WGU D118 ADULT PRIMARY CARE OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. What does a positive posterior drawer sign in a 10-year-old soccer player
signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
D) An injury of the meniscus - ANSWER B) Instability of the knee
RATIONALE: The drawer sign is performed on the knee or ankle to assess for knee
instability. The affected knee will have more laxity when compared to the
unaffected knee.
2. The Lachman maneuver is used to detect which of the following?
A) Knee instability
B) Nerve damage of the knee due to past knee injuries
C) The integrity of the patellar tendon
D) Tears on the meniscus of the knee - ANSWER A) Knee instability
,RATIONALE: The Lachman maneuver is a test performed to assess for knee
instability. Knee instability indicates a tear of the anterior cruciate ligament.
3. A multigravida who is at 28 weeks of gestation has a fundal height of 29 cm.
Which of the following is the best recommendation for this patient?
A) Advise the mother that her pregnancy is progressing well
B) Order an ultrasound of the uterus
C) Refer her to an obstetrician for an amniocentesis
D) Recommend bed rest with bathroom privileges - ANSWER A) Advise the
mother that her pregnancy is progressing well
RATIONALE: From 20-35 weeks' gestation, fundal height should equal weeks
gestation. If greater than 2 cm within the gestational week of pregnancy, further
testing should be performed to evaluate fetal growth
4. A multigravida who is at 34 weeks of gestation wants to know at what level her
uterine fundus should be. The best answer is to advise the mother that her fun-
dus is:
A) Midway between the umbilicus and the lower ribs
B) At the level of the umbilicus
C) From 33 to 35 cm
D) From 32 to 34 cm - ANSWER C) From 33 to 35 cm
,RATIONALE: After 20 weeks gestation, fundal height in centimeters should
measure approximately the same as the number of weeks of gestation
5. Which of the following laboratory tests is used in primary care to evaluate renal
function?
A) Electrolyte panel
B) Creatinine
C) Alkaline phosphatase
D) Blood urea nitrogen (BUN) to creatinine ratio - ANSWER B) Creatinine
RATIONALE: Serum creatinine is measured to evaluate renal function. Creatinine is
the end product of creatine metabolism. Creatinine clearance is not affected by
fluid or dietary intake of meat.
6. All of the following are false statements regarding acute gastritis except:
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy - ANSWER C)
The screening test for the disorder is the barium swallow test
RATIONALE: The gold standard for diagnosing gastric disease is biopsy of gastric
and/or duodenal tissue by upper endoscopy. Chronic use of NSAIDs disrupts the
production of prostaglandins, which decreases blood supply and then breaks
down the protective layer of the mucosa, which leads to gastric disease.
7. Signs and symptoms of depression include all of the following except:
, A) Anhedonia and changes in appetite
B) Decreased energy and irritability
C) Apathy and low self-esteem
D) Apraxia and fatigue - ANSWER D) Apraxia and fatigue
RATIONALE: Apraxia is a disorder of the nervous system in which the brain is
affected and the patient is unable to move the arms/legs when asked to do so.
Common signs of depression include anhedonia (loss of interest in activities that
the patient finds pleasurable), unintentional weight loss or gain, fatigue, change in
appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and
recurrent thoughts of suicide.
8. Which of the following is an accurate description of eliciting for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quad-
rant of the abdomen below the costovertebral angle
B) Bend the patient's hips and knees at 90 degrees, then passively rotate hip
exter- nally, then internally
C) Ask the patient to squat, then place the stethoscope on the apical area
D) Press into the abdomen deeply, then release it suddenly - ANSWER A) Upon
deep inspiration by the patient, palpate firmly in the right upper quad- rant of the
abdomen below the costovertebral angle
RATIONALE: Murphy's sign is positive if pain occurs when performing RUQ
palpation while the patient takes a deep inspiration, causing the patient to
abruptly stop the deep breath due to pain. As the liver is palpated, it will descend
and push up against the inflamed gallbladder and cause sharp pain (cholecystitis).
