WGU D027 Exam Questions and Answers Latest 2023/2024 (GRADED)

Discuss the pathophysiology of Hypoplastic Left Heart Syndrome (HLHS), what chamber is affected and what population is typically affected? L ventricle, L ventricle valves and L aortic valves are too small or under developed. LV Is the primary chamber to pump blood to body. The R side of the heart has to compensate to increase organ perfusion. Congenital defect that requires surgery. Normal ejection fraction 50-70% 5. What hormone does Parathyroid secrete? Calcium Hypoparathyroid- dx with bone density, u/s blood test or body CT/MRI. Biphosphonate prevents bone loss of ca to reduce risk of osteoporosis. HRt helps bones retain ca. 6. What is Hutchinson-Gilford Progeria Syndrome? Genetic disorder with rapid aging. Treat with Nsaid, lower cholesterol, Physical therapy 7. What pain Medicine is used for Diabetic neuropathy pain? Gabapentin/ Neurontin, Lyrica & Cymbalta 8. Hydrotherapy helps with what disease? Fibromyalga circulation 9. Patient with Post MVA, had right side decreased lung sounds? Pneumothorax 10. Which TB med impacts oral contraceptives? Rifampicin 11. What are TSH/T4/T3 abnormal levels for hypothyroidism Low T4 (0.9 )/T3 (75 ) and High TSH (4.8) Hasiomoto is High TSH, low T3/T4- synthroid Thyroid peroxidase antibody 12. Difference between ulcerative colitis and Crohn’s (worse after meals) in terms of symptoms and the impact of the body. Chron’s- entire or small intestine. Skip lesions dx with colonoscopy/ endoscopy. R lower abd. pain 1-2 hrs. after eating UC or IBS- lg intestine/ colon inflammation. Dx with colonoscopy/ sigmoidoscopy. Abd cramping with BM. 13. Discuss the pathophysiology regarding Sickle-Cell and typical medications prescribed RBC are mis-shapened and can get stuck in BV near joints. Medication include pain medications, PCN recommended by AAP for young children as prophylaxis , blood transfusion & get immunizations. 14. What is the recommended med for pregnant women with UTI or what med to avoid for her if she has UTI? Use Keflex, erythromycin. Avoid macrobid, bactrum, doxycycline, Cipro, minocycline 15. Discuss Schizophrenia meds... 1st and 2nd generation meds  1 st generation-Thorazine, Haldol, Prolixin, Stelazine, Navane (D2 antagonist or increase dopamine) and have higher risk for Extrapyramidal symptoms: o Involuntary or uncontrollable movements o tremors o muscle contractions  2nd generation- Abilify, Clozaril, Loxitaine, Moban, Invega, Seroquel, Risperidal, Geodon. (5HT2A/D2 antagonist with less risk of EPS.) 16. What is PPD test for and which disease are you looking for. Wheal under the skin for TB 10mm is positive. Follow up with IGRA blood work 17. What is the first line medication for Benign Prostatic Hyperplasia (BPH) Alpha blockers are recommended as first-line treatment for BPH Flomax- first dose hypotension