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WGU D027 EXAM/93 QUESTIONS AND ANSWERS
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WGU D027 EXAM/93 QUESTIONS AND ANSWERS
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WGU D027 EXAM/93 QUESTIONS ANDANSWERS
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
-What is Turner Syndrome? - -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? - -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? - -
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) - -Glucocorticoids
-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 failure? - -Think PULMONARY. JVD,
FVO, rails, S3 murmurs. Number one cause of right sided heart failure!
-What are symptoms of right sided heart failure? - -Think peripheral
vascular. Lower extremity edema, abdominal distension.
-What is the gold standard lab test for heart failure? - -BNP. Heart failure is
a result greater than 100
-What heart disease is worse with exertion? - -Ischemic heart disease
because the demand requirements are higher.
-What should you assess before giving Digoxin? - -Apical pulse
-How should Warfarin be started? - -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 - -Emphysema
-What causes excess mucus production and smooth muscle hypertrophy? - -
Bronchitis
-What is a chronic inflammatory obstruction of bronchi? - -Asthma, Triggers
cause mucus to clog bronchial tubes.
-What causes an overbite and buffalo hump? - -Endocrine disorder called
acromegaly (overproduction of growth hormone)
-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 take their FIRST dose of
antihypertensive? - -At night to avoid orthostatic hypotension. Educate slow
position changes and lay down if needed.
-What are side effects of ACE inhibitors? - -dry cough
angioedema
hyperkalemia
*Contraindicated in pregnancy
-Which type of antihypertensive should NOT be given to patients with
Asthma? - -Nonselective beta blocker (-lol) because both beta-2 receptors
are effected
-What is the first choice of calcium channel blocker? - -Verapamil
-What side effect should you watch for in a patient taking a statin drug? - -
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? - -Thiazide diuretics
-What type of drug is spironolactone? - -potassium sparing diuretic
-Which type of insulin is the most painful during injection? - -Lantus (long-
acting)
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