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WGU D027 OBJECTIVE ASSESSMENT FINAL NEWEST 2024-2025
COMPLETE 200 EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
What should you avoid when breast feeding? - Correct Answer - combined oral contraceptives
Appropriate antibiotic for use in pregnancy for treatment of UTI - Correct Answer - one time dose of Fosfomycin, cephalexin also appropriate.AVOID: nitrofurantoin ad Bactrim. DO NOT USE: PCN
Drug of choice for pediatric UTI with no comorbidities - Correct Answer - trimethoprim/sulfamethoxazole (Bactrim, Setra);
alternatives: Augmentin, cephalosporins
What is Hashimoto's disease? - Correct Answer - An autoimmune cause of hypothyroid.Symptoms include weight gain and fatigue.
Symptoms of hyperthyroidism (thyrotoxicosis) - Correct Answer - Tachyarrhythmias, anxiety, insomnia, rapid flow/speech, hot
GRAVES DISEASE
how to treat grave's disease? - Correct Answer - Remove or destroy thyroid tissue or suppress with drug (methimazole or propylthiouracil) Treat with Iodine-131 Beta blockers also used to suppress release of thyroid hormones and reduce HR.
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pg. 2 What causes vasodilation, bronchoconstriction, and helps with memory and sleep? - Correct Answer - histamine- 1
What are side effects of antihistamines? - Correct Answer - sedation (only H-1), dry mucus membranes, urinary hesitancy, and constipation.
Which medication is given after an MI? - Correct Answer - Beta blocker is given for 6 months to prevent another MI
When should medication reconciliation be done? - Correct Answer - Within 30 days of discharge
Which drug class is used as the first line of treatment for depression? - Correct Answer - SSRIs because of the low side effects and effectiveness.
What is the first line of treatment for uncomplicated otitis media in pediatric patient without comorbidities? - Correct Answer - Amoxicillin
How do you test for postural orthostatic tachycardia syndrome? - Correct Answer - Tilt test
What is Florine (corticosteroid) used for? - Correct Answer - Used to treat postural hypotension and adrenal insufficiency.
What are the side effects of Florine? - Correct Answer - Nausea, headache, sleep problems, and mood changes.
What is the off-label use for prazosin/minidress (alpha- 1 blocker)? - Correct Answer - Sleep aid for patients diagnosed with PTSD
Which medications are used to treat myasthenia gravis? - Correct Answer - Corticosteroids and cholinesterase inhibitors 2 / 3
pg. 3 Color blindness genetic component - Correct Answer - x-linked, only comes from
mother, 50% chance; gene: OPN1MW on chromosome 23
Sickle Cell genetics - Correct Answer - children with sickle cell: 25%
children without and not carriers: 25%
children who are carriers: 50%
treatment for sickle cell crisis - Correct Answer - hydration, heat, oxygen, pain meds
Parental care of the newborn with sickle cell anemia - Correct Answer - infant will be anemic, increased risk for infection, may have spleen damage and liver involvement causing jaundice, crying episodes from pain and swelling of extremities.keep infant hydrated, use vaccines and antibiotics, when necessary, folic acid administration, regular eye exams
Treatment of athletic patient with bradycardia - Correct Answer - let patient go home; bradycardia is normal in athlete, ok if HR in 50s
Crohn's Disease - Correct Answer - a chronic, inflammatory autoimmune disorder that can occur anywhere in the digestive tract; however, it is most often found in the ileum and in the colon; has skip lesions
Diagnosis of Crohn's Disease - Correct Answer - test blood and stool, X-ray of upper and lower GI with possible contrast, colonoscopy and upper endoscopy, small bowel tissue demonstrates cobble stoning under microscope
Treatment of Crohn's Disease - Correct Answer - Corticosteroids, infliximab immunosuppressants and steroids; diet and nutrition, surgery.patients with atopic dermatitis ad eczema have increased risk of inflammatory bowel disease
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