WGU D027 Exam | Advanced
Pathopharmacological Foundations Exam |
Questions and Answers with Rationale | Rated A+
Latest 2024
A 23-year-old woman comes in for prenatal counseling. While completing
her family history, she reports her brother has cystic fibrosis. She does not
know if she is a carrier. She asks if her children will be affected by the
disease.
What is an accurate way to determine the likelihood of this patient's
children being affected?
A sweat test
A genetic or a carrier test
A history and a physical
A fertility test
- Correct Answer - A genetic or carrier test
Rationale: The disease occurs when an individual inherits the mutated
gene from each parent. When only one mutated gene is inherited, the
individual is labeled a carrier.
chance of the disease.
,A 31-year-old man comes into the office for an exam. He is 6' 5 " with a
high-pitched voice, and he has a moderate degree of mental impairment. It
is discovered upon exam that his body hair is sparse, his testes are small,
and he has gynecomastia.
Which genetic disorder should this patient be tested for?
Klinefelter syndrome
Turner syndrome
Partial trisomy
Sex chromosome aneuploidy
- Correct Answer - Klinefelter syndrome:
Rationale: a hereditary disease also known as 47,XXY or XXY that
manifests as the series of symptoms described.
A six-month-old female infant with failure to thrive comes in to the office
with her parents. It is noticed upon exam that the patient has facial
deformities and is jaundiced. A complete blood count (CBC) is ordered,
which reveals anemia. When that patient's blood is examined under a
microscope, the red blood cells appear small and abnormally shaped. A
mutational analysis is ordered, and alpha thalassemia is diagnosed.
What is the likelihood of incidence of these parent's future children having
alpha thalassemia?
25%
100%
,0%
50%
- Correct Answer - 25% or 1/4 chance
A 64-year-old male truck driver comes in complaining of pain in his lower
left calf. He states he drives eight to ten hours per day. Upon exam,
swelling and mottled coloring are noted in the patient's calf. A D-dimer test
is ordered and comes back positive.
Which additional test should be ordered to confirm a diagnosis in this
patient?
A CT scan
A Doppler Ultrasound
The D-dimer test again
A clotting factors test
- Correct Answer - A Doppler Ultrasound
Rationale: is the initial test of choice for patients who are not initially
stratified according to clinical pretest probability (PTP) as being low,
moderate, or high risk for DVT.
A 54-year-old man comes into a clinic for a routine visit. His initial BP is
148/92. After a recheck 15 minutes later, his BP is 140/90. He states he
, suffers from "white coat hypertension." He states he has no history of high
blood pressure and no family history of high blood pressure.
Which nursing intervention would assist this patient in receiving a clinical
diagnosis of hypertension?
Ordering the patient a cholesterol level test
Checking the patient's blood pressure in three months
Completing a biochemical blood profile
Completing an ambulatory blood pressure assessment
- Correct Answer - Completing an ambulatory BP assessment.
Rationale: Assessing blood pressure in a location of comfort like the home
environment when no professional is present will enable the ability to
determine his blood pressure under routine circumstances.
A 58-year-old woman comes in complaining of retrosternal chest pain,
worsening with recumbent position. She states she has had a low-grade
fever for two days. Upon exam, the patient has a friction rub. An EKG
reveals sinus tachycardia with inflammatory changes. An ultrasound is
performed, and she is diagnosed with an acute pericarditis.
Which condition would make pericarditis more likely in this patient?
Stroke
Hypertension
Lupus
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