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WGU D115 Advanced Pathophysiology Objective Assessment Final Test Bank / WGU D115 Advanced Pathophysiology OA Readiness Final Exam Newest 2025/2026 Actual Exam Complete All 400 Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+
A 24-year-old man presents with a 3-month history of upper abdominal pain. He describes it as an intermittent, centrally located burning feeling in his upper abdomen, most often occuring 2-3 hours after meals. His
presentation is most consistent with the clinical presentation of:
- acute gastritis
- gastric ulcer
- duodenal ulcer
- cholecystitis - CORRECT ANSWER -C) duodenal ulcer
The pain associated with duodenal ulcers typically improves immediately following meals and returns several hours after a meal.
Which of the following is most likely to be found in a 50-year-old woman with new-onset reflux esophagitis?
- recent initiation of estrogen-progestin hormonal therapy
- recent weight loss
- report of melena 1 / 4
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- evidence of h. pylori infection - CORRECT ANSWER -A) recent
initiation of estrogen-progestin hormonal therapy The use of certain medications including estrogen, progestin, theophylline, calcium channel blockers, and nicotine can results in a decrease in lower esophageal sphincter pressure and worsen GERD.
The clinical presentation of acute gouty arthritis affecting the base of the
great toe includes:
- slow onset of discomfort over many days
- greatest swelling and pain along the median aspect of the joint
- improvement of symptoms with joint rest
- fever - CORRECT ANSWER -B) greatest swelling and pain along the
median aspect of the joint A typical gout attack is characterized by the sudden onset of severe pain, swelling, warmth, and redness of a joint.
The most helpful diagnostic test to perform during acute gouty arthritis
is:
- measurement of ESR
- measurement of serum uric acid
- analysis of aspirate from the affected joint
- joint radiography - CORRECT ANSWER -C) analysis of aspirate
from the affected joint 2 / 4
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A synovial fluid test evaluates the presence of urate crystals in the joint fluid. This the most accurate test for diagnosing gout.
ESR (erythrocyte sedimentation rate) - CORRECT ANSWER -The rate in which it takes for RBC's to settle off in an unclotted tube. Tests for nonspecific inflammation. Normal rate is 1 ml in 5 min.
Changes to the joint during osteoarthritis can typically include all of the
following except:
- widening of the joint space
- wearing of articular cartilage
- formation of bone spurs
- thickening of synovial membrane - CORRECT ANSWER -A)
widening of the joint space In patients with OA, the articular cartilage becomes rough and wears away. Bone spurs often form, and synovial membrane thickens.Consequently the joint space narrows.
As a part of the evaluation of patients with OA, the FNP anticipates which laboratory finding?
- anemia of chronic disease
- elevated CRP
- no disease specific laboratory abnormalities 3 / 4
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- elevated ANA - CORRECT ANSWER -C) no disease specific
laboratory abnormalities Because OA is typically a non-inflammatory disease, laboratory abnormalities are usually not seen.
CRP (C-reactive protein) - CORRECT ANSWER -A substance produced by the liver that increases in the presence of inflammation in the body.normal results less than 3-10 mg/L
Anemia of chronic disease - CORRECT ANSWER -Anemia of chronic disease happens when you have an autoimmune disease or other illness lasts longer than three months and that causes inflammation.
antinuclear antibody (ANA) - CORRECT ANSWER -Detects antinuclear antibodies in the blood to check for autoimmune disease
A 78-year-old man presents with fatigue and difficulty with bladder emptying. Examination reveals a distended bladder but is otherwise unremarkable. The BUN is 88mg/dL; the creatinine is 2.8 mg/dL. This
clinical assessment is most consistent with:
- prerenal azotemia
- acute glomerulonephritis
- acute tubular necrosis
- postrenal azotemia - CORRECT ANSWER -D) postrenal azotemia
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