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WGU D027 EXAM QUESTIONS AND ANSWERS – GRADED A+
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WGU D027 EXAM QUESTIONS AND ANSWERS – GRADED A+
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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
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