WGU D118 ADULT PRIMARY CARE FINAL EXAM ASSESSMENT
REVIEW. 100% CORRECT QUESTIONS AND ANSWERS
ALREADY GRADED A+.
Which is a modifiable risk factor for melanoma >>-correct->>Considerable sun exposure and
sunburn
A 19-year-old female comes to your clinic for a routine visit to obtain birth control pills. You notice a
red sunburn over her body. She states that she stayed a little too long in the sunbed. She denies
pain and appears happy. What is your most appropriate course of action for skin health promotion
and disease prevention? – >>-CORRECT->>Ask how often she uses the sun bed and explore why
it is important to her
Large, flaccid bullae with honey-colored crusts around the mouth and nose are characteristic of >>-
correct->>Impetigo
You examine a patient with a well demarcated erythematous rash with silvery scale. You diagnose
? >>-correct->>Psoriasis
A teenage male comes to your clinic with the chief complaint of foot odor. He notes "extra" white
skin between his toes. He denies pain at this time. On history you find that he plays on the local
high school football team and is sexually active. What will you include in your plan of care? – >>-
CORRECT->>Miconazole nitrate 2% cream or Clotrimazole 1% solution twice a day x 4 weeks
A 60-year-old male comes to your office with a history of urticaria. He is staying at home more due
to his "rash". The lesions are papular and scabbed on extremities and trunk. What will you include
in your treatment plan? >>-correct->>Assess medication list for ACE inhibitors and NSAIDs
A teenager comes to your clinic with the chief complaint of warts located on her hands. Which
treatment is NOT an evidence-based option? >>-correct->>Shaving the warts
Mr. Jackson, age 64, is active and continues to farm as he has all of his adult life. He is
asymptomatic for skin lesions. What should you discuss with him for skin health promotion and
disease prevention course of action in this patient encounter? >>-correct->>Show Mr. Jackson how
to inspect his skin using the ABCDE model and encourage him to do self-skin-inspections
A 40 y/o man comes to the office with a rash of 4-5 months duration. He had bumps on his
shoulders, back and arms. He reports that the bumps are larger, he has nighttime pruritic and oral
and topical corticosteroids have not helped. He has no pets, lives alone, and recalls no insect bites
or contacts with anyone with a rash. On exam there is a symmetric eruption with erythematous
papules and excoriations on his back, shoulders, axillae, wrists, scrotum, and upper legs. There are
a few pustules in the axillae. Which of the following is the most appropriate next step? >>-correct-
>>Examine a skin scraping in mineral oil under a light microscope
A 75 y/o man in a nursing facility has developed a Stage 3 pressure ulcer. He weighs 160 lbs with a
10 lb weight loss in the last month. BMI=20.5, Albumin 3.2, Pre-albumin 14. Which of the following
is most likely to aid healing? >>-correct->>Protein 100 GM qd
A 70 y/o patient has a large sacral ulcer measuring 11 by 10 cm, with a depth of 4 cm. There is
surrounding erythema, exposed muscle, undermining of the edges and a tunneling tract that
extends another 2 cm. Within the ulcer, there is necrotic material and a significant amount of
exudate with a foul odor. Which of the following isthe next step to reduce odor? – >>-CORRECT-
>>Perform surgical debridement
, A 60 y/o woman is evaluated because she has erythematous lesions. Initially, the lesions were on
her arms and legs. By the end of week 1, the lesions spread to her trunk and several large blisters
appeared. The lesions are pruritic and cause her to scratch. On exam, there are areas of erythema
with tense blisters and serous exudate. Some blisters have opened into oval erosions with serous
exudate. Some blisters are covered in scabs. What is the most likely diagnosis? >>-correct-
>>Bullous pemphigoid
A 32 y/o woman comes to the office c/o a bad taste in her mouth. She takes Metformin and
Valsartan. Three weeks ago, she took Nitrofurantoin for a UTI. On exam, there are white plaques
on the surface of her cheeks, hard palate, and tongue. Wiping off some of the plaques reveals an
