WGU D027 Study Guide 93 Questions with Correct Answers What organ does cystic fibrosis affect? - Correct Answer Affects the pancreas causing secretions into the lungs What is Klinefelter syndrome? - Correct Answer An extra X chromosome for males so example XXY causing female-like qualities What is Turner Syndrome? - Correct Answer 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? - Correct Answer 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? - Correct Answer 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) - Correct Answer Glucocorticoids What is the normal ejection fraction? - Correct Answer 55-60%. Less than 50% is BAD Is an ejection fraction of 50% reduced or preserved? - Correct Answer Preserved What are symptoms of left sided heart failure? - Correct Answer Think PULMONARY. JVD, FVO, rails, S3 murmurs. Number one cause of right sided heart failure!What are symptoms of right sided heart failure? - Correct Answer Think peripheral vascular. Lower extremity edema, abdominal distension. 1 / 2
What is the gold standard lab test for heart failure? - Correct Answer BNP. Heart failure is a result greater than 100 What heart disease is worse with exertion? - Correct Answer Ischemic heart disease because the demand requirements are higher.What should you assess before giving Digoxin? - Correct Answer Apical pulse How should Warfarin be started? - Correct Answer 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
- Correct Answer Emphysema
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What causes excess mucus production and smooth muscle hypertrophy? - Correct Answer Bronchitis What is a chronic inflammatory obstruction of bronchi? - Correct Answer Asthma, Triggers cause mucus to clog bronchial tubes.What causes an overbite and buffalo hump? - Correct Answer Endocrine disorder called acromegaly (overproduction of growth hormone) What causes Addison's disease? - Correct Answer Decreased glucocorticoid (due to autoimmune destruction of adrenal cortex) What causes Cushing's syndrome? - Correct Answer excess cortisol What causes Grave's disease? - Correct Answer overproduction of thyroid hormone. HYPERthyroidism.When should you instruct the patient to take their FIRST dose of antihypertensive? - Correct Answer At night to avoid orthostatic hypotension. Educate slow position changes and lay down if needed.