WGU D118 Exam Practice 2 (2026) – 250+ Q&A | Primary Care, Pharmacology, HTN, Diabetes & Diagnostics

This document provides a comprehensive and high-yield collection of over 250 exam-style questions with verified answers for WGU D118 Exam Practice 2, focusing on primary care medicine and clinical decision-making. It covers essential topics such as hypertension management (first-line therapies like thiazides and ACE inhibitors), diabetes care (metformin use and contraindications), and acute/emergency conditions (stroke, pulmonary embolism, septic arthritis). As shown on page 1 of , the material is structured in a clear Q&A format, combining concise explanations with clinically relevant reasoning for effective exam preparation. The content is aligned with major clinical references such as Bates’ Guide to Physical Examination and History Taking, Current Medical Diagnosis & Treatment, and standard primary care and pharmacology guidelines (ADA, ACC/AHA). It provides in-depth coverage of diagnostic strategies (D-dimer → CT for PE, ferritin for iron deficiency anemia, TSH for thyroid disorders), first-line treatments (NSAIDs for gout, SSRIs for depression, PPIs for GERD), and red flag symptoms requiring urgent intervention (e.g., peak flow 50% in asthma, rebound tenderness in abdominal pain, neurologic deficits in headache). High-yield sections also include chronic disease management (COPD, CKD, heart failure), preventive care (cancer screening, osteoporosis DEXA), and medication safety (ACE inhibitor monitoring, DOAC contraindications). This document is ideal for: Students enrolled in WGU D118 or primary care/clinical courses Nurse practitioner (FNP) and medical students NCLEX-RN, USMLE, and board exam candidates Healthcare students focusing on diagnostics and pharmacology Clinicians reviewing evidence-based guidelines and red flag recognition It serves as a complete study guide, rapid review resource, and high-yield Q&A bank. The structured format enhances clinical reasoning, reinforces guideline-based care, and prepares learners for both exams and real-world patient management. Keywords: primary care medicine, hypertension treatment ACE inhibitor thiazide, diabetes metformin A1c, pulmonary embolism D dimer CT angiography, stroke management tPA CT head, COPD spirometry FEV1 FVC, asthma inhaled corticosteroids, gout NSAIDs urate crystals, iron deficiency anemia ferritin, GERD PPI treatment, depression SSRI PHQ9, DVT ultrasound DOAC, heart failure BNP echocardiogram, CKD eGFR ACE inhibitor, osteoporosis DEXA bisphosphonates