erythematous mucosal surface. Which of the following is the most likely diagnosis? >>-correct-
>>Acute pseudomembranous candidiasis
All of the following are true about renal dosing EXCEPT >>-correct->>Reducing each dose while
maintaining the dose interval presents no risks
When following up on response to treatment for a bite injury which diagnostic test can be used to
evaluate the response to the treatment? - ANSWER
✔✔C reactive protein
Which of the following factors contributes to the potential for antibiotic resistance? - ANSWER
✔✔Environment, Patient, Drug
The best description of logical antibiotic prescribing involves which of the following - ANSWER
✔✔Answering the 10 questions of logical prescribing
An example of a disease caused by vector transmission is >>-correct->>Malaria
An example of a disease caused by indirect transmission is >>-correct->>Salmonella
An example of a disease caused by direct transmission is >>-correct->>Herpes Type 1
Infections are defined as a harmful invasion and spread of a foreign species or pathogen. Which of
the following are sources of infection? – >>-CORRECT->>All of the above: Prions, Fungus &
Protists
Epidemiology is defined as >>-correct->>The science of discovering the causes of illnesses and
injury in populations
Which of the following statements is true regarding the first pass metabolism process? - ANSWER
✔✔After a drug is taken by the oral route, it is absorbed in the small intestines and enters the liver
through the portal circulation before being released into general circulation.
You would recommend the pneumococcal vaccine to patients with all of the following conditions
EXCEPT >>-correct->>G6PD deficiency anemia
Erythromycin inhibits the cytochrome P450 system. The following drugs should be avoided because
of drug interaction EXCEPT >>-correct->>Lasix
All of the following are included in the criteria used to diagnose patients with AIDS EXCEPT – >>-
CORRECT->>profound fatigue
Which of the following is the confirmatory test for the HIV screening test? >>-correct->>Western blot
Cat and human bites have higher rates of infection than dog bites. A patient comes to your office
REVIEW. 100% CORRECT QUESTIONS AND ANSWERS
ALREADY GRADED A+.
Which is a modifiable risk factor for melanoma >>-correct->>Considerable sun exposure and
sunburn
A 19-year-old female comes to your clinic for a routine visit to obtain birth control pills. You notice a
red sunburn over her body. She states that she stayed a little too long in the sunbed. She denies
pain and appears happy. What is your most appropriate course of action for skin health promotion
and disease prevention? – >>-CORRECT->>Ask how often she uses the sun bed and explore why
it is important to her
Large, flaccid bullae with honey-colored crusts around the mouth and nose are characteristic of >>-
correct->>Impetigo
You examine a patient with a well demarcated erythematous rash with silvery scale. You diagnose
? >>-correct->>Psoriasis
A teenage male comes to your clinic with the chief complaint of foot odor. He notes "extra" white
skin between his toes. He denies pain at this time. On history you find that he plays on the local
high school football team and is sexually active. What will you include in your plan of care? – >>-
CORRECT->>Miconazole nitrate 2% cream or Clotrimazole 1% solution twice a day x 4 weeks
A 60-year-old male comes to your office with a history of urticaria. He is staying at home more due
to his "rash". The lesions are papular and scabbed on extremities and trunk. What will you include
in your treatment plan? >>-correct->>Assess medication list for ACE inhibitors and NSAIDs
A teenager comes to your clinic with the chief complaint of warts located on her hands. Which
treatment is NOT an evidence-based option? >>-correct->>Shaving the warts
Mr. Jackson, age 64, is active and continues to farm as he has all of his adult life. He is
asymptomatic for skin lesions. What should you discuss with him for skin health promotion and
disease prevention course of action in this patient encounter? >>-correct->>Show Mr. Jackson how
to inspect his skin using the ABCDE model and encourage him to do self-skin-inspections
A 40 y/o man comes to the office with a rash of 4-5 months duration. He had bumps on his
