WGU D118 ACTUAL EXAMS SCRIPT QUESTIONS AND
ANSWERS SET A+
✔✔Best screening tool for cognitive impairment? - ✔✔Mini-Cog — Quick and validated.
✔✔Polypharmacy is defined as how many medications? - ✔✔Five or more — Increases
adverse event risk.
✔✔What BMI defines obesity? - ✔✔≥30 — WHO classification.
✔✔First-line therapy for smoking cessation? - ✔✔Nicotine replacement therapy —
Improves quit rates.
✔✔Recommended weekly exercise for adults? - ✔✔150 minutes moderate activity —
Cardiovascular benefit.
✔✔Calcium and vitamin D prevent which condition? - ✔✔Osteoporosis — Improve bone
density.
✔✔Non-invasive colorectal cancer screening option? - ✔✔FIT test — Detects occult
blood.
✔✔Sudden unilateral leg swelling suggests what diagnosis? - ✔✔Deep vein thrombosis
— Venous obstruction.
✔✔"Worst headache of life" suggests what condition? - ✔✔Subarachnoid hemorrhage
— Life-threatening emergency.
✔✔Chest pain radiating to the jaw suggests? - ✔✔Myocardial infarction — Cardiac
ischemia.
✔✔Fever with neck stiffness indicates? - ✔✔Meningitis — CNS infection.
, ✔✔Acute painless vision loss suggests? - ✔✔Stroke — Ophthalmic emergency.
✔✔ A 58-year-old patient with hypertension and diabetes has BP readings averaging
152/92. What is the best initial medication? - ✔✔ACE inhibitor — ACE inhibitors protect
kidney function and reduce cardiovascular risk in diabetics.
✔✔Which finding indicates target organ damage from uncontrolled hypertension? -
✔✔Left ventricular hypertrophy — LVH reflects chronic pressure overload and end-
organ damage.
✔✔Exertional chest pain relieved by rest suggests what diagnosis? - ✔✔Stable angina
— Predictable ischemic pain relieved by rest or nitroglycerin.
✔✔First-line treatment for stable angina? - ✔✔Nitroglycerin — Rapid coronary
vasodilation relieves ischemic pain.
✔✔Which lipid abnormality most increases ASCVD risk? - ✔✔Elevated LDL — LDL
directly contributes to atherosclerosis.
✔✔Chronic cough, weight loss, and night sweats are most concerning for what
diagnosis? - ✔✔Tuberculosis — Classic constitutional symptoms raise concern for TB.
✔✔GOLD criteria classify which disease? - ✔✔COPD — GOLD staging is used to
assess severity and management.
✔✔Best initial test for suspected pulmonary embolism in a low-risk patient? - ✔✔D-
dimer — Used to rule out PE in low-risk patients.
✔✔Which inhaler is a rescue medication? - ✔✔Albuterol — Short-acting beta agonist
provides rapid bronchodilation.
✔✔When are antibiotics indicated for acute bronchitis? - ✔✔Never routinely — Acute
bronchitis is usually viral.
✔✔What lab value confirms diabetes mellitus? - ✔✔A1C ≥ 6.5% — Diagnostic threshold
per ADA guidelines.
✔✔First-line medication for type 2 diabetes? - ✔✔Metformin — Improves insulin
sensitivity and reduces hepatic glucose output.
✔✔Secondary hypothyroidism is caused by dysfunction of which gland? - ✔✔Pituitary
— Results in low TSH and low T4.
ANSWERS SET A+
✔✔Best screening tool for cognitive impairment? - ✔✔Mini-Cog — Quick and validated.
✔✔Polypharmacy is defined as how many medications? - ✔✔Five or more — Increases
adverse event risk.
✔✔What BMI defines obesity? - ✔✔≥30 — WHO classification.
✔✔First-line therapy for smoking cessation? - ✔✔Nicotine replacement therapy —
Improves quit rates.
✔✔Recommended weekly exercise for adults? - ✔✔150 minutes moderate activity —
Cardiovascular benefit.
✔✔Calcium and vitamin D prevent which condition? - ✔✔Osteoporosis — Improve bone
density.
✔✔Non-invasive colorectal cancer screening option? - ✔✔FIT test — Detects occult
blood.
✔✔Sudden unilateral leg swelling suggests what diagnosis? - ✔✔Deep vein thrombosis
— Venous obstruction.
✔✔"Worst headache of life" suggests what condition? - ✔✔Subarachnoid hemorrhage
— Life-threatening emergency.
✔✔Chest pain radiating to the jaw suggests? - ✔✔Myocardial infarction — Cardiac
ischemia.
✔✔Fever with neck stiffness indicates? - ✔✔Meningitis — CNS infection.
, ✔✔Acute painless vision loss suggests? - ✔✔Stroke — Ophthalmic emergency.
✔✔ A 58-year-old patient with hypertension and diabetes has BP readings averaging
152/92. What is the best initial medication? - ✔✔ACE inhibitor — ACE inhibitors protect
kidney function and reduce cardiovascular risk in diabetics.
✔✔Which finding indicates target organ damage from uncontrolled hypertension? -
✔✔Left ventricular hypertrophy — LVH reflects chronic pressure overload and end-
organ damage.
✔✔Exertional chest pain relieved by rest suggests what diagnosis? - ✔✔Stable angina
— Predictable ischemic pain relieved by rest or nitroglycerin.
✔✔First-line treatment for stable angina? - ✔✔Nitroglycerin — Rapid coronary
vasodilation relieves ischemic pain.
✔✔Which lipid abnormality most increases ASCVD risk? - ✔✔Elevated LDL — LDL
directly contributes to atherosclerosis.
✔✔Chronic cough, weight loss, and night sweats are most concerning for what
diagnosis? - ✔✔Tuberculosis — Classic constitutional symptoms raise concern for TB.
✔✔GOLD criteria classify which disease? - ✔✔COPD — GOLD staging is used to
assess severity and management.
✔✔Best initial test for suspected pulmonary embolism in a low-risk patient? - ✔✔D-
dimer — Used to rule out PE in low-risk patients.
✔✔Which inhaler is a rescue medication? - ✔✔Albuterol — Short-acting beta agonist
provides rapid bronchodilation.
✔✔When are antibiotics indicated for acute bronchitis? - ✔✔Never routinely — Acute
bronchitis is usually viral.
✔✔What lab value confirms diabetes mellitus? - ✔✔A1C ≥ 6.5% — Diagnostic threshold
per ADA guidelines.
✔✔First-line medication for type 2 diabetes? - ✔✔Metformin — Improves insulin
sensitivity and reduces hepatic glucose output.
✔✔Secondary hypothyroidism is caused by dysfunction of which gland? - ✔✔Pituitary
— Results in low TSH and low T4.
