WGU D118 TESTED QUESTIONS AND
COMPLETE SOLUTIONS
◉ Required lab before giving tPA
Answer: Blood glucose - Hypoglycemia can mimic stroke
◉ Best initial test for iron deficiency anemia
Answer: Ferritin - Most sensitive indicator of iron stores
◉ Microcytic anemia with low ferritin diagnosis
Answer: Iron deficiency anemia - Confirms iron depletion
◉ Anemia red flag requiring urgent care
Answer: Hemoglobin <7 with symptoms - Risk of hemodynamic
instability
◉ First-line treatment for uncomplicated UTI
Answer: Nitrofurantoin - Effective with low resistance
◉ UTI red flag requiring imaging
Answer: Fever with flank pain - Suggests pyelonephritis
◉ Best diagnostic test for pyelonephritis
, Answer: Urinalysis with culture - Identifies pathogen
◉ First-line GERD treatment without alarms
Answer: Proton pump inhibitor - Most effective acid suppression
◉ GERD alarm symptom
Answer: Dysphagia - Possible malignancy or stricture
◉ Next step for GERD with alarm symptoms
Answer: Upper endoscopy - Rule out cancer
◉ First-line treatment for major depressive disorder
Answer: SSRI - Effective and well tolerated
◉ SSRI safest in pregnancy
Answer: Sertraline - Best safety profile
◉ Depression red flag
Answer: Active suicidal ideation - Requires immediate
intervention
◉ First-line treatment for GAD
Answer: SSRI or SNRI - Long-term control
COMPLETE SOLUTIONS
◉ Required lab before giving tPA
Answer: Blood glucose - Hypoglycemia can mimic stroke
◉ Best initial test for iron deficiency anemia
Answer: Ferritin - Most sensitive indicator of iron stores
◉ Microcytic anemia with low ferritin diagnosis
Answer: Iron deficiency anemia - Confirms iron depletion
◉ Anemia red flag requiring urgent care
Answer: Hemoglobin <7 with symptoms - Risk of hemodynamic
instability
◉ First-line treatment for uncomplicated UTI
Answer: Nitrofurantoin - Effective with low resistance
◉ UTI red flag requiring imaging
Answer: Fever with flank pain - Suggests pyelonephritis
◉ Best diagnostic test for pyelonephritis
, Answer: Urinalysis with culture - Identifies pathogen
◉ First-line GERD treatment without alarms
Answer: Proton pump inhibitor - Most effective acid suppression
◉ GERD alarm symptom
Answer: Dysphagia - Possible malignancy or stricture
◉ Next step for GERD with alarm symptoms
Answer: Upper endoscopy - Rule out cancer
◉ First-line treatment for major depressive disorder
Answer: SSRI - Effective and well tolerated
◉ SSRI safest in pregnancy
Answer: Sertraline - Best safety profile
◉ Depression red flag
Answer: Active suicidal ideation - Requires immediate
intervention
◉ First-line treatment for GAD
Answer: SSRI or SNRI - Long-term control