shoulders, back and arms. He reports that the bumps are larger, he has nighttime pruritic and oral
and topical corticosteroids have not helped. He has no pets, lives alone, and recalls no insect bites
or contacts with anyone with a rash. On exam there is a symmetric eruption with erythematous
papules and excoriations on his back, shoulders, axillae, wrists, scrotum, and upper legs. There are
a few pustules in the axillae. Which of the following is the most appropriate next step? >>-correct-
>>Examine a skin scraping in mineral oil under a light microscope
A 75 y/o man in a nursing facility has developed a Stage 3 pressure ulcer. He weighs 160 lbs with a
10 lb weight loss in the last month. BMI=20.5, Albumin 3.2, Pre-albumin 14. Which of the following
is most likely to aid healing? >>-correct->>Protein 100 GM qd
A 70 y/o patient has a large sacral ulcer measuring 11 by 10 cm, with a depth of 4 cm. There is
surrounding erythema, exposed muscle, undermining of the edges and a tunneling tract that
extends another 2 cm. Within the ulcer, there is necrotic material and a significant amount of
exudate with a foul odor. Which of the following isthe next step to reduce odor? – >>-CORRECT-
>>Perform surgical debridement
, A 60 y/o woman is evaluated because she has erythematous lesions. Initially, the lesions were on
her arms and legs. By the end of week 1, the lesions spread to her trunk and several large blisters
appeared. The lesions are pruritic and cause her to scratch. On exam, there are areas of erythema
with tense blisters and serous exudate. Some blisters have opened into oval erosions with serous
exudate. Some blisters are covered in scabs. What is the most likely diagnosis? >>-correct-
>>Bullous pemphigoid
A 32 y/o woman comes to the office c/o a bad taste in her mouth. She takes Metformin and
Valsartan. Three weeks ago, she took Nitrofurantoin for a UTI. On exam, there are white plaques
on the surface of her cheeks, hard palate, and tongue. Wiping off some of the plaques reveals an
erythematous mucosal surface. Which of the following is the most likely diagnosis? >>-correct-
>>Acute pseudomembranous candidiasis
All of the following are true about renal dosing EXCEPT >>-correct->>Reducing each dose while
maintaining the dose interval presents no risks
When following up on response to treatment for a bite injury which diagnostic test can be used to
evaluate the response to the treatment? - ANSWER
✔✔C reactive protein
Which of the following factors contributes to the potential for antibiotic resistance? - ANSWER
✔✔Environment, Patient, Drug
The best description of logical antibiotic prescribing involves which of the following - ANSWER
✔✔Answering the 10 questions of logical prescribing
An example of a disease caused by vector transmission is >>-correct->>Malaria
An example of a disease caused by indirect transmission is >>-correct->>Salmonella
An example of a disease caused by direct transmission is >>-correct->>Herpes Type 1
Infections are defined as a harmful invasion and spread of a foreign species or pathogen. Which of
the following are sources of infection? – >>-CORRECT->>All of the above: Prions, Fungus &
Protists
Epidemiology is defined as >>-correct->>The science of discovering the causes of illnesses and
injury in populations
Which of the following statements is true regarding the first pass metabolism process? - ANSWER
✔✔After a drug is taken by the oral route, it is absorbed in the small intestines and enters the liver
through the portal circulation before being released into general circulation.
You would recommend the pneumococcal vaccine to patients with all of the following conditions
EXCEPT >>-correct->>G6PD deficiency anemia
Erythromycin inhibits the cytochrome P450 system. The following drugs should be avoided because
of drug interaction EXCEPT >>-correct->>Lasix
All of the following are included in the criteria used to diagnose patients with AIDS EXCEPT – >>-
CORRECT->>profound fatigue
Which of the following is the confirmatory test for the HIV screening test? >>-correct->>Western blot
Cat and human bites have higher rates of infection than dog bites. A patient comes to your office
