WGU D118 UPDATD FINAL EXAM ALL QUESTIONS
AND ANSWERS SURE A+
✔✔Required lab before giving tPA - ✔✔Blood glucose - Hypoglycemia can mimic stroke
✔✔Best initial test for iron deficiency anemia - ✔✔Ferritin - Most sensitive indicator of
iron stores
✔✔Microcytic anemia with low ferritin diagnosis - ✔✔Iron deficiency anemia - Confirms
iron depletion
✔✔Anemia red flag requiring urgent care - ✔✔Hemoglobin <7 with symptoms - Risk of
hemodynamic instability
✔✔First-line treatment for uncomplicated UTI - ✔✔Nitrofurantoin - Effective with low
resistance
✔✔UTI red flag requiring imaging - ✔✔Fever with flank pain - Suggests pyelonephritis
✔✔Best diagnostic test for pyelonephritis - ✔✔Urinalysis with culture - Identifies
pathogen
, ✔✔First-line GERD treatment without alarms - ✔✔Proton pump inhibitor - Most effective
acid suppression
✔✔GERD alarm symptom - ✔✔Dysphagia - Possible malignancy or stricture
✔✔Next step for GERD with alarm symptoms - ✔✔Upper endoscopy - Rule out cancer
✔✔First-line treatment for major depressive disorder - ✔✔SSRI - Effective and well
tolerated
✔✔SSRI safest in pregnancy - ✔✔Sertraline - Best safety profile
✔✔Depression red flag - ✔✔Active suicidal ideation - Requires immediate intervention
✔✔First-line treatment for GAD - ✔✔SSRI or SNRI - Long-term control
✔✔Depression screening tool - ✔✔PHQ-9 - Validated primary care tool
✔✔Initial test for suspected DVT - ✔✔Venous duplex ultrasound - Non-invasive and
accurate
✔✔Preferred outpatient DVT anticoagulant - ✔✔Apixaban or rivaroxaban - DOACs
preferred
✔✔Contraindication to DOACs - ✔✔Mechanical heart valve - Increased thrombotic risk
✔✔First-line osteoarthritis treatment - ✔✔Acetaminophen or NSAIDs - Symptom control
✔✔Joint pain red flag - ✔✔Night pain with weight loss - Malignancy concern
✔✔Initial labs for rheumatoid arthritis - ✔✔Rheumatoid factor and anti-CCP - Anti-CCP
most specific
✔✔First-line RA disease-modifying therapy - ✔✔Methotrexate - Prevents joint damage
✔✔Labs monitored with methotrexate - ✔✔CBC and liver enzymes - Bone marrow and
hepatic toxicity
✔✔AFib with CHA2DS2-VASc ≥2 treatment - ✔✔Anticoagulation - Stroke prevention
✔✔Preferred anticoagulant in nonvalvular AF - ✔✔Apixaban - Lower bleeding risk
✔✔Initial lab suggesting heart failure - ✔✔BNP - Elevated with volume overload
AND ANSWERS SURE A+
✔✔Required lab before giving tPA - ✔✔Blood glucose - Hypoglycemia can mimic stroke
✔✔Best initial test for iron deficiency anemia - ✔✔Ferritin - Most sensitive indicator of
iron stores
✔✔Microcytic anemia with low ferritin diagnosis - ✔✔Iron deficiency anemia - Confirms
iron depletion
✔✔Anemia red flag requiring urgent care - ✔✔Hemoglobin <7 with symptoms - Risk of
hemodynamic instability
✔✔First-line treatment for uncomplicated UTI - ✔✔Nitrofurantoin - Effective with low
resistance
✔✔UTI red flag requiring imaging - ✔✔Fever with flank pain - Suggests pyelonephritis
✔✔Best diagnostic test for pyelonephritis - ✔✔Urinalysis with culture - Identifies
pathogen
, ✔✔First-line GERD treatment without alarms - ✔✔Proton pump inhibitor - Most effective
acid suppression
✔✔GERD alarm symptom - ✔✔Dysphagia - Possible malignancy or stricture
✔✔Next step for GERD with alarm symptoms - ✔✔Upper endoscopy - Rule out cancer
✔✔First-line treatment for major depressive disorder - ✔✔SSRI - Effective and well
tolerated
✔✔SSRI safest in pregnancy - ✔✔Sertraline - Best safety profile
✔✔Depression red flag - ✔✔Active suicidal ideation - Requires immediate intervention
✔✔First-line treatment for GAD - ✔✔SSRI or SNRI - Long-term control
✔✔Depression screening tool - ✔✔PHQ-9 - Validated primary care tool
✔✔Initial test for suspected DVT - ✔✔Venous duplex ultrasound - Non-invasive and
accurate
✔✔Preferred outpatient DVT anticoagulant - ✔✔Apixaban or rivaroxaban - DOACs
preferred
✔✔Contraindication to DOACs - ✔✔Mechanical heart valve - Increased thrombotic risk
✔✔First-line osteoarthritis treatment - ✔✔Acetaminophen or NSAIDs - Symptom control
✔✔Joint pain red flag - ✔✔Night pain with weight loss - Malignancy concern
✔✔Initial labs for rheumatoid arthritis - ✔✔Rheumatoid factor and anti-CCP - Anti-CCP
most specific
✔✔First-line RA disease-modifying therapy - ✔✔Methotrexate - Prevents joint damage
✔✔Labs monitored with methotrexate - ✔✔CBC and liver enzymes - Bone marrow and
hepatic toxicity
✔✔AFib with CHA2DS2-VASc ≥2 treatment - ✔✔Anticoagulation - Stroke prevention
✔✔Preferred anticoagulant in nonvalvular AF - ✔✔Apixaban - Lower bleeding risk
✔✔Initial lab suggesting heart failure - ✔✔BNP - Elevated with volume overload
