WGU D027 OBJECTIVE ASSESSMENT FINAL
EXAM QUESTIONS AND ANSWERS
1.What is the gold standard for the suspected diagnosis of Celiac Disease?-
Answer Endoscopy with small intestine biopsy
2.A 44-year-old woman has recently been diagnosed with advanced
metasta- tic non-small-cell lung cancer. Genetic testing is ordered to
determine if the patient's tumor has any genomic alterations and to guide
treatment decisions. A few weeks later, the patient's test results come back
positive for a genetic mutation. The APN starts osimertinib (Tagrisso).
Based on this information, what type of genetic mutation does this patient
have?
Answer EGFR mutation
3.A 20-year-old male meets with an advanced professional nurse (APN) to
discuss symptoms that have been slowly progressing over the past several
years. He is mainly concerned because he has been falling frequently. Since
childhood, his gait has consisted of walking on his toes. During middle
school, he was able to participate in sports but was unable to participate in
high school sports due to difficulty with running and jumping. Lately, he has
noticed it takes longer and is more difficult to change positions from sitting
to standing than it used to in the past. He has also been waking up with
muscle and joint stiffness. The APRN notes that his family history is not
significant for any chronic or genetic diseases. Which condition is likely to
be the cause of these symptoms?
Answer Becker muscular dystrophy
--Becker muscular dystrophy (often called Becker MD or BMD) is a form o
muscular
dystrophy, a genetic disorder that gradually makes the body's muscles
,weaker and smaller. It causes less severe problems than the most
common type, Duchenne muscular dystrophy.
4.Which statement should the provider give the patient regarding the patho-
physiology of SLE and its relation to thrombocytopenia?
Answer SLE disrupts immune homeostasis and promotes development
of self-reactive antibodies.
5.A female patient presents to an office to establish care. Her previous pri-
mary care provider told her to follow up regarding an elevated ferritin
level. She has no previous medical history and is currently asymptomatic.
She is concerned about the elevated ferritin and would like to know if she
should be worried. What should the provider do next for this patient?
Answer Order a liver function test
6.A 75-year-old female presents to the emergency department with an irreg-
ular heart rate of 130.What can be ascertained about this patient's findings
given the limited information?
Answer She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
7.Which condition from this patient's medical history is contributing to
the loss of contractility?
Answer Acute myocardial infarction
8.Which condition is this patient suffering from?
Answer Diabetic ketoacidosis
9.A 45-year-old female fears that she is having a stroke and takes herself to
an emergency room. After several diagnostic and laboratory tests, the
patient is diagnosed with Cushing disease. Which lab abnormality would be
present in this patient?
Answer Increased cortisol
, 10.SOB when lying down, and moving around --Based on the patient's
pre- sentation, which disease process is the patient likely exhibiting?
Answer Asthma
11.A two-year-old child presents with a clear runny nose and cough which
has lasted 3 days. The child's mother reports the cough sounds like a
barking noise. The child is sleeping in the mother's arms and appears to
have stridor. The child's mother also reports an axillary temperature of
101°F last night. Which management technique is appropriate for this child's
symptoms?
Answer Oral steroids and breathing treatments
12.Delerium, urinary incontinence, fever-- Which lab and diagnostic tests
should be ordered as part of the patient's assessment?
Answer Complete blood count, complete metabolic profile, and
urinalysis
13.An 18-year-old male is involved in a motorcycle crash while not wearing
a helmet. He is brought into an emergency room and is immediately taken
for a CT scan. The provider tells the patient's parents he has bleeding
between the dura mater and the skull. What is this patient's condition
called?
Answer Epidural hematoma
14.-- What is the appropriate diagnosis for this patient?
Answer Crohn's disease
15.Which diagnostic test is appropriate to order for this patient?
