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WGU D115 ADVANCED PATHOPHYSIOLOGY OBJECTIVE
ASSESMENT LATEST 2024-2025 ACTUAL VERSION A, B, C
AND STUDY GUIDES ALL 700 QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
WGU D115 ADVANCED PATHOPHYSIOLOGY OBJECTIVE ASSESMENT A
A young adult female patient presents to the clinic with complaints of nervousness, tremulousness, palpitations, heat intolerance, fatigue, weight loss, and polyphagia. After a complete history and physical, along with thyroid function tests, the FNP makes the diagnosis of
hyperthyroidism, recognizing that the most common cause of this condition is:
- Thyroid cancer
- Graves' disease
- Pituitary adenoma
- Postpartum thyroiditis - ANSWER-B) Graves' disease
Graves' disease, an autoimmune condition also known as "diffuse toxic goiter" is the most common cause of hyperthyroidism in this age group.
During an evaluation of a patient with prediabetes, the FNP identifies which finding in the patient's objective data that is associated with the increasing insulin resistance?
- Triglycerides > 150mg/dL
- HDL > 40 mg/dL in men and >50 mg/dL in women 1 / 4
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- BP < 130/85 mm Hg
- FBS < 110 mg/dL - ANSWER-A) Triglycerides > 150mg/dL
Improper use of glucose increases the release of free fatty acids which elevates triglycerides.
When prescribing a meal plan for the patient with type 2 diabetes, the FNP tells the patient that
the macronutrient with the most influence on the postprandial glucose level is:
- Fiber
- Fat
- Protein
- Carbohydrate - ANSWER-D) Carbohydrate
Carbohydrate is a macronutrient with the greatest impact on the postprandial glucose levels.
Which of the following characteristics applies to type 1 diabetes mellitus?
- Significant hyperglycemia and ketoacidosis result from a lack of insulin.
- This condition is commonly diagnoses on routine examination or work-up for other health
- Initial response to oral sulfonylureas is usually favorable.
- Insulin resistance is a significant part of the diease. - ANSWER-A) Significant hyperglycemia
problems.
and ketoacidosis result from a lack of insulin. 2 / 4
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3 Type 1 DM is associated with beta cell destruction leading to absolute insulin deficiency resulting in significant hyperglycemia and potential for ketoacidosis.
Which of the following characteristics applies to type 2 diabetes mellitus?
- Major risk factors are heredity and obesity
- Pear-shaped body type is commonly found
- Exogenous insulin is needed for control of the disease
- Physical activity increases insulin resistance - ANSWER-A) Major risk factors are heredity and
obesity Risk factors of type 2 DM include increasing age, obesity, race, and genetics.
Which of the following is NOT a risk factor for endometrial cancer?
- Obesity
- Oral contraceptive use
- Unopposed estrogen use
- Advancing age, greater than 50 years - ANSWER-B) Oral contraceptive use
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Oral contraceptives have been shown to reduce the incidence of endometrial cancer.
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4 The FNP understands the the most accurate explanation for the diagnosis of mixed precocious
puberty is:
- When a child develops some secondary sex characteristics of the opposite sex.
- When a child does not develop any identifiable external sex organs.
- When early puberty occurs due to multiple, integrated causative effects.
- When early puberty has signs of physical and hormonal abnormalities. - ANSWER-A) When a
child develops some secondary sex characteristics of the opposite sex.Mixed precocious puberty cases the child to develop some secondary characteristics of the opposite sex, such as the feminization of a boy.
In the majority of children experiencing delayed puberty, the problem is caused by:
- Disruption of the hypothalamus.
- Disruption of the pituitary.
- Deficiencies in estrogen or testosterone.
- Physiologic delays in maturation. - ANSWER-D) Physiologic delays in maturation.
In 95% of cases, delayed puberty is physiologic in nature.
Priapism has been associated with the abuse of which substance?
- Marijuana
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