WGU D027 OA EXAM STUDY GUIDE-QUESTIONS AND
ANSWERS
cystic fibrosis - ✔effects pancreas, increased mucus
Klinefelter syndrome - ✔A chromosomal disorder in which males have an extra X
chromosome
Turner Syndrome - ✔A chromosomal disorder in females in which either an X
chromosome is missing, making the person XO instead of XX, or part of one X
chromosome is deleted.
Alpha Thalassemia - ✔Severe anemia, do not give ferrous sulfate
B and T cells - ✔Mature in bone marrow, the go to thymus/spleen/liver
Lichen planus - ✔causes extreme itching
Pityriasis Rosea - ✔Itchy patch-like rash in children
actinic keratosis - ✔caused by UV exposure, precursor to squamous cell carcinoma
Glucocorticoids - ✔Tx for cancers that arise from lymphoma tissue, can be toxicities
with long term treatment
Selective Estrogen Receptor Modulators (SERMs) - ✔Tamoxifen; used for pts with
hormone-receptor positive breast cancer after mastectomy
Normal EF - ✔55-60%
Best way to look at structure/fxn of heart - ✔Echo
Left sided heart failure - ✔affects pulmonary vasculature, increased JVP, S3, rales
right sided heart failure - ✔1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
Stage 1 hypertension - ✔130-139/80-89
Stage 2 hypertension - ✔>140 or >90
first line HTN drugs - ✔ACE-I
ARB
CCB
, WGU D027 OA EXAM STUDY GUIDE-QUESTIONS AND
ANSWERS
Thiazide diuretics
Ischemic heart disease - ✔Chest discomfort, physical exam normal; must take aspirin
or another antithrombic
EKG changes with MI - ✔ST elevation is usually MI, while ST depression is angina
chronic bronchitis - ✔excess mucus production, chronic productive cough, smooth
muscle hypertrophy
Emphysema - ✔decrease in alpha1-antitrypsin
Asthma - ✔Obstruction reversible! Know triggers, usually worse at night
common ICS - ✔Budesonide, Fluticasone
Common LABAs - ✔Salmeterol, Formoterol
Back Pain - ✔Do not give narcotics/opioids; H&P is good for diagnosis if in first 4-6 wks
of pain
acromegaly - ✔overproduction of growth hormone
Addison's disease - ✔a condition that occurs when the adrenal glands do not produce
enough cortisol or aldosterone
Hyperthyroidism - ✔Tx with PTU
GFR in CKD - ✔Good >90, Stage 5 <15, need dialysis
ACE inhibitors adverse effects - ✔cough, hyperkalemia, fetal injury, angioedema
Beta blockers (beta adrenergic antagonist) - ✔Propanolol is nonselective, should not be
used in patients with asthma; should be give to patients for 6 months after AMI
Statins - ✔Muscle pain is an emergency -> rhabdo
Hemoglobin A1C - ✔Goal <6.5%, poor>9%
Sulfonylureas - ✔glipizide, glyburide, glimepiride; increases insulin secretion by
pancreas can cause hypoglycemia
ANSWERS
cystic fibrosis - ✔effects pancreas, increased mucus
Klinefelter syndrome - ✔A chromosomal disorder in which males have an extra X
chromosome
Turner Syndrome - ✔A chromosomal disorder in females in which either an X
chromosome is missing, making the person XO instead of XX, or part of one X
chromosome is deleted.
Alpha Thalassemia - ✔Severe anemia, do not give ferrous sulfate
B and T cells - ✔Mature in bone marrow, the go to thymus/spleen/liver
Lichen planus - ✔causes extreme itching
Pityriasis Rosea - ✔Itchy patch-like rash in children
actinic keratosis - ✔caused by UV exposure, precursor to squamous cell carcinoma
Glucocorticoids - ✔Tx for cancers that arise from lymphoma tissue, can be toxicities
with long term treatment
Selective Estrogen Receptor Modulators (SERMs) - ✔Tamoxifen; used for pts with
hormone-receptor positive breast cancer after mastectomy
Normal EF - ✔55-60%
Best way to look at structure/fxn of heart - ✔Echo
Left sided heart failure - ✔affects pulmonary vasculature, increased JVP, S3, rales
right sided heart failure - ✔1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
Stage 1 hypertension - ✔130-139/80-89
Stage 2 hypertension - ✔>140 or >90
first line HTN drugs - ✔ACE-I
ARB
CCB
, WGU D027 OA EXAM STUDY GUIDE-QUESTIONS AND
ANSWERS
Thiazide diuretics
Ischemic heart disease - ✔Chest discomfort, physical exam normal; must take aspirin
or another antithrombic
EKG changes with MI - ✔ST elevation is usually MI, while ST depression is angina
chronic bronchitis - ✔excess mucus production, chronic productive cough, smooth
muscle hypertrophy
Emphysema - ✔decrease in alpha1-antitrypsin
Asthma - ✔Obstruction reversible! Know triggers, usually worse at night
common ICS - ✔Budesonide, Fluticasone
Common LABAs - ✔Salmeterol, Formoterol
Back Pain - ✔Do not give narcotics/opioids; H&P is good for diagnosis if in first 4-6 wks
of pain
acromegaly - ✔overproduction of growth hormone
Addison's disease - ✔a condition that occurs when the adrenal glands do not produce
enough cortisol or aldosterone
Hyperthyroidism - ✔Tx with PTU
GFR in CKD - ✔Good >90, Stage 5 <15, need dialysis
ACE inhibitors adverse effects - ✔cough, hyperkalemia, fetal injury, angioedema
Beta blockers (beta adrenergic antagonist) - ✔Propanolol is nonselective, should not be
used in patients with asthma; should be give to patients for 6 months after AMI
Statins - ✔Muscle pain is an emergency -> rhabdo
Hemoglobin A1C - ✔Goal <6.5%, poor>9%
Sulfonylureas - ✔glipizide, glyburide, glimepiride; increases insulin secretion by
pancreas can cause hypoglycemia
