WGU D118 OBJECTIVE ASSESSMENT FINAL EXAM | COMPLETE
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
GET A+
A 58-year-old patient with hypertension and diabetes has BP readings averaging 152/92. What is
the best initial medication? - (answer)ACE inhibitor — ACE inhibitors protect kidney function
and reduce cardiovascular risk in diabetics.
Which finding indicates target organ damage from uncontrolled hypertension? - (answer)Left
ventricular hypertrophy — LVH reflects chronic pressure overload and end-organ damage.
Exertional chest pain relieved by rest suggests what diagnosis? - (answer)Stable angina —
Predictable ischemic pain relieved by rest or nitroglycerin.
First-line treatment for stable angina? - (answer)Nitroglycerin — Rapid coronary vasodilation
relieves ischemic pain.
Which lipid abnormality most increases ASCVD risk? - (answer)Elevated LDL — LDL directly
contributes to atherosclerosis.
Chronic cough, weight loss, and night sweats are most concerning for what diagnosis? -
(answer)Tuberculosis — Classic constitutional symptoms raise concern for TB.
GOLD criteria classify which disease? - (answer)COPD — GOLD staging is used to assess
severity and management.
Best initial test for suspected pulmonary embolism in a low-risk patient? - (answer)D-dimer —
Used to rule out PE in low-risk patients.
,Which inhaler is a rescue medication? - (answer)Albuterol — Short-acting beta agonist provides
rapid bronchodilation.
When are antibiotics indicated for acute bronchitis? - (answer)Never routinely — Acute
bronchitis is usually viral.
What lab value confirms diabetes mellitus? - (answer)A1C ≥ 6.5% — Diagnostic threshold per
ADA guidelines.
First-line medication for type 2 diabetes? - (answer)Metformin — Improves insulin sensitivity
and reduces hepatic glucose output.
Secondary hypothyroidism is caused by dysfunction of which gland? - (answer)Pituitary —
Results in low TSH and low T4.
Most concerning symptom of hyperthyroidism in older adults? - (answer)Atrial fibrillation —
Thyroid hormone increases arrhythmia risk.
Which lab finding confirms diabetic ketoacidosis? - (answer)Elevated ketones — Indicates fat
breakdown due to insulin deficiency.
Which GERD symptom requires immediate endoscopy? - (answer)Dysphagia — Alarm
symptom suggesting malignancy or stricture.
First-line treatment for uncomplicated diverticulitis? - (answer)Oral antibiotics — Treats
infection in stable patients.
Most common cause of acute pancreatitis? - (answer)Gallstones — Obstruct pancreatic duct
causing inflammation.
, Which hepatitis virus is associated with IV drug use? - (answer)Hepatitis C — Transmitted
through blood exposure.
At what age does colorectal cancer screening begin for average-risk adults? - (answer)45 years
— Updated USPSTF guideline.
What is the classic triad of acute glomerulonephritis? - (answer)Hematuria, hypertension, edema
— Reflects glomerular inflammation.
Best initial imaging for suspected kidney stones? - (answer)CT without contrast — Gold
standard for diagnosis.
Which BPH medication relaxes smooth muscle to improve urine flow? - (answer)Tamsulosin —
Alpha-1 blocker reduces bladder outlet resistance.
Which lab indicates worsening renal function? - (answer)Rising creatinine — Reflects decreased
glomerular filtration.
Most common cause of acute kidney injury in adults? - (answer)Dehydration — Causes prerenal
azotemia.
First-line imaging for suspected osteoarthritis? - (answer)X-ray — Shows joint space narrowing
and osteophytes.
Which symptom is a red flag in low back pain? - (answer)Saddle anesthesia — Suggests cauda
equina syndrome.
First-line treatment for an acute gout flare? - (answer)NSAIDs — Rapidly reduce inflammation.
Which joint is most commonly affected by gout? - (answer)Great toe — Known as podagra.
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
GET A+
A 58-year-old patient with hypertension and diabetes has BP readings averaging 152/92. What is
the best initial medication? - (answer)ACE inhibitor — ACE inhibitors protect kidney function
and reduce cardiovascular risk in diabetics.
Which finding indicates target organ damage from uncontrolled hypertension? - (answer)Left
ventricular hypertrophy — LVH reflects chronic pressure overload and end-organ damage.
Exertional chest pain relieved by rest suggests what diagnosis? - (answer)Stable angina —
Predictable ischemic pain relieved by rest or nitroglycerin.
First-line treatment for stable angina? - (answer)Nitroglycerin — Rapid coronary vasodilation
relieves ischemic pain.
Which lipid abnormality most increases ASCVD risk? - (answer)Elevated LDL — LDL directly
contributes to atherosclerosis.
Chronic cough, weight loss, and night sweats are most concerning for what diagnosis? -
(answer)Tuberculosis — Classic constitutional symptoms raise concern for TB.
GOLD criteria classify which disease? - (answer)COPD — GOLD staging is used to assess
severity and management.
Best initial test for suspected pulmonary embolism in a low-risk patient? - (answer)D-dimer —
Used to rule out PE in low-risk patients.
,Which inhaler is a rescue medication? - (answer)Albuterol — Short-acting beta agonist provides
rapid bronchodilation.
When are antibiotics indicated for acute bronchitis? - (answer)Never routinely — Acute
bronchitis is usually viral.
What lab value confirms diabetes mellitus? - (answer)A1C ≥ 6.5% — Diagnostic threshold per
ADA guidelines.
First-line medication for type 2 diabetes? - (answer)Metformin — Improves insulin sensitivity
and reduces hepatic glucose output.
Secondary hypothyroidism is caused by dysfunction of which gland? - (answer)Pituitary —
Results in low TSH and low T4.
Most concerning symptom of hyperthyroidism in older adults? - (answer)Atrial fibrillation —
Thyroid hormone increases arrhythmia risk.
Which lab finding confirms diabetic ketoacidosis? - (answer)Elevated ketones — Indicates fat
breakdown due to insulin deficiency.
Which GERD symptom requires immediate endoscopy? - (answer)Dysphagia — Alarm
symptom suggesting malignancy or stricture.
First-line treatment for uncomplicated diverticulitis? - (answer)Oral antibiotics — Treats
infection in stable patients.
Most common cause of acute pancreatitis? - (answer)Gallstones — Obstruct pancreatic duct
causing inflammation.
, Which hepatitis virus is associated with IV drug use? - (answer)Hepatitis C — Transmitted
through blood exposure.
At what age does colorectal cancer screening begin for average-risk adults? - (answer)45 years
— Updated USPSTF guideline.
What is the classic triad of acute glomerulonephritis? - (answer)Hematuria, hypertension, edema
— Reflects glomerular inflammation.
Best initial imaging for suspected kidney stones? - (answer)CT without contrast — Gold
standard for diagnosis.
Which BPH medication relaxes smooth muscle to improve urine flow? - (answer)Tamsulosin —
Alpha-1 blocker reduces bladder outlet resistance.
Which lab indicates worsening renal function? - (answer)Rising creatinine — Reflects decreased
glomerular filtration.
Most common cause of acute kidney injury in adults? - (answer)Dehydration — Causes prerenal
azotemia.
First-line imaging for suspected osteoarthritis? - (answer)X-ray — Shows joint space narrowing
and osteophytes.
Which symptom is a red flag in low back pain? - (answer)Saddle anesthesia — Suggests cauda
equina syndrome.
First-line treatment for an acute gout flare? - (answer)NSAIDs — Rapidly reduce inflammation.
Which joint is most commonly affected by gout? - (answer)Great toe — Known as podagra.
