WGU D118 OBJECTIVE ASSESSMENT FINAL EXAM LATEST
VERSIONS EXAM ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
1. Which of the following medications is most appropriate for a 55-year-
old male with hypertension and benign prostatic hyperplasia?
a) Lisinopril b) Terazosin c) Metoprolol d) Hydrochlorothiazide
Rationale: Terazosin is an alpha-1 blocker that can treat both
hypertension and benign prostatic hyperplasia by relaxing smooth
muscles.
2. A 45-year-old female presents with fatigue, weight gain, and cold
intolerance. Which lab test is most appropriate?
a) Complete blood count (CBC) b) Basic metabolic panel (BMP) c)
Thyroid-stimulating hormone (TSH) d) Liver function tests (LFTs)
Rationale: These symptoms are suggestive of hypothyroidism, and TSH
is the most sensitive test for evaluating thyroid function.
3. Which of the following is a contraindication for the use of metformin
in a patient with type 2 diabetes?
a) Body mass index (BMI) > 30 b) Age > 65 years c) Creatinine
clearance < 30 mL/min d) Concurrent use of insulin
Rationale: Metformin is contraindicated in patients with severe renal
impairment due to the risk of lactic acidosis.
4. What is the first-line treatment for a 28-year-old female diagnosed
with acute uncomplicated cystitis?
a) Ciprofloxacin b) Nitrofurantoin c) Amoxicillin d) Azithromycin
,Rationale: Nitrofurantoin is recommended as a first-line treatment for
uncomplicated cystitis due to its efficacy and lower resistance rates.
5. A 62-year-old male with a history of smoking presents with a chronic
cough and dyspnea. Which diagnostic test is most appropriate initially?
a) Electrocardiogram (ECG) b) Echocardiogram c) Chest X-ray d)
Pulmonary function tests
Rationale: A chest X-ray is the initial diagnostic test to evaluate for
lung pathology, such as chronic obstructive pulmonary disease (COPD)
or lung cancer.
6. Which vaccine is recommended annually for all adults, especially
those over the age of 65?
a) Pneumococcal vaccine b) Influenza vaccine c) Tetanus, diphtheria,
pertussis (Tdap) vaccine d) Hepatitis B vaccine
Rationale: The influenza vaccine is recommended annually for all
adults to prevent influenza and its complications.
7. A patient presents with a painful, swollen, and erythematous great
toe. Which condition is most likely?
a) Rheumatoid arthritis b) Gout c) Osteoarthritis d) Psoriatic arthritis
Rationale: Gout commonly presents with acute, painful, swollen, and
erythematous joints, often affecting the great toe.
8. What is the recommended screening test for colorectal cancer in
adults aged 50 to 75 years?
a) Abdominal ultrasound b) Colonoscopy c) Fecal occult blood test
(FOBT) d) Barium enema
, Rationale: Colonoscopy is the preferred screening test for colorectal
cancer as it allows for direct visualization and removal of polyps.
9. Which lifestyle modification is most effective for reducing blood
pressure in patients with hypertension?
a) Weight loss b) Increased physical activity c) Reduced alcohol intake
d) Reduced caffeine intake
Rationale: Weight loss has the greatest impact on reducing blood
pressure among the listed lifestyle modifications.
10. A 50-year-old male with no significant medical history presents for a
routine check-up. His BMI is 32. What is the most appropriate
intervention?
a) Start statin therapy b) Order a fasting lipid panel c) Discuss weight
loss strategies d) Refer to a cardiologist
Rationale: With a BMI of 32 (indicating obesity), discussing weight
loss strategies is the most appropriate initial intervention to improve
overall health.
11. Which of the following is the most common cause of chronic cough
in non-smokers?
a) Chronic obstructive pulmonary disease (COPD) b) Lung cancer c)
Post-nasal drip d) Tuberculosis
Rationale: Post-nasal drip is the most common cause of chronic cough
in non-smokers, often due to allergies or sinusitis.
