WGU D118 ACTUAL EXAM QUESTIONS WITH
VERIFIED SOLUTIONS
Which finding indicates target organ damage from uncontrolled hypertension?
Left ventricular hypertrophy — LVH reflects chronic pressure overload and end-organ damage.
Exertional chest pain relieved by rest suggests what diagnosis?
Stable angina — Predictable ischemic pain relieved by rest or nitroglycerin.
First-line treatment for stable angina?
Nitroglycerin — Rapid coronary vasodilation relieves ischemic pain.
Which lipid abnormality most increases ASCVD risk?
Elevated LDL — LDL directly contributes to atherosclerosis.
Chronic cough, weight loss, and night sweats are most concerning for what diagnosis?
Tuberculosis — Classic constitutional symptoms raise concern for TB.
GOLD criteria classify which disease?
COPD — GOLD staging is used to assess severity and management.
Best initial test for suspected pulmonary embolism in a low-risk patient?
D-dimer — Used to rule out PE in low-risk patients.
Which inhaler is a rescue medication?
Albuterol — Short-acting beta agonist provides rapid bronchodilation.
When are antibiotics indicated for acute bronchitis?
Never routinely — Acute bronchitis is usually viral.
What lab value confirms diabetes mellitus?
A1C ≥ 6.5% — Diagnostic threshold per ADA guidelines.
First-line medication for type 2 diabetes?
Metformin — Improves insulin sensitivity and reduces hepatic glucose output.
Secondary hypothyroidism is caused by dysfunction of which gland?
Pituitary — Results in low TSH and low T4.
Most concerning symptom of hyperthyroidism in older adults?
Atrial fibrillation — Thyroid hormone increases arrhythmia risk.
, Which lab finding confirms diabetic ketoacidosis?
Elevated ketones — Indicates fat breakdown due to insulin deficiency.
Which GERD symptom requires immediate endoscopy?
Dysphagia — Alarm symptom suggesting malignancy or stricture.
First-line treatment for uncomplicated diverticulitis?
Oral antibiotics — Treats infection in stable patients.
Most common cause of acute pancreatitis?
Gallstones — Obstruct pancreatic duct causing inflammation.
Which hepatitis virus is associated with IV drug use?
Hepatitis C — Transmitted through blood exposure.
At what age does colorectal cancer screening begin for average-risk adults?
45 years — Updated USPSTF guideline.
What is the classic triad of acute glomerulonephritis?
Hematuria, hypertension, edema — Reflects glomerular inflammation.
Best initial imaging for suspected kidney stones?
CT without contrast — Gold standard for diagnosis.
Which BPH medication relaxes smooth muscle to improve urine flow?
Tamsulosin — Alpha-1 blocker reduces bladder outlet resistance.
Which lab indicates worsening renal function?
Rising creatinine — Reflects decreased glomerular filtration.
Most common cause of acute kidney injury in adults?
Dehydration — Causes prerenal azotemia.
First-line imaging for suspected osteoarthritis?
X-ray — Shows joint space narrowing and osteophytes.
Which symptom is a red flag in low back pain?
Saddle anesthesia — Suggests cauda equina syndrome.
First-line treatment for an acute gout flare?
NSAIDs — Rapidly reduce inflammation.
VERIFIED SOLUTIONS
Which finding indicates target organ damage from uncontrolled hypertension?
Left ventricular hypertrophy — LVH reflects chronic pressure overload and end-organ damage.
Exertional chest pain relieved by rest suggests what diagnosis?
Stable angina — Predictable ischemic pain relieved by rest or nitroglycerin.
First-line treatment for stable angina?
Nitroglycerin — Rapid coronary vasodilation relieves ischemic pain.
Which lipid abnormality most increases ASCVD risk?
Elevated LDL — LDL directly contributes to atherosclerosis.
Chronic cough, weight loss, and night sweats are most concerning for what diagnosis?
Tuberculosis — Classic constitutional symptoms raise concern for TB.
GOLD criteria classify which disease?
COPD — GOLD staging is used to assess severity and management.
Best initial test for suspected pulmonary embolism in a low-risk patient?
D-dimer — Used to rule out PE in low-risk patients.
Which inhaler is a rescue medication?
Albuterol — Short-acting beta agonist provides rapid bronchodilation.
When are antibiotics indicated for acute bronchitis?
Never routinely — Acute bronchitis is usually viral.
What lab value confirms diabetes mellitus?
A1C ≥ 6.5% — Diagnostic threshold per ADA guidelines.
First-line medication for type 2 diabetes?
Metformin — Improves insulin sensitivity and reduces hepatic glucose output.
Secondary hypothyroidism is caused by dysfunction of which gland?
Pituitary — Results in low TSH and low T4.
Most concerning symptom of hyperthyroidism in older adults?
Atrial fibrillation — Thyroid hormone increases arrhythmia risk.
, Which lab finding confirms diabetic ketoacidosis?
Elevated ketones — Indicates fat breakdown due to insulin deficiency.
Which GERD symptom requires immediate endoscopy?
Dysphagia — Alarm symptom suggesting malignancy or stricture.
First-line treatment for uncomplicated diverticulitis?
Oral antibiotics — Treats infection in stable patients.
Most common cause of acute pancreatitis?
Gallstones — Obstruct pancreatic duct causing inflammation.
Which hepatitis virus is associated with IV drug use?
Hepatitis C — Transmitted through blood exposure.
At what age does colorectal cancer screening begin for average-risk adults?
45 years — Updated USPSTF guideline.
What is the classic triad of acute glomerulonephritis?
Hematuria, hypertension, edema — Reflects glomerular inflammation.
Best initial imaging for suspected kidney stones?
CT without contrast — Gold standard for diagnosis.
Which BPH medication relaxes smooth muscle to improve urine flow?
Tamsulosin — Alpha-1 blocker reduces bladder outlet resistance.
Which lab indicates worsening renal function?
Rising creatinine — Reflects decreased glomerular filtration.
Most common cause of acute kidney injury in adults?
Dehydration — Causes prerenal azotemia.
First-line imaging for suspected osteoarthritis?
X-ray — Shows joint space narrowing and osteophytes.
Which symptom is a red flag in low back pain?
Saddle anesthesia — Suggests cauda equina syndrome.
First-line treatment for an acute gout flare?
NSAIDs — Rapidly reduce inflammation.
