initial test for suspected PE in low-risk patient - answer☑️✔️..D-dimer - Negative result rules
out PE
Next step after positive D-dimer - answer☑️✔️..CT pulmonary angiography - Required to
confirm PE
, First-line treatment for mild persistent asthma - answer☑️✔️..Low-dose inhaled corticosteroid
- Cornerstone therapy
Asthma hospitalization red flag - answer☑️✔️..Peak flow <50% predicted - Indicates severe
exacerbation
Preferred colon cancer screening at age 45 - answer☑️✔️..Colonoscopy - Gold standard and
diagnostic
COPD patient with frequent exacerbations next step - answer☑️✔️..Add inhaled corticosteroid
- Reduces exacerbation frequency
Diagnostic test confirming COPD - answer☑️✔️..Spirometry showing FEV1/FVC <0.70 -
Confirms airflow obstruction
First-line medication for type 2 diabetes - answer☑️✔️..Metformin - Improves insulin
sensitivity with CV benefit
Metformin contraindication - answer☑️✔️..eGFR <30 - Risk of lactic acidosis
Lab monitoring long-term glucose control - answer☑️✔️..Hemoglobin A1c - Reflects 3-month
average
First-line hypothyroidism treatment - answer☑️✔️..Levothyroxine - Synthetic T4 replacement
Labs confirming primary hypothyroidism - answer☑️✔️..Elevated TSH and low free T4 -
Pituitary compensation
WELL VERIFIED ANSWERS
First-line medication for uncomplicated hypertension - answer☑️✔️..Thiazide diuretic or ACE
inhibitor - Thiazides and ACE-Is are first-line; ACE-I preferred in diabetes for renal protection
Next step for ACE inhibitor-induced angioedema - answer☑️✔️..Discontinue ACE inhibitor
immediately - Angioedema is life-threatening and ACE-Is are permanently contraindicated
Labs to check before starting an ACE inhibitor - answer☑️✔️..Serum creatinine and potassium
- Risk of renal dysfunction and hyperkalemia
Low back pain red flag requiring imaging - answer☑️✔️..New urinary retention - Suggests
cauda equina syndrome
Next step for acute monoarticular arthritis with fever - answer☑️✔️..Joint aspiration - Must
rule out septic arthritis before treating gout
First-line treatment for acute gout flare - answer☑️✔️..NSAIDs - First-line unless
contraindicated
Diagnostic confirmation of gout - answer☑️✔️..Monosodium urate crystals on synovial fluid -
Serum uric acid is not diagnostic
Initial test for suspected PE in low-risk patient - answer☑️✔️..D-dimer - Negative result rules
out PE
Next step after positive D-dimer - answer☑️✔️..CT pulmonary angiography - Required to
confirm PE
, First-line treatment for mild persistent asthma - answer☑️✔️..Low-dose inhaled corticosteroid
- Cornerstone therapy
Asthma hospitalization red flag - answer☑️✔️..Peak flow <50% predicted - Indicates severe
exacerbation
Preferred colon cancer screening at age 45 - answer☑️✔️..Colonoscopy - Gold standard and
diagnostic
COPD patient with frequent exacerbations next step - answer☑️✔️..Add inhaled corticosteroid
- Reduces exacerbation frequency
Diagnostic test confirming COPD - answer☑️✔️..Spirometry showing FEV1/FVC <0.70 -
Confirms airflow obstruction
First-line medication for type 2 diabetes - answer☑️✔️..Metformin - Improves insulin
sensitivity with CV benefit
Metformin contraindication - answer☑️✔️..eGFR <30 - Risk of lactic acidosis
Lab monitoring long-term glucose control - answer☑️✔️..Hemoglobin A1c - Reflects 3-month
average
First-line hypothyroidism treatment - answer☑️✔️..Levothyroxine - Synthetic T4 replacement
Labs confirming primary hypothyroidism - answer☑️✔️..Elevated TSH and low free T4 -
Pituitary compensation
