WGU D118 OBJECTIVE ASSESSMENT FINAL
EXAM
A patient who has asthma calls the primary care provider to report having a peak
flow measure of 75%, shortness of breath, wheezing, and cough, and tells the
provider that the symptoms have not improved significantly after a dose of albuterol.
The patient uses an inhaled corticosteroid medication twice daily.
What will the provider recommend? - ANSWER Administering two more doses of
albuterol
A young adult patient develops a cough persisting longer than two months. The
primary care provider orders pulmonary function tests (PFTs) and a chest
radiograph, which are both normal. The patient denies abdominal complaints. There
are no signs of rhinitis or sinusitis and the patient does not take any medications.
What will the provider evaluate next to help determine the cause of this cough? -
ANSWER Methacholine challenge test
Which medication will the primary care provider order for a patient with chronic
obstructive pulmonary disease who reports daily symptoms of dyspnea and cough? -
ANSWER Ipratropium bromide
A patient with small cell lung cancer (SCLC) has undergone chemotherapy with a
good initial response to therapy.
What will the primary care provider tell this patient about the prognosis for treating
this disease? - ANSWER "Relapse is likely with a two-year overall survival of 50%."
Which method of treatment is used for traumatic pneumothorax? - ANSWER Tube
thoracostomy
Which diagnostic test will confirm the presence of a pulmonary embolism (PE) in a
patient who has undergone surgical immobilization for a femur fracture and reports
dyspnea and chest pain with inspiration and has a heart rate of 120 beats per
minute? - ANSWER Computed tomography (CT) angiography
When following a patient with sarcoidosis over time, a(n)_______ is useful to help
monitor the progression of the disease. - ANSWER Pulmonary Function Test
Which initial treatment will be helpful for a patient who is diagnosed with mild restless
leg syndrome (RLS) that occasionally interferes with sleep? - ANSWER Hot baths
and exercise
A patient reports abdominal and back pain with anorexia and nausea. During an
examination, the primary care provider notes a pulsatile abdominal mass.
What is the provider's initial action? - ANSWER Order an ultrasound of the mass to
determine its size
During a routine health maintenance examination, the primary care provider
auscultates a carotid bruit. The patient denies syncope, weakness, or headache.
EXAM
A patient who has asthma calls the primary care provider to report having a peak
flow measure of 75%, shortness of breath, wheezing, and cough, and tells the
provider that the symptoms have not improved significantly after a dose of albuterol.
The patient uses an inhaled corticosteroid medication twice daily.
What will the provider recommend? - ANSWER Administering two more doses of
albuterol
A young adult patient develops a cough persisting longer than two months. The
primary care provider orders pulmonary function tests (PFTs) and a chest
radiograph, which are both normal. The patient denies abdominal complaints. There
are no signs of rhinitis or sinusitis and the patient does not take any medications.
What will the provider evaluate next to help determine the cause of this cough? -
ANSWER Methacholine challenge test
Which medication will the primary care provider order for a patient with chronic
obstructive pulmonary disease who reports daily symptoms of dyspnea and cough? -
ANSWER Ipratropium bromide
A patient with small cell lung cancer (SCLC) has undergone chemotherapy with a
good initial response to therapy.
What will the primary care provider tell this patient about the prognosis for treating
this disease? - ANSWER "Relapse is likely with a two-year overall survival of 50%."
Which method of treatment is used for traumatic pneumothorax? - ANSWER Tube
thoracostomy
Which diagnostic test will confirm the presence of a pulmonary embolism (PE) in a
patient who has undergone surgical immobilization for a femur fracture and reports
dyspnea and chest pain with inspiration and has a heart rate of 120 beats per
minute? - ANSWER Computed tomography (CT) angiography
When following a patient with sarcoidosis over time, a(n)_______ is useful to help
monitor the progression of the disease. - ANSWER Pulmonary Function Test
Which initial treatment will be helpful for a patient who is diagnosed with mild restless
leg syndrome (RLS) that occasionally interferes with sleep? - ANSWER Hot baths
and exercise
A patient reports abdominal and back pain with anorexia and nausea. During an
examination, the primary care provider notes a pulsatile abdominal mass.
What is the provider's initial action? - ANSWER Order an ultrasound of the mass to
determine its size
During a routine health maintenance examination, the primary care provider
auscultates a carotid bruit. The patient denies syncope, weakness, or headache.
