WGU D118 UPDATED EXAMS SET QUESTIONS AND
ANSWERS SURE A+
✔✔First-line medication for type 2 diabetes - ✔✔Metformin
✔✔Metformin contraindication - ✔✔eGFR <30
✔✔Lab reflecting long-term glycemic control - ✔✔Hemoglobin A1c
✔✔Hypothyroidism confirmatory labs - ✔✔Elevated TSH, low free T4
✔✔First-line hypothyroidism treatment - ✔✔Levothyroxine
✔✔Headache red flag - ✔✔Worst headache of life - Possible subarachnoid hemorrhage
✔✔Initial imaging for suspected stroke - ✔✔Non-contrast CT head
✔✔Required lab before tPA - ✔✔Blood glucose
✔✔Depression screening tool - ✔✔PHQ-9
✔✔Depression red flag - ✔✔Active suicidal ideation
, ✔✔First-line depression treatment - ✔✔SSRI
✔✔Safest SSRI in pregnancy - ✔✔Sertraline
✔✔Initial test for suspected DVT - ✔✔Venous duplex ultrasound
✔✔Preferred outpatient DVT treatment - ✔✔DOAC (apixaban or rivaroxaban)
✔✔Contraindication to DOACs - ✔✔Mechanical heart valve
✔✔Initial test suggesting heart failure - ✔✔BNP
✔✔Confirmatory test for heart failure - ✔✔Echocardiogram
✔✔First-line HFrEF therapy - ✔✔ACE inhibitor and beta blocker
✔✔Abdominal pain red flag - ✔✔Rebound tenderness - Peritonitis
✔✔Best imaging for appendicitis in adults - ✔✔CT abdomen with contrast
✔✔First-line acute bacterial sinusitis treatment - ✔✔Amoxicillin-clavulanate
✔✔Sinusitis red flag - ✔✔Periorbital edema - Orbital cellulitis risk
✔✔Initial evaluation of thyroid nodule - ✔✔TSH
✔✔Low TSH with thyroid nodule next step - ✔✔Radioactive iodine uptake scan
✔✔Osteoporosis screening test - ✔✔DEXA scan
✔✔Diagnostic T-score for osteoporosis - ✔✔≤ −2.5
✔✔First-line osteoporosis medication - ✔✔Bisphosphonates
✔✔Secondary HTN red flag - ✔✔Onset before age 30
✔✔Best screening test for CKD - ✔✔eGFR
✔✔First-line CKD medication - ✔✔ACE inhibitor
✔✔First-line BPH treatment - ✔✔Alpha-1 blocker
ANSWERS SURE A+
✔✔First-line medication for type 2 diabetes - ✔✔Metformin
✔✔Metformin contraindication - ✔✔eGFR <30
✔✔Lab reflecting long-term glycemic control - ✔✔Hemoglobin A1c
✔✔Hypothyroidism confirmatory labs - ✔✔Elevated TSH, low free T4
✔✔First-line hypothyroidism treatment - ✔✔Levothyroxine
✔✔Headache red flag - ✔✔Worst headache of life - Possible subarachnoid hemorrhage
✔✔Initial imaging for suspected stroke - ✔✔Non-contrast CT head
✔✔Required lab before tPA - ✔✔Blood glucose
✔✔Depression screening tool - ✔✔PHQ-9
✔✔Depression red flag - ✔✔Active suicidal ideation
, ✔✔First-line depression treatment - ✔✔SSRI
✔✔Safest SSRI in pregnancy - ✔✔Sertraline
✔✔Initial test for suspected DVT - ✔✔Venous duplex ultrasound
✔✔Preferred outpatient DVT treatment - ✔✔DOAC (apixaban or rivaroxaban)
✔✔Contraindication to DOACs - ✔✔Mechanical heart valve
✔✔Initial test suggesting heart failure - ✔✔BNP
✔✔Confirmatory test for heart failure - ✔✔Echocardiogram
✔✔First-line HFrEF therapy - ✔✔ACE inhibitor and beta blocker
✔✔Abdominal pain red flag - ✔✔Rebound tenderness - Peritonitis
✔✔Best imaging for appendicitis in adults - ✔✔CT abdomen with contrast
✔✔First-line acute bacterial sinusitis treatment - ✔✔Amoxicillin-clavulanate
✔✔Sinusitis red flag - ✔✔Periorbital edema - Orbital cellulitis risk
✔✔Initial evaluation of thyroid nodule - ✔✔TSH
✔✔Low TSH with thyroid nodule next step - ✔✔Radioactive iodine uptake scan
✔✔Osteoporosis screening test - ✔✔DEXA scan
✔✔Diagnostic T-score for osteoporosis - ✔✔≤ −2.5
✔✔First-line osteoporosis medication - ✔✔Bisphosphonates
✔✔Secondary HTN red flag - ✔✔Onset before age 30
✔✔Best screening test for CKD - ✔✔eGFR
✔✔First-line CKD medication - ✔✔ACE inhibitor
✔✔First-line BPH treatment - ✔✔Alpha-1 blocker