Answer Ultrasound
16.A 45-year-old male is being seen in the clinic for a yearly check-up and
lab work. His history includes hypertension and hyperlipidemia for which he
EXAM QUESTIONS AND ANSWERS
1.What is the gold standard for the suspected diagnosis of Celiac Disease?-
Answer Endoscopy with small intestine biopsy
2.A 44-year-old woman has recently been diagnosed with advanced
metasta- tic non-small-cell lung cancer. Genetic testing is ordered to
determine if the patient's tumor has any genomic alterations and to guide
treatment decisions. A few weeks later, the patient's test results come back
positive for a genetic mutation. The APN starts osimertinib (Tagrisso).
Based on this information, what type of genetic mutation does this patient
have?
Answer EGFR mutation
3.A 20-year-old male meets with an advanced professional nurse (APN) to
discuss symptoms that have been slowly progressing over the past several
years. He is mainly concerned because he has been falling frequently. Since
childhood, his gait has consisted of walking on his toes. During middle
school, he was able to participate in sports but was unable to participate in
high school sports due to difficulty with running and jumping. Lately, he has
noticed it takes longer and is more difficult to change positions from sitting
to standing than it used to in the past. He has also been waking up with
muscle and joint stiffness. The APRN notes that his family history is not
significant for any chronic or genetic diseases. Which condition is likely to
be the cause of these symptoms?
Answer Becker muscular dystrophy
--Becker muscular dystrophy (often called Becker MD or BMD) is a form o
muscular
dystrophy, a genetic disorder that gradually makes the body's muscles
,weaker and smaller. It causes less severe problems than the most
common type, Duchenne muscular dystrophy.
4.Which statement should the provider give the patient regarding the patho-
physiology of SLE and its relation to thrombocytopenia?
Answer SLE disrupts immune homeostasis and promotes development
of self-reactive antibodies.
5.A female patient presents to an office to establish care. Her previous pri-
mary care provider told her to follow up regarding an elevated ferritin
level. She has no previous medical history and is currently asymptomatic.
She is concerned about the elevated ferritin and would like to know if she
should be worried. What should the provider do next for this patient?
Answer Order a liver function test
6.A 75-year-old female presents to the emergency department with an irreg-
ular heart rate of 130.What can be ascertained about this patient's findings
given the limited information?
Answer She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
7.Which condition from this patient's medical history is contributing to
the loss of contractility?
Answer Acute myocardial infarction
8.Which condition is this patient suffering from?
Answer Diabetic ketoacidosis
9.A 45-year-old female fears that she is having a stroke and takes herself to
an emergency room. After several diagnostic and laboratory tests, the
patient is diagnosed with Cushing disease. Which lab abnormality would be
present in this patient?
Answer Increased cortisol
, 10.SOB when lying down, and moving around --Based on the patient's
pre- sentation, which disease process is the patient likely exhibiting?
Answer Asthma
11.A two-year-old child presents with a clear runny nose and cough which
has lasted 3 days. The child's mother reports the cough sounds like a
barking noise. The child is sleeping in the mother's arms and appears to
have stridor. The child's mother also reports an axillary temperature of
101°F last night. Which management technique is appropriate for this child's
symptoms?
Answer Oral steroids and breathing treatments
12.Delerium, urinary incontinence, fever-- Which lab and diagnostic tests
should be ordered as part of the patient's assessment?
Answer Complete blood count, complete metabolic profile, and
urinalysis
13.An 18-year-old male is involved in a motorcycle crash while not wearing
a helmet. He is brought into an emergency room and is immediately taken
for a CT scan. The provider tells the patient's parents he has bleeding
between the dura mater and the skull. What is this patient's condition
called?
Answer Epidural hematoma
14.-- What is the appropriate diagnosis for this patient?
Answer Crohn's disease
15.Which diagnostic test is appropriate to order for this patient?
Answer Ultrasound
16.A 45-year-old male is being seen in the clinic for a yearly check-up and
lab work. His history includes hypertension and hyperlipidemia for which he
