WGU D118 FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
◍ A sexually active patient with confirmed chlamydia should generally
receive:
A. No antibiotics
B. Appropriate antibiotic therapy and partner management
C. Antifungal therapy
D. Steroids only.
Answer: B. Appropriate antibiotic therapy and partner management.
◍ A 74-year-old presents with sudden right facial droop, arm weakness, and
aphasia starting 45 minutes ago. Best next test?
A. MRI in 1 week
B. CT head without contrast
C. EEG
D. Carotid ultrasound first.
Answer: B. CT head without contrast — first step in suspected acute stroke.
◍ A patient with dyspepsia is suspected to have
H. pylori infection. Which noninvasive test is commonly used?
A. Troponin
B. Urea breath test
C. BNP
D. D-dimer.
Answer: B. Urea breath test — common noninvasive H. pylori test.
◍ A patient has severe epigastric pain radiating to the back with nausea and
elevated lipase. Most likely diagnosis?
A. Cholecystitis
B. Pancreatitis
, C. Appendicitis
D. Peptic ulcer disease.
Answer: B. Pancreatitis — classic pain pattern plus elevated lipase.
◍ A 58-year-old with smoking history presents for preventive screening.
Which screening is specifically recommended for a man age 65-75 who has
ever smoked?
A. Annual chest X-ray
B. Abdominal ultrasound for AAA
C. PSA every year
D. Echocardiogram.
Answer: B. Abdominal ultrasound for AAA — recommended one-time
screening in men 65-75 who ever smoked.
◍ A patient presents with heat intolerance, tremor, palpitations, weight loss,
and diarrhea. Most likely diagnosis?
A. Hypothyroidism
B. Hyperthyroidism
C. Cushing syndrome
D. Hypoparathyroidism.
Answer: B. Hyperthyroidism — classic hypermetabolic symptoms.
◍ A patient presents with LLQ pain, fever, and leukocytosis. Best imaging
study for suspected diverticulitis?
A. Colonoscopy
B. CT abdomen/pelvis
C. Barium enema
D. Abdominal X-ray only.
Answer: B. CT abdomen/pelvis — best test for diverticulitis.
◍ A 43-year-old with obesity and daytime somnolence snores loudly and has
witnessed apneic episodes. Best next diagnostic test?
A. Chest X-ray
B. Sleep study
C. Pulmonary function tests
, D. BNP.
Answer: B. Sleep study — diagnostic test for obstructive sleep apnea.
◍ A 68-year-old has resting tremor, bradykinesia, cogwheel rigidity, and
shuffling gait. Most likely diagnosis?
A. Essential tremor
B. Parkinson disease
C. Huntington disease
D. Cerebellar lesion.
Answer: B. Parkinson disease — classic motor findings.
◍ A patient has unilateral facial paralysis involving inability to close the eye
and inability to wrinkle the forehead. Most likely diagnosis?
A. Stroke
B. Bell palsy
C. Trigeminal neuralgia
D. TIA.
Answer: B. Bell palsy — complete unilateral facial weakness including
forehead.
◍ A patient with rheumatoid arthritis has persistent symptoms despite
NSAIDs. Which is the best first-line disease-modifying medication?
A. Colchicine
B. Methotrexate
C. Allopurinol
D. Acetaminophen.
Answer: B. Methotrexate — first-line DMARD for RA.
◍ A patient with known diverticulosis asks how it differs from diverticulitis.
Best explanation?
A. Diverticulosis always requires antibiotics
B. Diverticulitis refers to inflamed or infected diverticula
C. Diverticulosis causes fever by definition
D. Diverticulitis is always painless.
Answer: B. Diverticulitis refers to inflamed or infected diverticula.
WITH CORRECT ANSWERS GRADED A+
◍ A sexually active patient with confirmed chlamydia should generally
receive:
A. No antibiotics
B. Appropriate antibiotic therapy and partner management
C. Antifungal therapy
D. Steroids only.
Answer: B. Appropriate antibiotic therapy and partner management.
◍ A 74-year-old presents with sudden right facial droop, arm weakness, and
aphasia starting 45 minutes ago. Best next test?
A. MRI in 1 week
B. CT head without contrast
C. EEG
D. Carotid ultrasound first.
Answer: B. CT head without contrast — first step in suspected acute stroke.
◍ A patient with dyspepsia is suspected to have
H. pylori infection. Which noninvasive test is commonly used?
A. Troponin
B. Urea breath test
C. BNP
D. D-dimer.
Answer: B. Urea breath test — common noninvasive H. pylori test.
◍ A patient has severe epigastric pain radiating to the back with nausea and
elevated lipase. Most likely diagnosis?
A. Cholecystitis
B. Pancreatitis
, C. Appendicitis
D. Peptic ulcer disease.
Answer: B. Pancreatitis — classic pain pattern plus elevated lipase.
◍ A 58-year-old with smoking history presents for preventive screening.
Which screening is specifically recommended for a man age 65-75 who has
ever smoked?
A. Annual chest X-ray
B. Abdominal ultrasound for AAA
C. PSA every year
D. Echocardiogram.
Answer: B. Abdominal ultrasound for AAA — recommended one-time
screening in men 65-75 who ever smoked.
◍ A patient presents with heat intolerance, tremor, palpitations, weight loss,
and diarrhea. Most likely diagnosis?
A. Hypothyroidism
B. Hyperthyroidism
C. Cushing syndrome
D. Hypoparathyroidism.
Answer: B. Hyperthyroidism — classic hypermetabolic symptoms.
◍ A patient presents with LLQ pain, fever, and leukocytosis. Best imaging
study for suspected diverticulitis?
A. Colonoscopy
B. CT abdomen/pelvis
C. Barium enema
D. Abdominal X-ray only.
Answer: B. CT abdomen/pelvis — best test for diverticulitis.
◍ A 43-year-old with obesity and daytime somnolence snores loudly and has
witnessed apneic episodes. Best next diagnostic test?
A. Chest X-ray
B. Sleep study
C. Pulmonary function tests
, D. BNP.
Answer: B. Sleep study — diagnostic test for obstructive sleep apnea.
◍ A 68-year-old has resting tremor, bradykinesia, cogwheel rigidity, and
shuffling gait. Most likely diagnosis?
A. Essential tremor
B. Parkinson disease
C. Huntington disease
D. Cerebellar lesion.
Answer: B. Parkinson disease — classic motor findings.
◍ A patient has unilateral facial paralysis involving inability to close the eye
and inability to wrinkle the forehead. Most likely diagnosis?
A. Stroke
B. Bell palsy
C. Trigeminal neuralgia
D. TIA.
Answer: B. Bell palsy — complete unilateral facial weakness including
forehead.
◍ A patient with rheumatoid arthritis has persistent symptoms despite
NSAIDs. Which is the best first-line disease-modifying medication?
A. Colchicine
B. Methotrexate
C. Allopurinol
D. Acetaminophen.
Answer: B. Methotrexate — first-line DMARD for RA.
◍ A patient with known diverticulosis asks how it differs from diverticulitis.
Best explanation?
A. Diverticulosis always requires antibiotics
B. Diverticulitis refers to inflamed or infected diverticula
C. Diverticulosis causes fever by definition
D. Diverticulitis is always painless.
Answer: B. Diverticulitis refers to inflamed or infected diverticula.
