WGU D027 (STUDY GUIDE ) ACTUAL EXAM WITH 95 QUESTION AND CORRECT DETAILED A NSWERS WITH RATIONALES . What organ does cystic fibrosis affect? - ANSWER -Affects the pancreas causing secretions into the lungs What is Klinefelter syndrome? - ANSWER -An extra X chromosome for males so example XXY causing female -like qualities What is Turner Syndrome? - ANSWER -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? - ANSWER -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? - ANSWER -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 an d recurrence risk) - ANSWER -Glucocorticoids What is the normal ejection fraction? - ANSWER -55-60%. Less than 50% is BAD Is an ejection fraction of 50% reduced or preserved? - ANSWER -Preserved What are symptoms of left sided heart failure? - ANSWER -Think PULMONARY . JVD, FVO, rails, S3 murmurs. Number one cause of right sided heart failure! What are symptoms of right sided heart failure? - ANSWER -Think peripheral vascular. Lower extremity edema, abdominal distension. What is the gold standard lab test for heart failure? - ANSWER -BNP . Heart failure is a result greater than 100 What heart disease is worse with exertion? - ANSWER -Ischemic heart disease because the demand requirements are higher. What should you assess before giving Digoxin? - ANSWER -Apical pulse How should Warfarin be started? - ANSWER -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 - ANSWER -Emphysema What causes excess mucus production and smooth muscle hypertrophy? - ANSWER -Bronchitis What is a chronic inflammatory obstruction of bronchi? - ANSWER -Asthma, Triggers cause mucus to clog bronchial tubes.
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