WGU D027 STUDY GUIDE EXAM
QUESTIONS AND VALIDATED ANSWERS.
Treatment of a mild reaction to Igm - CorreCt Answers -slow infusion rate,
try tylenol, benadryl, and steroids
PPD skin test - CorreCt Answers -check skin after 48 - 72 hours; >10mm is
positive. Induration seen on patient who has had TB immunization is
normal and not positive. Someone who has been vaccinated for TB should
not receive skin test.
Sjogren's syndrome - CorreCt Answers -autoimmune destruction of minor
salivary glands and lacrimal glands; anti-nuclear antibodies, anti-SSA +SSB
Small cell lung cancer (SCLC) - CorreCt Answers -most common type of
lung tumors, 15% of lung cancers, 25% of lung cancer deaths. Arise from
central part of lung, cell size range from 6-8mm. strong correlation to
tobacco smoking. rapid rate of growth, metastasize early and widely, worst
prognosis of all lung cancers. left untreated survival rate is 8% at 5 years.
hormones related to small cell carcinoma - CorreCt Answers -arise from
neuroendocrine cells that contain neurosecretory granules, exist
throughout the tracheobronchial tree, associated with tumor-derived
hormone production.
resultant s/s called paraneoplastic syndromes are first manifestations of the
underlying cancer.
examples: hyponatremia (antidiuretic hormone), cushing syndrome
(adenocorticotropic hormone), hypocalcemia (calcitonin), gynecomastia
,(gonadotropins), carcinoid syndrome (serotonin), Lambert-eaton
myasthenic syndrome (muscle weakness of limbs)
Diagnosing lung cancer - CorreCt Answers -chest x-ray, mutation in EFGR
(gene mutation in people who have never smoked)
Step 1 asthma treatment - CorreCt Answers -(intermittent asthma);
Preferred: SABA inhaled
Step 2 asthma treatments (persistent asthma) - CorreCt Answers -
Preferred: low dose ICS, Alternative - theophylline
Step 3 asthma treatments - CorreCt Answers -Preferred: low-dose ICS
(inhaled corticosteroid) plus LABA or medium dose ICS
Step 4 asthma treatment - CorreCt Answers -Preferred: med dose ICS plus
LABA
Step 5 asthma treatment - CorreCt Answers -Preferred: high dose ICS plus
LABA
Step 6 asthma treatment - CorreCt Answers -Preferred: high dose ICS plus
LABA plus oral systemic corticosteroid
Quick relief medication for all asthma patients - CorreCt Answers -inhaled
SABA as needed for symptoms. Intensity of treatment depends on severity
of symptoms (up to 3 treatments at 20 minute intervals PRN). Short course
of systemic corticosteroids may be needed.
, Use of inhaled SABA for more than 2 days/week indicates: - CorreCt
Answers -inadequate control and the need to step up treatmentAutosomal
Dominant - CorreCt Answers -1 parent has, 50% change of child having
Autosomal Recessive - CorreCt Answers -Both parents are carriers, 25%
change of child having, 50% chance child is a carrier.
Cystic Fibrosis - CorreCt Answers -affects pancreas causing secretions in
lungs
21st Trisomy - CorreCt Answers -Down Syndrome
Klinefelter Syndrome (XXY) - CorreCt Answers -male has extra X, female
like qualities
Turner Syndrome - CorreCt Answers -Missing X in females
Alpha Thalassemia - CorreCt Answers -inherited blood disorder; mild to
severe anemia
Beta Thallasemia - CorreCt Answers -low hemoglobin; contraindicated
medication ferrous sulfate
Prevalence Risk - CorreCt Answers -proportion of the population affected at
a certain time
QUESTIONS AND VALIDATED ANSWERS.
Treatment of a mild reaction to Igm - CorreCt Answers -slow infusion rate,
try tylenol, benadryl, and steroids
PPD skin test - CorreCt Answers -check skin after 48 - 72 hours; >10mm is
positive. Induration seen on patient who has had TB immunization is
normal and not positive. Someone who has been vaccinated for TB should
not receive skin test.
Sjogren's syndrome - CorreCt Answers -autoimmune destruction of minor
salivary glands and lacrimal glands; anti-nuclear antibodies, anti-SSA +SSB
Small cell lung cancer (SCLC) - CorreCt Answers -most common type of
lung tumors, 15% of lung cancers, 25% of lung cancer deaths. Arise from
central part of lung, cell size range from 6-8mm. strong correlation to
tobacco smoking. rapid rate of growth, metastasize early and widely, worst
prognosis of all lung cancers. left untreated survival rate is 8% at 5 years.
hormones related to small cell carcinoma - CorreCt Answers -arise from
neuroendocrine cells that contain neurosecretory granules, exist
throughout the tracheobronchial tree, associated with tumor-derived
hormone production.
resultant s/s called paraneoplastic syndromes are first manifestations of the
underlying cancer.
examples: hyponatremia (antidiuretic hormone), cushing syndrome
(adenocorticotropic hormone), hypocalcemia (calcitonin), gynecomastia
,(gonadotropins), carcinoid syndrome (serotonin), Lambert-eaton
myasthenic syndrome (muscle weakness of limbs)
Diagnosing lung cancer - CorreCt Answers -chest x-ray, mutation in EFGR
(gene mutation in people who have never smoked)
Step 1 asthma treatment - CorreCt Answers -(intermittent asthma);
Preferred: SABA inhaled
Step 2 asthma treatments (persistent asthma) - CorreCt Answers -
Preferred: low dose ICS, Alternative - theophylline
Step 3 asthma treatments - CorreCt Answers -Preferred: low-dose ICS
(inhaled corticosteroid) plus LABA or medium dose ICS
Step 4 asthma treatment - CorreCt Answers -Preferred: med dose ICS plus
LABA
Step 5 asthma treatment - CorreCt Answers -Preferred: high dose ICS plus
LABA
Step 6 asthma treatment - CorreCt Answers -Preferred: high dose ICS plus
LABA plus oral systemic corticosteroid
Quick relief medication for all asthma patients - CorreCt Answers -inhaled
SABA as needed for symptoms. Intensity of treatment depends on severity
of symptoms (up to 3 treatments at 20 minute intervals PRN). Short course
of systemic corticosteroids may be needed.
, Use of inhaled SABA for more than 2 days/week indicates: - CorreCt
Answers -inadequate control and the need to step up treatmentAutosomal
Dominant - CorreCt Answers -1 parent has, 50% change of child having
Autosomal Recessive - CorreCt Answers -Both parents are carriers, 25%
change of child having, 50% chance child is a carrier.
Cystic Fibrosis - CorreCt Answers -affects pancreas causing secretions in
lungs
21st Trisomy - CorreCt Answers -Down Syndrome
Klinefelter Syndrome (XXY) - CorreCt Answers -male has extra X, female
like qualities
Turner Syndrome - CorreCt Answers -Missing X in females
Alpha Thalassemia - CorreCt Answers -inherited blood disorder; mild to
severe anemia
Beta Thallasemia - CorreCt Answers -low hemoglobin; contraindicated
medication ferrous sulfate
Prevalence Risk - CorreCt Answers -proportion of the population affected at
a certain time
