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WGU D027 FINAL EXAM 2024 WITH 100- CORRECT ANSWERS
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WGU D027 FINAL EXAM 2024 WITH 100- CORRECT ANSWERS
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10/17/24, 10:26 AMWGU D027 FINAL EXAM 2024 WITH 100% CORRECT ANSWERS
Terms in this set (93)
What organ does cystic fibrosis affect? Affects the pancreas causing secretions into the lungs
What is Klinefelter syndrome? An extra X chromosome for males so example XXY causing female-like qualities
females. missing or deformed x chromosome. right hemisphere dysfunction, hearing
What is Turner Syndrome? loss, ear infection, language and articulation disorders, visual spatial and attentional
problems
a condition in which the synthesis of the beta-globin chains is decreased or absent.
What is beta thalassemia?
Causes low hemoglobin.
Which medication is contraindicated in a Ferrous Sulfate
patient with Beta Thalassemia?
What drug is used in combination with Glucocorticoids
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)
What is the normal ejection fraction? 55-60%. Less than 50% is BAD
Is an ejection fraction of 50% reduced or Preserved
preserved?
What are symptoms of left sided heart Think PULMONARY. JVD, FVO, rails, S3 murmurs. Number one cause of right sided
failure? heart failure!
What are symptoms of right sided heart Think peripheral vascular. Lower extremity edema, abdominal distension.
failure?
What is the gold standard lab test for heart BNP. Heart failure is a result greater than 100
failure?
What heart disease is worse with exertion? Ischemic heart disease because the demand requirements are higher.
What should you assess before giving Apical pulse
WGU D027
Digoxin?
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How should Warfarin be started? Start initial dose at half to monitor the effects
What causes the destruction of alveolar Emphysema
walls? Air goes in but can't get out which
leads to hyperinflation
What causes excess mucus production and Bronchitis
smooth muscle hypertrophy?
What is a chronic inflammatory obstruction Asthma, Triggers cause mucus to clog bronchial tubes.
of bronchi?
What causes an overbite and buffalo Endocrine disorder called acromegaly (overproduction of growth hormone)
hump?
What causes Addison's disease? Decreased glucocorticoid (due to autoimmune destruction of adrenal cortex)
What causes Cushing's syndrome? excess cortisol
What causes Grave's disease? overproduction of thyroid hormone. HYPERthyroidism.
When should you instruct the patient to At night to avoid orthostatic hypotension. Educate slow position changes and lay
take their FIRST dose of antihypertensive? down if needed.
dry cough
angioedema
What are side effects of ACE inhibitors?
hyperkalemia
*Contraindicated in pregnancy
Which type of antihypertensive should NOT Nonselective beta blocker (-lol) because both beta-2 receptors are effected
be given to patients with Asthma?
What is the first choice of calcium channel Verapamil
blocker?
What side effect should you watch for in a Muscle pain which can lead to rhabdomyolysis, kidney failure, and death.
patient taking a statin drug?
Which diuretic is NOT used in patients with Thiazide diuretics
kidney failure and sickle cell disease?
What type of drug is spironolactone? potassium sparing diuretic
Which type of insulin is the most painful Lantus (long-acting)
during injection?
Why test glycosylated hemoglobin Most reliable assessment of blood sugar over the past 3 months. The goal is < 6.5%. A
(HgbA1c)? poor result is > 9%
The normal range of TSH levels is 0.4 to 4.0 milli-international units per liter. If you're
already being treated for a thyroid disorder, the normal range is 0.5 to 3.0 milli-
What is the normal range for TSH level?
international units per liter. A value ABOVE the normal range usually indicates
hypothyroidism.
What lab test would we recommend for Thyroid peroxidase antibodies (TPO)
thyroid?
Bradycardia; cold intolerance; lethargy; memory loss; dry skin; brittle dry hair;
symptoms of hypothyroidism decreased appetite; weight gain; constipation; increased serum lipids; decreased
libido; erectile dysfunction
Requires replacement within a few days and last for 3 years to prevent mental
What if a newborn has hypothyroidism?
development changes and dwarfism.
What is Hashimoto's disease? An autoimmune cause of hypothyroid. Symptoms include weight gain and fatigue.
WGU D027
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