QUESTIONS AND ANSWERS
Warm to touch - ✔A patient's records indicate a diagnosis of a staph skin infection
which caused a boil to develop on the patient's buttock region. Symptoms included red,
swollen skin with pus. Which additional symptom can appear in the affected area?
Malaria - ✔A patient presents with anemia, jaundice, fever, and malaise due to the
destruction of red blood cells. Which infectious disease does this describe?
Sore throat & Nasal congestion - ✔A patient's record shows a diagnosis of H1N1 flu.
Which two symptoms may be present in this chart entry?
Skin blisters - ✔A patient presents at a clinic with a burn on the left arm. The burn is
classified as second degree, and the skin appears red and swollen. The patient reports
it is very painful. What is an additional symptom of a patient with a second-degree burn?
Respiratory distress - ✔A patient is taken to the emergency department after a near
drowning. What is a sign or symptom that the patient may experience within minutes or
even days?
Adenoma & Osteoma - ✔What are two types of benign tumors?
Paget disease - ✔A patient presented with swelling of the femur. MRI results indicated
enlargement and thickening of the bone. The urinalysis showed hydroxyproline. The
patient was prescribed NSAIDs and physical therapy, and surgery was recommended.
Which disease does this describe?
Finger dislocation - ✔XR shows torn soft tissue ligaments surrounding MCP joint injury.
Treatment includes surgical reconstruction to realign bone and ligaments.
Fibromyalgia - ✔Restlessness and exhaustion; constant, dull muscle aches;
tenderness. Chronic pain that lasts a long time. Can worsen with mood flair ups.
Carpal Tunnel Syndrome - ✔Burning, weakness, and tingling in one hand. The patient
is unable to demonstrate a strong grip and is experiencing stronger discomfort at night.
Doctor recommends medial nerve compression.
Sprain - ✔Wrist and arm pain with limited mobility. Not able to rotate fully, no
inflammation present. Short arm splint, apply ice as needed.
Vitiligo - ✔A patient's record indicates a skin condition in which depigmentation appears
on different parts of the body that are often exposed to sunlight. A skin biopsy reveals a
lack of melanocytes.
Urticaria - ✔A raised, red area recently developed on an eight-year-old patient's back
after eating peanuts.
, WGU D236 PATHOPHYSIOLOGY PRE-ASSESSMENT-
QUESTIONS AND ANSWERS
Contact dermatitis - ✔Upon physical exam, a patient was found to have a small, oozing
vesicles on the skin of both hands. Both hands were hot to the touch and swollen. The
patient reported itching, burning, and stinging of the skin. Frequently wears latex gloves.
Tinea pedis - ✔A 19-year-old patient reports persistent itching and peeling dry skin
between the first and second toes. The patient also has a burning sensation. An internal
medicine practitioner prescribes antifungal ointment and wash for the next four weeks.
Eczema - ✔A patient has severe itching on the face. The physical exam reveals dry
skin and small lesions. The patient has a family history of allergic rhinitis. The physician
prescribes topical anti-itch cream and instructs daily skin care.
Herpes zoster (shingles) - ✔A patient presents for follow-up of several painful vesicular
lesions on the face, mouth, and tongue. The patient is diagnosed with a condition
caused by the same virus that causes chicken pox.
Ischemic stroke - ✔Patient presents to the ED complaining of a sudden onset of speech
impairment, severe headache, falling down while standing, and inability to move the arm
and leg on the right side. A cerebral angiogram shows occlusion of blood vessels.
Alcoholism - ✔Which disease can vitamin B12 deficiency be attributed to?
Vitamin B12 deficiency & Lead poisoning - ✔What are two possible causes for
peripheral neuropathy?
Subdural hematoma - ✔A patient has slurred speech, difficulty walking, and dilated
pupils. Which condition does this describe?
Parkinson disease - ✔A patient has tremors, bradykinesia, and abnormal gait. The
patient is taking anticholinergics; however, the symptoms are aggravated. A neurologist
treats the patient with deep brain stimulation.
Cataract - ✔Following pupil dilation, an opthalmoscopy shows a cloudy and crystalline
lens of the left eye. An intracapsular extraction intraocular lens inmplant is
recommended.
Glaucoma - ✔A 47-year-old diabetic patient presents with aching eyes, visual
disturbances, and a loss of peripheral vision. Which diagnosis is described?
Otosclerosis - ✔A patient record shows that an ear exam revealed growth of new bone
that is fixed. The patient has permanent hearing loss.
Meniere disease - ✔A 43-year-old patient presents to the urgent care center reporting
ongoing symptoms of dizziness with ringing and buzzing in the ear and hearing loss on
the left side. The patient indicated no history of head injury that would cause this, and