Actual Exam WGU D115 OA Study Guide
Unit 6 Questions and Rationalized Verified Answers
1. What type of fibers stimulate the salivary glands?: Cholinergic fibers
2. What part of the esophagus is innervated by nerve fibers?: The lower third
3. What artery provides blood to the stomach?: Celiac artery
4. What hormone is responsible for the inhibition of stomach contraction?: -
Secretin
Gastrin increases stomach contraction (aids in motility) and produces acid in the antrum,
duodenum, and pancreas by G-cells
5. Which cells of the stomach secrete hydrochloric acid and intrinsic factor?-
: Parietal cells
Pernicious anemia* (Vitamin B12 deficiency)
6. Which enzyme is responsible for cleaving fatty acids from phospholipids?-
: Phospholipase
7. Which enzyme is responsible for breaking the end amino acids away from the
ingested protein?: Carboxypeptidase
8. What is true of unconjugated bilirubin?: Unconjugated bilirubin is bilirubin bound to
albumin.
Also called "free bilirubin"
9. Define pepsin: Produced in the stomach and breaks down proteins
1/
18
,Think P and P
10. Define Lipase: Produced by the pancreas and breaks down triglycerides
11. Define amylase: Produced in the mouth and breaks down starch
"Amy eats a starchy meal"
12. What are 3 characteristics of celiac disease?: Anemia
Diminished growth
Deficiences in fat-soluble vitamins
13. Is pyloric stenosis more common in male or female infants ?: Males
14. A 74-year-old male complains of rectal bleeding for the past year. He has not
change in bowel habits and denies abdominal pain, weight loss, and rectal pain. He
has seen blood in the toilet water and when wiping approxi- mately once every few
weeks, but lately the bleeding has increased. He had colonoscopy 5 year ago. The
FNP should:: Schedule a colonoscopy to look for colon polyps and/or cancer
2/
18
, 15. An overweigh, middle-aged woman has right upper quadrant pain that radiates to
her right subscapular area and is severe and persistent. She is also experiencing
anorexia, nausea, and a fever. Her most recent meal was a double quarter-pound
cheeseburger, French fries, and a milkshake. The FNP examines the abdomen and
percusses for CVA tenderness. the abdomen is tender in the RUQ. Which of the
following signs corresponds with the correct diagnosis?: Murphy's sign: the patient has
cholecystitis
McBurney's sign is related to appendicitis CVA
tenderness is related to UTIs
16. A sudden onset of diarrhea that consists of five to six loose stools a day
and awakens the pt at night with cramping, but without blood in the stools, would most
likely be caused by what?: Infection
Clues for infection are awakening at night, cramping without blood, sudden onset Those S/S
are either infection or inflammation
17. The FNP is discussion Clostridium difficile infection with the family of a 68-year-
old female who lives with them and who was recently diagnosed with the infection.
Which of the following statements would be the most important for the family to
understand?: Pt needs to use a different bathroom than the rest of the family
Contact isolation
18. An older woman is noted to have iron-deficiency anemia. She has no pain or rectal
bleeding. What hx would raise suspicion of a gastric ulcer?: An ankle sprain requiring
800mg of ibuprofen 3 times a day for the last 6 weeks
3/
18
Unit 6 Questions and Rationalized Verified Answers
1. What type of fibers stimulate the salivary glands?: Cholinergic fibers
2. What part of the esophagus is innervated by nerve fibers?: The lower third
3. What artery provides blood to the stomach?: Celiac artery
4. What hormone is responsible for the inhibition of stomach contraction?: -
Secretin
Gastrin increases stomach contraction (aids in motility) and produces acid in the antrum,
duodenum, and pancreas by G-cells
5. Which cells of the stomach secrete hydrochloric acid and intrinsic factor?-
: Parietal cells
Pernicious anemia* (Vitamin B12 deficiency)
6. Which enzyme is responsible for cleaving fatty acids from phospholipids?-
: Phospholipase
7. Which enzyme is responsible for breaking the end amino acids away from the
ingested protein?: Carboxypeptidase
8. What is true of unconjugated bilirubin?: Unconjugated bilirubin is bilirubin bound to
albumin.
Also called "free bilirubin"
9. Define pepsin: Produced in the stomach and breaks down proteins
1/
18
,Think P and P
10. Define Lipase: Produced by the pancreas and breaks down triglycerides
11. Define amylase: Produced in the mouth and breaks down starch
"Amy eats a starchy meal"
12. What are 3 characteristics of celiac disease?: Anemia
Diminished growth
Deficiences in fat-soluble vitamins
13. Is pyloric stenosis more common in male or female infants ?: Males
14. A 74-year-old male complains of rectal bleeding for the past year. He has not
change in bowel habits and denies abdominal pain, weight loss, and rectal pain. He
has seen blood in the toilet water and when wiping approxi- mately once every few
weeks, but lately the bleeding has increased. He had colonoscopy 5 year ago. The
FNP should:: Schedule a colonoscopy to look for colon polyps and/or cancer
2/
18
, 15. An overweigh, middle-aged woman has right upper quadrant pain that radiates to
her right subscapular area and is severe and persistent. She is also experiencing
anorexia, nausea, and a fever. Her most recent meal was a double quarter-pound
cheeseburger, French fries, and a milkshake. The FNP examines the abdomen and
percusses for CVA tenderness. the abdomen is tender in the RUQ. Which of the
following signs corresponds with the correct diagnosis?: Murphy's sign: the patient has
cholecystitis
McBurney's sign is related to appendicitis CVA
tenderness is related to UTIs
16. A sudden onset of diarrhea that consists of five to six loose stools a day
and awakens the pt at night with cramping, but without blood in the stools, would most
likely be caused by what?: Infection
Clues for infection are awakening at night, cramping without blood, sudden onset Those S/S
are either infection or inflammation
17. The FNP is discussion Clostridium difficile infection with the family of a 68-year-
old female who lives with them and who was recently diagnosed with the infection.
Which of the following statements would be the most important for the family to
understand?: Pt needs to use a different bathroom than the rest of the family
Contact isolation
18. An older woman is noted to have iron-deficiency anemia. She has no pain or rectal
bleeding. What hx would raise suspicion of a gastric ulcer?: An ankle sprain requiring
800mg of ibuprofen 3 times a day for the last 6 weeks
3/
18