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. What does a positive posterior drawer sign in a 10-year-old soccer player
signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
D) An injury of the meniscus - ANSWER B) Instability of the knee
RATIONALE: The drawer sign is performed on the knee or ankle to assess for knee
instability. The affected knee will have more laxity when compared to the
unaffected knee.
2. The Lachman maneuver is used to detect which of the following?
A) Knee instability
B) Nerve damage of the knee due to past knee injuries
C) The integrity of the patellar tendon
D) Tears on the meniscus of the knee - ANSWER A) Knee instability
,RATIONALE: The Lachman maneuver is a test performed to assess for knee
instability. Knee instability indicates a tear of the anterior cruciate ligament.
3. A multigravida who is at 28 weeks of gestation has a fundal height of 29 cm.
Which of the following is the best recommendation for this patient?
A) Advise the mother that her pregnancy is progressing well
B) Order an ultrasound of the uterus
C) Refer her to an obstetrician for an amniocentesis
D) Recommend bed rest with bathroom privileges - ANSWER A) Advise the
mother that her pregnancy is progressing well
RATIONALE: From 20-35 weeks' gestation, fundal height should equal weeks
gestation. If greater than 2 cm within the gestational week of pregnancy, further
testing should be performed to evaluate fetal growth
4. A multigravida who is at 34 weeks of gestation wants to know at what level her
uterine fundus should be. The best answer is to advise the mother that her fun-
dus is:
A) Midway between the umbilicus and the lower ribs
B) At the level of the umbilicus
C) From 33 to 35 cm
D) From 32 to 34 cm - ANSWER C) From 33 to 35 cm
,RATIONALE: After 20 weeks gestation, fundal height in centimeters should
measure approximately the same as the number of weeks of gestation
5. Which of the following laboratory tests is used in primary care to evaluate renal
function?
A) Electrolyte panel
B) Creatinine
C) Alkaline phosphatase
D) Blood urea nitrogen (BUN) to creatinine ratio - ANSWER B) Creatinine
RATIONALE: Serum creatinine is measured to evaluate renal function. Creatinine is
the end product of creatine metabolism. Creatinine clearance is not affected by
fluid or dietary intake of meat.
6. All of the following are false statements regarding acute gastritis except:
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy - ANSWER C)
The screening test for the disorder is the barium swallow test
RATIONALE: The gold standard for diagnosing gastric disease is biopsy of gastric
and/or duodenal tissue by upper endoscopy. Chronic use of NSAIDs disrupts the
production of prostaglandins, which decreases blood supply and then breaks
down the protective layer of the mucosa, which leads to gastric disease.
7. Signs and symptoms of depression include all of the following except:
, A) Anhedonia and changes in appetite
B) Decreased energy and irritability
C) Apathy and low self-esteem
D) Apraxia and fatigue - ANSWER D) Apraxia and fatigue
RATIONALE: Apraxia is a disorder of the nervous system in which the brain is
affected and the patient is unable to move the arms/legs when asked to do so.
Common signs of depression include anhedonia (loss of interest in activities that
the patient finds pleasurable), unintentional weight loss or gain, fatigue, change in
appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and
recurrent thoughts of suicide.
8. Which of the following is an accurate description of eliciting for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quad-
rant of the abdomen below the costovertebral angle
B) Bend the patient's hips and knees at 90 degrees, then passively rotate hip
exter- nally, then internally
C) Ask the patient to squat, then place the stethoscope on the apical area
D) Press into the abdomen deeply, then release it suddenly - ANSWER A) Upon
deep inspiration by the patient, palpate firmly in the right upper quad- rant of the
abdomen below the costovertebral angle
RATIONALE: Murphy's sign is positive if pain occurs when performing RUQ
palpation while the patient takes a deep inspiration, causing the patient to
abruptly stop the deep breath due to pain. As the liver is palpated, it will descend
and push up against the inflamed gallbladder and cause sharp pain (cholecystitis).
