WGU D027 EXAM QUESTIONS AND ANSWERS – GRADED A+
What organ does cystic fibrosis affect? Correct ans - Affects the
pancreas causing secretions into the lungs
What is Klinefelter syndrome? Correct ans - An extra X chromosome
for males so example XXY causing female-like qualities
What is Turner Syndrome? Correct ans - females. missing or deformed
x chromosome. right hemisphere dysfunction, hearing loss, ear infection,
language and articulation disorders, visual spatial and attentional problems
What is beta thalassemia? Correct ans - a condition in which the
synthesis of the beta-globin chains is decreased or absent. Causes low
hemoglobin.
Which medication is contraindicated in a patient with Beta Thalassemia?
Correct ans - Ferrous Sulfate
What drug is used in combination with other agent to treat lymphoid tissue
(leukemia). Directly toxic to lymphoid tissues Selective estrogen receptor
modulators (SERM) - for hormone receptor positive and advanced breast
cancer. (Tomaxafin - reduces risk and recurrence risk) Correct ans -
Glucocorticoids
What is the normal ejection fraction? Correct ans - 55-60%. Less than
50% is BAD
Is an ejection fraction of 50% reduced or preserved? Correct ans -
Preserved
What are symptoms of left sided heart failure? Correct ans - Think
PULMONARY. JVD, FVO, rails, S3 murmurs. Number one cause of right sided
heart failure!
What are symptoms of right sided heart failure? Correct ans - Think
peripheral vascular. Lower extremity edema, abdominal distension.
What is the gold standard lab test for heart failure? Correct ans - BNP.
Heart failure is a result greater than 100
What heart disease is worse with exertion? Correct ans - Ischemic
heart disease because the demand requirements are higher.
What should you assess before giving Digoxin? Correct ans - Apical
pulse
, How should Warfarin be started? Correct ans - Start initial dose at half
to monitor the effects
What causes the destruction of alveolar walls? Air goes in but can't get out
which leads to hyperinflation Correct ans - Emphysema
What causes excess mucus production and smooth muscle hypertrophy?
Correct ans - Bronchitis
What is a chronic inflammatory obstruction of bronchi? Correct ans -
Asthma, Triggers cause mucus to clog bronchial tubes.
What causes an overbite and buffalo hump? Correct ans - Endocrine
disorder called acromegaly (overproduction of growth hormone)
What causes Addison's disease? Correct ans - Decreased
glucocorticoid (due to autoimmune destruction of adrenal cortex)
What causes Cushing's syndrome? Correct ans - excess cortisol
What causes Grave's disease? Correct ans - overproduction of thyroid
hormone. HYPERthyroidism.
When should you instruct the patient to take their FIRST dose of
antihypertensive? Correct ans - At night to avoid orthostatic
hypotension. Educate slow position changes and lay down if needed.
What are side effects of ACE inhibitors? Correct ans - dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to patients with
Asthma? Correct ans - Nonselective beta blocker (-lol) because both
beta-2 receptors are effected
What is the first choice of calcium channel blocker? Correct ans -
Verapamil
What side effect should you watch for in a patient taking a statin drug?
Correct ans - 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? Correct ans - Thiazide diuretics
What organ does cystic fibrosis affect? Correct ans - Affects the
pancreas causing secretions into the lungs
What is Klinefelter syndrome? Correct ans - An extra X chromosome
for males so example XXY causing female-like qualities
What is Turner Syndrome? Correct ans - females. missing or deformed
x chromosome. right hemisphere dysfunction, hearing loss, ear infection,
language and articulation disorders, visual spatial and attentional problems
What is beta thalassemia? Correct ans - a condition in which the
synthesis of the beta-globin chains is decreased or absent. Causes low
hemoglobin.
Which medication is contraindicated in a patient with Beta Thalassemia?
Correct ans - Ferrous Sulfate
What drug is used in combination with other agent to treat lymphoid tissue
(leukemia). Directly toxic to lymphoid tissues Selective estrogen receptor
modulators (SERM) - for hormone receptor positive and advanced breast
cancer. (Tomaxafin - reduces risk and recurrence risk) Correct ans -
Glucocorticoids
What is the normal ejection fraction? Correct ans - 55-60%. Less than
50% is BAD
Is an ejection fraction of 50% reduced or preserved? Correct ans -
Preserved
What are symptoms of left sided heart failure? Correct ans - Think
PULMONARY. JVD, FVO, rails, S3 murmurs. Number one cause of right sided
heart failure!
What are symptoms of right sided heart failure? Correct ans - Think
peripheral vascular. Lower extremity edema, abdominal distension.
What is the gold standard lab test for heart failure? Correct ans - BNP.
Heart failure is a result greater than 100
What heart disease is worse with exertion? Correct ans - Ischemic
heart disease because the demand requirements are higher.
What should you assess before giving Digoxin? Correct ans - Apical
pulse
, How should Warfarin be started? Correct ans - Start initial dose at half
to monitor the effects
What causes the destruction of alveolar walls? Air goes in but can't get out
which leads to hyperinflation Correct ans - Emphysema
What causes excess mucus production and smooth muscle hypertrophy?
Correct ans - Bronchitis
What is a chronic inflammatory obstruction of bronchi? Correct ans -
Asthma, Triggers cause mucus to clog bronchial tubes.
What causes an overbite and buffalo hump? Correct ans - Endocrine
disorder called acromegaly (overproduction of growth hormone)
What causes Addison's disease? Correct ans - Decreased
glucocorticoid (due to autoimmune destruction of adrenal cortex)
What causes Cushing's syndrome? Correct ans - excess cortisol
What causes Grave's disease? Correct ans - overproduction of thyroid
hormone. HYPERthyroidism.
When should you instruct the patient to take their FIRST dose of
antihypertensive? Correct ans - At night to avoid orthostatic
hypotension. Educate slow position changes and lay down if needed.
What are side effects of ACE inhibitors? Correct ans - dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT be given to patients with
Asthma? Correct ans - Nonselective beta blocker (-lol) because both
beta-2 receptors are effected
What is the first choice of calcium channel blocker? Correct ans -
Verapamil
What side effect should you watch for in a patient taking a statin drug?
Correct ans - 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? Correct ans - Thiazide diuretics
