WGU D027 UPDATED COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔Amoxicillin - ✔✔first line of treatment for uncomplicated otitis media in pediatric
patient without comorbidities
✔✔POTS - ✔✔Postural Orthostatic Tachycardia Syndrome
✔✔Treatment of POTS - ✔✔stand slowly, lay back down if needed, add extra salt
increase fluids, MEDS: Florinef
✔✔Symptoms/Diagnosing POTS - ✔✔Tilt Test - HR increases by 30 bpm when
standing up or over 120 in first 10 minutes, symptoms are related to reduced blood
volume when standing up, can cause lightheadedness, fainting
✔✔Florinef - ✔✔Used to treat conditions which glucocorticoids are low. These
conditions include Addison's disease, adrenocortical insufficiency. *Also treats
orthostatic hypotension; Side effects: nausea, headache, sleep problems, mood
changes
✔✔Off label use for prazosin/minipress - ✔✔sleep aid for patients diagnosed with PTSD
, ✔✔Myasthenia Gravis - ✔✔a neuromuscular disorder characterized by muscle
weakness and rapid fatigue, drooping eyelids, difficulty swallowing, generalized
weakness
✔✔Meds used to treat myasthenia gravis - ✔✔corticosteroids - treat diplopia and
suppress adrenal function; take 4-6 weeks then taper
Cholinesterase inhibitors - neostigmine
✔✔Side effects of cholinesterase inhibitors - ✔✔excessive salivation, urinary
incontinence/urgency, sweating, muscle spasm, bradycardia
Med: neostigmine
therapeutic levels produce mild stimulation
Toxic levels depress CNS (BBB) - treat with respiratory support and atropine
✔✔thyrotoxicosis - ✔✔condition caused by the exposure of body tissue to excessive
levels of thyroid hormone
✔✔first line treatment for uncomplicated HTN - ✔✔hydrochlorothiazide, oral with
lifestyle changes
✔✔Ataxia in pediatric patient - ✔✔genetic predisposition, Fragile X syndrome, Prader-
Willie Syndrome
✔✔Prader-Willie Syndrome - ✔✔deletion of chromosome from father
✔✔What should you avoid when breast feeding? - ✔✔combined oral contraceptives
✔✔Appropriate antibiotic for use in pregnancy for treatment of UTI - ✔✔one time dose
of Fosfomycin, cephalexin also appropriate.
AVOID: nitrofurantoin ad bactrim. DO NOT USE: PCN
✔✔Drug of choice for pediatric UTI with no comorbidities -
✔✔trimethoprim/sulfamethoxazole (Bactrim, Septra);
alternatives: augmentin, cephalosporins
✔✔Color blindness genetic component - ✔✔x-linked, only comes from mother, 50%
chance; gene: OPN1MW on chromosome 23
✔✔Sickle Cell genetics - ✔✔children with sickle cell: 25%
children without and not carriers: 25%
children who are carriers: 50%
✔✔treatment for sickle cell crisis - ✔✔hydration, heat, oxygen, pain meds
QUESTIONS AND ANSWERS SURE A+
✔✔Amoxicillin - ✔✔first line of treatment for uncomplicated otitis media in pediatric
patient without comorbidities
✔✔POTS - ✔✔Postural Orthostatic Tachycardia Syndrome
✔✔Treatment of POTS - ✔✔stand slowly, lay back down if needed, add extra salt
increase fluids, MEDS: Florinef
✔✔Symptoms/Diagnosing POTS - ✔✔Tilt Test - HR increases by 30 bpm when
standing up or over 120 in first 10 minutes, symptoms are related to reduced blood
volume when standing up, can cause lightheadedness, fainting
✔✔Florinef - ✔✔Used to treat conditions which glucocorticoids are low. These
conditions include Addison's disease, adrenocortical insufficiency. *Also treats
orthostatic hypotension; Side effects: nausea, headache, sleep problems, mood
changes
✔✔Off label use for prazosin/minipress - ✔✔sleep aid for patients diagnosed with PTSD
, ✔✔Myasthenia Gravis - ✔✔a neuromuscular disorder characterized by muscle
weakness and rapid fatigue, drooping eyelids, difficulty swallowing, generalized
weakness
✔✔Meds used to treat myasthenia gravis - ✔✔corticosteroids - treat diplopia and
suppress adrenal function; take 4-6 weeks then taper
Cholinesterase inhibitors - neostigmine
✔✔Side effects of cholinesterase inhibitors - ✔✔excessive salivation, urinary
incontinence/urgency, sweating, muscle spasm, bradycardia
Med: neostigmine
therapeutic levels produce mild stimulation
Toxic levels depress CNS (BBB) - treat with respiratory support and atropine
✔✔thyrotoxicosis - ✔✔condition caused by the exposure of body tissue to excessive
levels of thyroid hormone
✔✔first line treatment for uncomplicated HTN - ✔✔hydrochlorothiazide, oral with
lifestyle changes
✔✔Ataxia in pediatric patient - ✔✔genetic predisposition, Fragile X syndrome, Prader-
Willie Syndrome
✔✔Prader-Willie Syndrome - ✔✔deletion of chromosome from father
✔✔What should you avoid when breast feeding? - ✔✔combined oral contraceptives
✔✔Appropriate antibiotic for use in pregnancy for treatment of UTI - ✔✔one time dose
of Fosfomycin, cephalexin also appropriate.
AVOID: nitrofurantoin ad bactrim. DO NOT USE: PCN
✔✔Drug of choice for pediatric UTI with no comorbidities -
✔✔trimethoprim/sulfamethoxazole (Bactrim, Septra);
alternatives: augmentin, cephalosporins
✔✔Color blindness genetic component - ✔✔x-linked, only comes from mother, 50%
chance; gene: OPN1MW on chromosome 23
✔✔Sickle Cell genetics - ✔✔children with sickle cell: 25%
children without and not carriers: 25%
children who are carriers: 50%
✔✔treatment for sickle cell crisis - ✔✔hydration, heat, oxygen, pain meds
