WGU D027 LATEST UPDATE 2025
A Japanese male present with hypertension and chronic kidney disease, which antihypertensive would
you give? - ANSWER-ACE inhibitor or ARB. Next course of action is to reduce amount of salt in diet.
A Japanese patient comes in with hypertension, already taking an ACE inhibitor with stage 3
hypertension. What medication would we suggest next? - ANSWER-Amlodipine
Combined ___________ are contraindicated when breast feeding. - ANSWER-Oral contraceptives
Do not combine an _______ with an angiotensin II Receptor Blockers ARB (-sartan) - ANSWER-ACE
inhibitor
Drugs with _______ are contraindicated during pregnancy. - ANSWER--flox- drugs. For example,
ciprofloxacin (Cipro), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin
(Noroxin), and ofloxacin (Floxin) which are all fluoroquinolones.
G6PD deficiency - ANSWER-- Low NADPH leads to hemolytic anemia (free radicals)
- X-linked recessive
How do you diagnose lung cancer? - ANSWER-- Chest X-ray
- Test for mutation in epidermal growth factor receptor (EFGR)
How do you test for postural orthostatic tachycardia syndrome? - ANSWER-Tilt test
How should Warfarin be started? - ANSWER-Start initial dose at half to monitor the effects
how to treat grave's disease? - ANSWER-Remove or destroy thyroid tissue or suppress with drug
(methimazole or propylthiouracil)
Treat with Iodine-131
Beta blockers also used to suppress release of thyroid hormones and reduce HR.
, WGU D027 LATEST UPDATE 2025
How to treat pediatric UTI with no comorbidities? - ANSWER-Trimethoprim/sulfamethoxazole (Bactrim,
Septra)
Augmentin
Cephalosporins
Is an ejection fraction of 50% reduced or preserved? - ANSWER-Preserved
Name an adrenocortical steroid indicated as partial replacement therapy for primary and secondary
adrenocortical insufficiency in Addison's disease and for the treatment of salt-losing adrenogenital
syndrome - ANSWER-Florinef
Normal TSH levels - ANSWER-0.4-4.0
Parental care of the newborn with sickle cell anemia: - ANSWER-- Infant will be anemic
- Increased risk for infection
- May have spleen or liver damage causing jaundice
- May have crying episodes from pain and swelling of extremities
- Hydrate, administer vaccines, antibiotics when necessary, folic acid administration, and regular eye
exams
Should you admit or monitor a young athletic patient with bradycardia? - ANSWER-Monitor as it is
normal.
Side effects of cholinesterase inhibitors (neostigmine): - ANSWER-Excessive salvation, urinary urgency,
sweating, spasm, bradycardia
Side effects of corticosteroids - ANSWER-Acute mania, immunosuppression, thin skin, osteoporosis, easy
bruising, myopathies, edema,
Symptoms of hyperthyroidism (thyrotoxicosis) - ANSWER-Tachyarrhythmias, anxiety, insomnia, rapid
flow/speech, hot
A Japanese male present with hypertension and chronic kidney disease, which antihypertensive would
you give? - ANSWER-ACE inhibitor or ARB. Next course of action is to reduce amount of salt in diet.
A Japanese patient comes in with hypertension, already taking an ACE inhibitor with stage 3
hypertension. What medication would we suggest next? - ANSWER-Amlodipine
Combined ___________ are contraindicated when breast feeding. - ANSWER-Oral contraceptives
Do not combine an _______ with an angiotensin II Receptor Blockers ARB (-sartan) - ANSWER-ACE
inhibitor
Drugs with _______ are contraindicated during pregnancy. - ANSWER--flox- drugs. For example,
ciprofloxacin (Cipro), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin
(Noroxin), and ofloxacin (Floxin) which are all fluoroquinolones.
G6PD deficiency - ANSWER-- Low NADPH leads to hemolytic anemia (free radicals)
- X-linked recessive
How do you diagnose lung cancer? - ANSWER-- Chest X-ray
- Test for mutation in epidermal growth factor receptor (EFGR)
How do you test for postural orthostatic tachycardia syndrome? - ANSWER-Tilt test
How should Warfarin be started? - ANSWER-Start initial dose at half to monitor the effects
how to treat grave's disease? - ANSWER-Remove or destroy thyroid tissue or suppress with drug
(methimazole or propylthiouracil)
Treat with Iodine-131
Beta blockers also used to suppress release of thyroid hormones and reduce HR.
, WGU D027 LATEST UPDATE 2025
How to treat pediatric UTI with no comorbidities? - ANSWER-Trimethoprim/sulfamethoxazole (Bactrim,
Septra)
Augmentin
Cephalosporins
Is an ejection fraction of 50% reduced or preserved? - ANSWER-Preserved
Name an adrenocortical steroid indicated as partial replacement therapy for primary and secondary
adrenocortical insufficiency in Addison's disease and for the treatment of salt-losing adrenogenital
syndrome - ANSWER-Florinef
Normal TSH levels - ANSWER-0.4-4.0
Parental care of the newborn with sickle cell anemia: - ANSWER-- Infant will be anemic
- Increased risk for infection
- May have spleen or liver damage causing jaundice
- May have crying episodes from pain and swelling of extremities
- Hydrate, administer vaccines, antibiotics when necessary, folic acid administration, and regular eye
exams
Should you admit or monitor a young athletic patient with bradycardia? - ANSWER-Monitor as it is
normal.
Side effects of cholinesterase inhibitors (neostigmine): - ANSWER-Excessive salvation, urinary urgency,
sweating, spasm, bradycardia
Side effects of corticosteroids - ANSWER-Acute mania, immunosuppression, thin skin, osteoporosis, easy
bruising, myopathies, edema,
Symptoms of hyperthyroidism (thyrotoxicosis) - ANSWER-Tachyarrhythmias, anxiety, insomnia, rapid
flow/speech, hot
