WGU D027 EXAM QUESTIONS WITH VERIFIED
SOLUTIONS
1. Describe Celiac Disease and which testing is appropriate to
diagnosis? Gluten sensitivity. No Rye, wheat or barley.
Labwork-IgA, HLA-DQ2, HLA-DQ8; endoscopy with sm. Intestine bx
2. What is Sjorgens Syndrome and what testing is appropriate for diagnosis?
Sjogren's syndrome is a disorder of your immune system identified by its two
most common symptoms — dry eyes and a dry mouth. The condition often
accompanies other immune system disorders, such as rheumatoid arthritis and
lupus.
Lip bx for diagnosis * not on my exam
3. In what conditions have Cinnamon been useful
for? Improve colon health
Anticoagulant
Antimicrobial/antifungal
Used for IBS
Lower cholesterol and lipids
*not on my exam
4. Discuss the pathophysiology of Hypoplastic Left Heart Syndrome (HLHS), what chamber is
affected and what population is typically affected?
L ventricle, L ventricle valves and L aortic valves are too small or under developed. LV Is the primary
chamber to pump blood to body. The R side of the heart has to compensate to increase organ
perfusion. Congenital defect that requires surgery. Normal ejection fraction 50-70%
5. What hormone does Parathyroid
secrete? Calcium
Hypoparathyroid- dx with bone density, u/s blood test or body CT/MRI. Biphosphonate prevents
bone loss of ca to reduce risk of osteoporosis. HRt helps bones retain ca.
6. What is Hutchinson-Gilford Progeria Syndrome?
Genetic disorder with rapid aging. Treat with Nsaid, lower cholesterol, Physical therapy
7. What pain Medicine is used for Diabetic neuropathy pain?
, Gabapentin/ Neurontin, Lyrica & Cymbalta
8. Hydrotherapy helps with what
disease? Fibromyalga circulation
9. Patient with Post MVA, had right side decreased lung
sounds? Pneumothorax
10. Which TB med impacts oral
contraceptives? Rifampicin
11. What are TSH/T4/T3 abnormal levels for
hypothyroidism Low T4 (0.9 < )/T3 (75 <) and High TSH
(>4.8)
Hasiomoto is High TSH, low T3/T4- synthroid
Thyroid peroxidase antibody
12. Difference between ulcerative colitis and Crohn’s (worse after meals) in terms of symptoms and
the impact of the body.
Chron’s- entire or small intestine. Skip lesions dx with colonoscopy/ endoscopy. R lower abd. pain 1-2
hrs. after eating
UC or IBS- lg intestine/ colon inflammation. Dx with colonoscopy/ sigmoidoscopy. Abd cramping with
BM.
13. Discuss the pathophysiology regarding Sickle-Cell and typical medications prescribed
RBC are mis-shapened and can get stuck in BV near joints. Medication include pain medications, PCN
recommended by AAP for young children as prophylaxis , blood transfusion & get immunizations.
14. What is the recommended med for pregnant women with UTI or what med to avoid for
her if she has UTI?
Use Keflex, erythromycin.
Avoid macrobid, bactrum, doxycycline, Cipro, minocycline
15. Discuss Schizophrenia meds... 1st and 2nd generation meds
SOLUTIONS
1. Describe Celiac Disease and which testing is appropriate to
diagnosis? Gluten sensitivity. No Rye, wheat or barley.
Labwork-IgA, HLA-DQ2, HLA-DQ8; endoscopy with sm. Intestine bx
2. What is Sjorgens Syndrome and what testing is appropriate for diagnosis?
Sjogren's syndrome is a disorder of your immune system identified by its two
most common symptoms — dry eyes and a dry mouth. The condition often
accompanies other immune system disorders, such as rheumatoid arthritis and
lupus.
Lip bx for diagnosis * not on my exam
3. In what conditions have Cinnamon been useful
for? Improve colon health
Anticoagulant
Antimicrobial/antifungal
Used for IBS
Lower cholesterol and lipids
*not on my exam
4. Discuss the pathophysiology of Hypoplastic Left Heart Syndrome (HLHS), what chamber is
affected and what population is typically affected?
L ventricle, L ventricle valves and L aortic valves are too small or under developed. LV Is the primary
chamber to pump blood to body. The R side of the heart has to compensate to increase organ
perfusion. Congenital defect that requires surgery. Normal ejection fraction 50-70%
5. What hormone does Parathyroid
secrete? Calcium
Hypoparathyroid- dx with bone density, u/s blood test or body CT/MRI. Biphosphonate prevents
bone loss of ca to reduce risk of osteoporosis. HRt helps bones retain ca.
6. What is Hutchinson-Gilford Progeria Syndrome?
Genetic disorder with rapid aging. Treat with Nsaid, lower cholesterol, Physical therapy
7. What pain Medicine is used for Diabetic neuropathy pain?
, Gabapentin/ Neurontin, Lyrica & Cymbalta
8. Hydrotherapy helps with what
disease? Fibromyalga circulation
9. Patient with Post MVA, had right side decreased lung
sounds? Pneumothorax
10. Which TB med impacts oral
contraceptives? Rifampicin
11. What are TSH/T4/T3 abnormal levels for
hypothyroidism Low T4 (0.9 < )/T3 (75 <) and High TSH
(>4.8)
Hasiomoto is High TSH, low T3/T4- synthroid
Thyroid peroxidase antibody
12. Difference between ulcerative colitis and Crohn’s (worse after meals) in terms of symptoms and
the impact of the body.
Chron’s- entire or small intestine. Skip lesions dx with colonoscopy/ endoscopy. R lower abd. pain 1-2
hrs. after eating
UC or IBS- lg intestine/ colon inflammation. Dx with colonoscopy/ sigmoidoscopy. Abd cramping with
BM.
13. Discuss the pathophysiology regarding Sickle-Cell and typical medications prescribed
RBC are mis-shapened and can get stuck in BV near joints. Medication include pain medications, PCN
recommended by AAP for young children as prophylaxis , blood transfusion & get immunizations.
14. What is the recommended med for pregnant women with UTI or what med to avoid for
her if she has UTI?
Use Keflex, erythromycin.
Avoid macrobid, bactrum, doxycycline, Cipro, minocycline
15. Discuss Schizophrenia meds... 1st and 2nd generation meds