WGU D027 Study Guide ACE YOUR FIRST
ATTEMPT
21st Trisomy - Ans Down Syndrome
Ace Inhibiters (ACEI) *pril - Ans reduce angiotensin II, increase bradykinin, hyperkalemia, dry cough, angioedema; contraindicated in pregnancy (fetal death), first dose causes severe hypotension, can cause renal failure
Alpha Thalassemia - Ans inherited blood disorder; mild to severe anemia
Alternatives to gabapentin for neuropathic pain - Ans Cymbalta (duloxetine) and Lyrica (pregabalin)
Amoxicillin - Ans first line of treatment for uncomplicated otitis media in pediatric patient without comorbidities
Angiotensin II - Ans vasocontraction; increased bp by acting on adrenal cortex secreting aldosterone
Anticoagulants - Ans Warfarin, heparin, lovenox; Caution about hemorrhage, any patients with risks for bleeding
Antiotensin II Receptor Blockers (ARBS) - Ans Sartan; blocks action of angiotensin II, second choice if cannot tolerate ACE for htn and HF
Appropriate antibiotic for use in pregnancy for treatment of UTI - Ans one time dose of Fosfomycin, cephalexin also appropriate.AVOID: nitrofurantoin ad bactrim. DO NOT USE: PCN
asthma - Ans chronic inflammatory obstruction of bronchi; trigger causing mucus clogging bronchial tubes; is reversable, give beta antagonists and steroids
At Risk for HF - Stage A - Ans no structural heart disease or symptoms of heart failure
At Risk for HF - Stage B - Ans structural heart disease but no symptoms of heart failure
Ataxia in pediatric patient - Ans genetic predisposition, Fragile X syndrome, Prader- Willie Syndrome
Autosomal Dominant - Ans 1 parent has, 50% change of child having
Autosomal Recessive - Ans Both parents are carriers, 25% change of child having, 50% chance child is a carrier.
B&T lymphocytes - Ans immune response 1 / 2
Back pain treatment - Ans first 4-6 weeks no imaging needed unless neurologic involved; give NSAIDS and rest, is the #1/2 reason for visits to PCP
Beta Blockers - Ans prevent chemical messengers; slow HR, relax vessels, lower BP, Class II antidysrhythmic drug
Beta Thallasemia - Ans low hemoglobin; contraindicated medication ferrous sulfate
BNP - Ans gold standard lab test to diagnose CHF
broken heart syndrome - Ans mimics MI, no coronary obstruction
Bronchitis - Ans excess mucus production, smooth muscle hypertrophy
Bronchodilators (Beta 2-Adrenergic Agonists) - Ans provide symptomatic relief, do not effect inflammation of disease process; taken PRN during attack (Albuterol), long actinb Beta2 can be used in combo with glucocorticoids
Buspirone - Ans treats anxiety, not a benzo
Calcium Channel Blockers - Ans vasodilation of arterioles and heart, class IV antidysrhythmic drug
Cardiac glycosides (Digoxin) - Ans Increased myocardial contractile force (increases output), used in ED, exerts positive inotropic action, can cause severe dysrhythmias
Cardio selective beta blockers - Ans metoprolol - only beta-1 receptors affected
Cervical cancer screening - Ans 21 - 64 cytology every 3 years, 30-64 cytology and HPV every 5 years
CHF - Ans heart cannot keep up with metabolic needs; volume overload in pulmonary area
Chlorpromazine - Ans treats schizophrenia
Color blindness genetic component - Ans x-linked, only comes from mother, 50%
chance; gene: OPN1MW on chromosome 23
Crohn's Disease - Ans 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
Cystic Fibrosis - Ans affects pancreas causing secretions in lungs
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