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WGU D027 ADVANCED
PATHOPHARMACOLOGICAL FOUNDATIONS
QUIZ BANK (LATEST UPDATE) | QUESTIONS
AND VERIFIED ANSWERS| 100% CORRECT|
GRADE A
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?
ANSWER: A genetic or a carrier test
ANSWER: Testing determines carrier status for cystic fibrosis,
an autosomal recessive disorder.
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?
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ANSWER: Klinefelter syndrome
ANSWER: Symptoms (tall stature, gynecomastia, small testes)
suggest Klinefelter syndrome (XXY). "Kleinfelters" appears to be a typo corrected to standard term.
Sign of Becker muscular dystrophy in kids?
ANSWER: May begin to waddle, walk on their toes or push
their abdomen forward when walking
ANSWER: These gait changes reflect muscle weakness in
Becker muscular dystrophy.
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
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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?
ANSWER: 100%
ANSWER: Both parents must be carriers (or affected) for the
infant to have alpha thalassemia; future children will inherit it if both contribute affected genes (assuming severe form like Hb Bart’s).
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?
ANSWER: Doppler ultrasound
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ANSWER: Doppler ultrasound confirms deep vein thrombosis
(DVT), indicated by symptoms and positive D-dimer.
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?
ANSWER: Completing an ambulatory blood pressure
assessment
ANSWER: Ambulatory monitoring distinguishes white coat
hypertension from true hypertension.
A 58-year-old woman comes in complaining of retrosternal chest pain, worsening with recumbent position. She states she