WGU D027 OBJECTIVE ASSESSMENT REVIEW (LATEST 2023/ 2024 UPDATE) ADVANCED PATHOPHARMACOLOGICAL FOUNDATIONS| QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT| GRADE A A newborn with hypoplastic left heart syndrome can survive if which two fetal ducts remain open? Ductis arteriosus & foramen ovale Color blindness is an inherited condition which is x-linked recessive What is the bacteria that causes otitis media? What is the 1st line tx? M catarrhalis & h influenzae -
amoxicillin What order do you triage patients? Airway Breathing Circulation Safety Pain management What medication causes discoloration of bodily fluids and makes OCP ineffective? Rifampin What tx is recommended for a pregnant patient with tuberculosis? Isoniazid (can be hepatotoxic, M needs liver panel) Rifampin Ethambutol When do you get a CXR for a +PPD? 1st + test Initiating tx for latent disease Survey directs you to "G" herbal products (ginseng, green tea, garlic) should be avoided in patients on? Anticoagulants Alternative to tx patient vomiting PO meds for UTI IV or IM Ceftriaxone Why should pts never abruptly stop taking beta adrenergic antagonists (beta blockers)? Rebound tachycardia or HTN What medications are ideal in treating prinzmetal angina? Calcium channel blockers or Nitrates 1st line of tx for uncomplicated HTN? HCTZ What condition is the inability to get rid of iron and the body stores it in the liver and kidneys Hemochromatosis How do you treat hemochromatosis? Phlebotomy scheduled blood removals What should be assessed prior to giving alpha or beta blocker? HR > than 60 What is an off label use for beta blockers? Anxiety What is an off label use for alpha blockers? insomnia esp r/t PTSD What is Hashimoto's disease? An autoimmune cause of hypothyroid What thyroid antibodies are associated w/ Hashimoto's thyroiditis? Anti TPO Anti Tg TBII Which antibiotics are not given while pregnant due to possible impacts on msk system? Floroquinolones What is contraindicated with the use of nitroglycerin? ED meds ex. sildenafil 1st step for asthma tx? Beta2 agonist inhaler ex. albuterol 2nd step for asthma tx? low dose inhaled corticosteroids What physical exam finding indicates effectiveness of furosemide in pt with heart failure? Improved lung sounds What might cause hypothalamic hamartomas? Mutation on GL13 gene Which genetic mutation leads to increased breast tissue damage & abnormal cell growth? BRCA 1&2 When is thrombolytic therapy contraindicated? Hx of hemorrhagic stroke When norepinephrine binds with alpha 2 receptors what happens? Causes bradycardia Inhaled Corticosteroids cause Reduction of airway inflammation Crohn's disease is associated with increased risk of malignancy in what part of the GI tract? Ileum & colon Imbalance of dopamine and glutamate neurotransmitters is thought to cause Schizophrenia What level indicates pre -diabetes and diabetes? Pre: 5.7 -6.4 Diabetes: >6.5 What are side effects associated with repeated used of loop diuretics? Hyperkalemia Ototoxicity
amoxicillin What order do you triage patients? Airway Breathing Circulation Safety Pain management What medication causes discoloration of bodily fluids and makes OCP ineffective? Rifampin What tx is recommended for a pregnant patient with tuberculosis? Isoniazid (can be hepatotoxic, M needs liver panel) Rifampin Ethambutol When do you get a CXR for a +PPD? 1st + test Initiating tx for latent disease Survey directs you to "G" herbal products (ginseng, green tea, garlic) should be avoided in patients on? Anticoagulants Alternative to tx patient vomiting PO meds for UTI IV or IM Ceftriaxone Why should pts never abruptly stop taking beta adrenergic antagonists (beta blockers)? Rebound tachycardia or HTN What medications are ideal in treating prinzmetal angina? Calcium channel blockers or Nitrates 1st line of tx for uncomplicated HTN? HCTZ What condition is the inability to get rid of iron and the body stores it in the liver and kidneys Hemochromatosis How do you treat hemochromatosis? Phlebotomy scheduled blood removals What should be assessed prior to giving alpha or beta blocker? HR > than 60 What is an off label use for beta blockers? Anxiety What is an off label use for alpha blockers? insomnia esp r/t PTSD What is Hashimoto's disease? An autoimmune cause of hypothyroid What thyroid antibodies are associated w/ Hashimoto's thyroiditis? Anti TPO Anti Tg TBII Which antibiotics are not given while pregnant due to possible impacts on msk system? Floroquinolones What is contraindicated with the use of nitroglycerin? ED meds ex. sildenafil 1st step for asthma tx? Beta2 agonist inhaler ex. albuterol 2nd step for asthma tx? low dose inhaled corticosteroids What physical exam finding indicates effectiveness of furosemide in pt with heart failure? Improved lung sounds What might cause hypothalamic hamartomas? Mutation on GL13 gene Which genetic mutation leads to increased breast tissue damage & abnormal cell growth? BRCA 1&2 When is thrombolytic therapy contraindicated? Hx of hemorrhagic stroke When norepinephrine binds with alpha 2 receptors what happens? Causes bradycardia Inhaled Corticosteroids cause Reduction of airway inflammation Crohn's disease is associated with increased risk of malignancy in what part of the GI tract? Ileum & colon Imbalance of dopamine and glutamate neurotransmitters is thought to cause Schizophrenia What level indicates pre -diabetes and diabetes? Pre: 5.7 -6.4 Diabetes: >6.5 What are side effects associated with repeated used of loop diuretics? Hyperkalemia Ototoxicity
