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WGU D027 Objective Assessment Final Exam Complete Questions with Correct Detailed Answers

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WGU D027 Objective Assessment Final Exam Complete Questions with Correct Detailed Answers What is a chronic inflammatory obstruction of bronchi? - ANSWER -Asthma, Triggers cause mucus to clog bronchial tubes. What causes an overbite and buffalo hump? - ANSWER -Endocrine disorder called acromegaly (overproduction of growth hormone) What causes Addison's disease? - ANSWER -Decreased glucocorticoid (due to autoimmune destruction of adrenal cortex) What causes Cushing's syndrome? - ANSWER -excess cortisol What causes Grave's disease? - ANSWER -overproduction of thyroid hormone. HYPERthyroidism. When should you instruct the patient to take their FIRST dose of antihypertensive? - ANSWER -At night to avoid orthostatic hypotension. Educate slow position changes and lay down if needed. What are side effects of ACE inhibitors? - ANSWER -dry cough angioedema hyperkalemia *Contraindicated in pregnancy Which type of antihypertensive should NOT be given to patients with Asthma? - ANSWER -Nonselective beta blocker (-lol) because both beta-2 receptors are effected What is the first choice of calcium channel blocker? - ANSWER -Verapamil What side effect should you watch for in a patient taking a statin drug? - ANSWER -Muscle pain which can lead to rhabdomyolysis, kidney failure, and death. Which diuretic is NOT used in patients with kidney failure and sickle cell disease? - ANSWER -Thiazide diuretics What type of drug is spironolactone? - ANSWER -potassium sparing diuretic Which type of insulin is the most painful during injection? - ANSWER -Lantus (long-acting) Why test glycosylated hemoglobin (HgbA1c)? - ANSWER -Most reliable assessment of blood sugar over the past 3 months. The goal is 6.5%. A poor

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WGU D027 Objective Assessment Final Exam
Complete Questions with Correct Detailed
Answers
What is a chronic inflammatory obstruction of bronchi? - ANSWER -Asthma,
Triggers cause mucus to clog bronchial tubes.

What causes an overbite and buffalo hump? - ANSWER -Endocrine disorder
called acromegaly (overproduction of growth hormone)

What causes Addison's disease? - ANSWER -Decreased glucocorticoid (due to
autoimmune destruction of adrenal cortex)

What causes Cushing's syndrome? - ANSWER -excess cortisol

What causes Grave's disease? - ANSWER -overproduction of thyroid hormone.
HYPERthyroidism.

When should you instruct the patient to take their FIRST dose of
antihypertensive? - ANSWER -At night to avoid orthostatic hypotension. Educate
slow position changes and lay down if needed.

What are side effects of ACE inhibitors? - ANSWER -dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy

Which type of antihypertensive should NOT be given to patients with Asthma? -
ANSWER -Nonselective beta blocker (-lol) because both beta-2 receptors are
effected

What is the first choice of calcium channel blocker? - ANSWER -Verapamil

What side effect should you watch for in a patient taking a statin drug? -
ANSWER -Muscle pain which can lead to rhabdomyolysis, kidney failure, and
death.

, Which diuretic is NOT used in patients with kidney failure and sickle cell disease?
- ANSWER -Thiazide diuretics

What type of drug is spironolactone? - ANSWER -potassium sparing diuretic

Which type of insulin is the most painful during injection? - ANSWER -Lantus
(long-acting)

Why test glycosylated hemoglobin (HgbA1c)? - ANSWER -Most reliable
assessment of blood sugar over the past 3 months. The goal is < 6.5%. A poor
result is > 9%

What is the normal range for TSH level? - ANSWER -The normal range of TSH
levels is 0.4 to 4.0 milli-international units per liter. If you're already being treated
for a thyroid disorder, the normal range is 0.5 to 3.0 milli-international units per
liter. A value ABOVE the normal range usually indicates hypothyroidism.

What lab test would we recommend for thyroid? - ANSWER -Thyroid peroxidase
antibodies (TPO)

symptoms of hypothyroidism - ANSWER -Bradycardia; cold intolerance;
lethargy; memory loss; dry skin; brittle dry hair; decreased appetite; weight gain;
constipation; increased serum lipids; decreased libido; erectile dysfunction

What if a newborn has hypothyroidism? - ANSWER -Requires replacement
within a few days and last for 3 years to prevent mental development changes and
dwarfism.

What is Hashimoto's disease? - ANSWER -An autoimmune cause of hypothyroid.
Symptoms include weight gain and fatigue.

Symptoms of hyperthyroidism (thyrotoxicosis) - ANSWER -Tachyarrhythmias,
anxiety, insomnia, rapid flow/speech, hot
GRAVES DISEASE

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.

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