VERSIONS EXAM ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
1. Which of the following medications is most appropriate for a 55-year-
old male with hypertension and benign prostatic hyperplasia?
a) Lisinopril b) Terazosin c) Metoprolol d) Hydrochlorothiazide
Rationale: Terazosin is an alpha-1 blocker that can treat both
hypertension and benign prostatic hyperplasia by relaxing smooth
muscles.
2. A 45-year-old female presents with fatigue, weight gain, and cold
intolerance. Which lab test is most appropriate?
a) Complete blood count (CBC) b) Basic metabolic panel (BMP) c)
Thyroid-stimulating hormone (TSH) d) Liver function tests (LFTs)
Rationale: These symptoms are suggestive of hypothyroidism, and TSH
is the most sensitive test for evaluating thyroid function.
3. Which of the following is a contraindication for the use of metformin
in a patient with type 2 diabetes?
a) Body mass index (BMI) > 30 b) Age > 65 years c) Creatinine
clearance < 30 mL/min d) Concurrent use of insulin
Rationale: Metformin is contraindicated in patients with severe renal
impairment due to the risk of lactic acidosis.
4. What is the first-line treatment for a 28-year-old female diagnosed
with acute uncomplicated cystitis?
a) Ciprofloxacin b) Nitrofurantoin c) Amoxicillin d) Azithromycin
,Rationale: Nitrofurantoin is recommended as a first-line treatment for
uncomplicated cystitis due to its efficacy and lower resistance rates.
5. A 62-year-old male with a history of smoking presents with a chronic
cough and dyspnea. Which diagnostic test is most appropriate initially?
a) Electrocardiogram (ECG) b) Echocardiogram c) Chest X-ray d)
Pulmonary function tests
Rationale: A chest X-ray is the initial diagnostic test to evaluate for
lung pathology, such as chronic obstructive pulmonary disease (COPD)
or lung cancer.
6. Which vaccine is recommended annually for all adults, especially
those over the age of 65?
a) Pneumococcal vaccine b) Influenza vaccine c) Tetanus, diphtheria,
pertussis (Tdap) vaccine d) Hepatitis B vaccine
Rationale: The influenza vaccine is recommended annually for all
adults to prevent influenza and its complications.
7. A patient presents with a painful, swollen, and erythematous great
toe. Which condition is most likely?
a) Rheumatoid arthritis b) Gout c) Osteoarthritis d) Psoriatic arthritis
Rationale: Gout commonly presents with acute, painful, swollen, and
erythematous joints, often affecting the great toe.
8. What is the recommended screening test for colorectal cancer in
adults aged 50 to 75 years?
a) Abdominal ultrasound b) Colonoscopy c) Fecal occult blood test
(FOBT) d) Barium enema
, Rationale: Colonoscopy is the preferred screening test for colorectal
cancer as it allows for direct visualization and removal of polyps.
9. Which lifestyle modification is most effective for reducing blood
pressure in patients with hypertension?
a) Weight loss b) Increased physical activity c) Reduced alcohol intake
d) Reduced caffeine intake
Rationale: Weight loss has the greatest impact on reducing blood
pressure among the listed lifestyle modifications.
10. A 50-year-old male with no significant medical history presents for a
routine check-up. His BMI is 32. What is the most appropriate
intervention?
a) Start statin therapy b) Order a fasting lipid panel c) Discuss weight
loss strategies d) Refer to a cardiologist
Rationale: With a BMI of 32 (indicating obesity), discussing weight
loss strategies is the most appropriate initial intervention to improve
overall health.
11. Which of the following is the most common cause of chronic cough
in non-smokers?
a) Chronic obstructive pulmonary disease (COPD) b) Lung cancer c)
Post-nasal drip d) Tuberculosis
Rationale: Post-nasal drip is the most common cause of chronic cough
in non-smokers, often due to allergies or sinusitis.
