WGU D115 OA Study Guide Unit 3 questions with
verified answers
A 15 year old male pt presents to the clinic with abd pain and fatigue, and is dx
with mono. Which is the most important part of this patient's plan of care?
Ans✓✓✓ Avoid contact sports for up to 4 weeks
Splenomegaly is a complication of mono. Contact sports increase risk of spleen
rupturing
A 16 year old presents to the urgent care clinic after a hard hit in football practice.
During the physical exam, the NP observes "battle's sign" and immediately refers
the patient to the ED. Which dx is the NP concerned about? Ans✓✓✓ Basal skull
fx
A 17 year old female was dx with angular cheilitis. She had tx failure after a course
of topical abx, topical steroids, moisture barrier creams, and antifungals were
rxed. What would be the most appropriate next step in the pt's plan of care?
Ans✓✓✓ Check vitamin B12 levels
Most common cause is a fungal infection but can be from vitamin B12 deficiency
and bacterial infections
A 2 year old boy presents to the clinic with a fever. During the physical exam the
NP observes Koplik's spots inside of his buccal mucosa. Which would be the most
important to assess on the pt to aid in an appropriate dx? Ans✓✓✓ Vaccination
status
, Koplik spots are seen with measles: small white spots on a reddened background
that occur on the inside of the cheeks
A 20 year old female reports a hx of "cold symptoms" for 12 days. Her physical
exam reveals unilateral facial pain and purulent nasal discharge. Which dx are
these findings consistent with? Ans✓✓✓ Acute bacterial rhinosinusitis
S/S are facial pain or pressure, postnasal drip, nasal congestion, upper jaw or
tooth pain, nasal discharge, fever, cough
A 22 yr old woman has a new onset of panic disorder. As part of her clinical
presentation, you expect to find all of the following except? Ans✓✓✓ Hx of
thought disorder
thought disorders are like schizophrenia
A 26 year old presents to a clinic with complaints of left eye pain. the NP performs
fluorescent dye staining which reveals fern-like lines in the corneal surface. Which
would be the most appropriate hx question to ask the pt? Ans✓✓✓ have you
ever had a cold sore?
A 32 year old woman is seen in the ED complaining of severe headache and
NAUSEA. She reports a hx of HAs off and on for the past several months, typically
unilaterally and without warning. In addition, she reports that the HA occur at
varing times of the day. Based on this brief hx, the NP suspects that the woman
may have? Ans✓✓✓ Migraine
Throbbing in one particular area that can vary in intensity
verified answers
A 15 year old male pt presents to the clinic with abd pain and fatigue, and is dx
with mono. Which is the most important part of this patient's plan of care?
Ans✓✓✓ Avoid contact sports for up to 4 weeks
Splenomegaly is a complication of mono. Contact sports increase risk of spleen
rupturing
A 16 year old presents to the urgent care clinic after a hard hit in football practice.
During the physical exam, the NP observes "battle's sign" and immediately refers
the patient to the ED. Which dx is the NP concerned about? Ans✓✓✓ Basal skull
fx
A 17 year old female was dx with angular cheilitis. She had tx failure after a course
of topical abx, topical steroids, moisture barrier creams, and antifungals were
rxed. What would be the most appropriate next step in the pt's plan of care?
Ans✓✓✓ Check vitamin B12 levels
Most common cause is a fungal infection but can be from vitamin B12 deficiency
and bacterial infections
A 2 year old boy presents to the clinic with a fever. During the physical exam the
NP observes Koplik's spots inside of his buccal mucosa. Which would be the most
important to assess on the pt to aid in an appropriate dx? Ans✓✓✓ Vaccination
status
, Koplik spots are seen with measles: small white spots on a reddened background
that occur on the inside of the cheeks
A 20 year old female reports a hx of "cold symptoms" for 12 days. Her physical
exam reveals unilateral facial pain and purulent nasal discharge. Which dx are
these findings consistent with? Ans✓✓✓ Acute bacterial rhinosinusitis
S/S are facial pain or pressure, postnasal drip, nasal congestion, upper jaw or
tooth pain, nasal discharge, fever, cough
A 22 yr old woman has a new onset of panic disorder. As part of her clinical
presentation, you expect to find all of the following except? Ans✓✓✓ Hx of
thought disorder
thought disorders are like schizophrenia
A 26 year old presents to a clinic with complaints of left eye pain. the NP performs
fluorescent dye staining which reveals fern-like lines in the corneal surface. Which
would be the most appropriate hx question to ask the pt? Ans✓✓✓ have you
ever had a cold sore?
A 32 year old woman is seen in the ED complaining of severe headache and
NAUSEA. She reports a hx of HAs off and on for the past several months, typically
unilaterally and without warning. In addition, she reports that the HA occur at
varing times of the day. Based on this brief hx, the NP suspects that the woman
may have? Ans✓✓✓ Migraine
Throbbing in one particular area that can vary in intensity
