WGU D027 ADVANCED
PATHOPHARMACOLOGICAL FOUNDATIONS
OBJECTIVE ASSESSMENT ACTUAL EXAM
2025/2026 QUESTIONS WITH VERIFIED
CORRECT SOLUTIONS || 100%
GUARANTEED PASS
<BRAND NEW VERSION>
1. In what structure do B lymphocytes mature and become B cells? -
ANSWER ✓ Bone marrow -
The bone marrow is where immature immune cells, such as B and T
lymphocytes, reside to mature into B cells. After this maturation process,
these cells migrate to other organ sites such as the thyroid, spleen, and
thymus to enter their final stages of differentiation and development.
2. Which type of immunity occurs when antibodies are transferred from donor
to recipient? - ANSWER ✓ Passive acquired immunity -
Active immune processes are the self-originating processes of the immune
system that occur from (acquired) or without (innate) prior exogenous
simulation or exposure to foreign antigens. Passive immunity is stabilized.
Existing immune responses that are present with or without simulation can
arise or be created from oneself (innate) or acquired from an outside source
(e.g. donor antibodies).
3. Treatment of Crohn's Disease - ANSWER ✓ Corticosteroids, infliximab
immunosuppressants and steroids; diet and nutrition, surgery.
patients with atopic dermatitis ad eczema have increased risk of
inflammatory bowel disease
,4. Diagnostic labs for ulcerative colitis - ANSWER ✓ CBC, CRP, ESR, LFT,
electrolyte panel, and ANA (antinuclear antibody)
5. Japanese man has htn and CKD. What is antihypertensive of choice? -
ANSWER ✓ angiotensin converting enzyme inhibitor or angiotensin
receptor blocker.
Next course of action is reduced salt diet.
6. What do you do if COPD/asthma patient has failed long acting beta agonists
(LABAs)? - ANSWER ✓ continuous oxygen??
7. medullary thyroid cancer presentation, diagnosis, and treatment - ANSWER
✓ Presentation: neck pain/lump, dysphagia, SOB
Diagnosis: fine needle aspiration & carcinoembryonic antigen (CEA)
Treatment: surgery, if not removed use chemo to inhibit tyrosine kinases
*Nib cancer drugs
8. PRN meds for anxiety - ANSWER ✓ benzodiazepam, vistaril, seroquel,
SSRIs, and Wellbutrin
9. Diazepam (Valium) - ANSWER ✓ 1st choice treatment for anxiety, is a
benzodiazepam
10.Buspirone - ANSWER ✓ treats anxiety, not a benzo
11.SSRIs (Prozac, Paxil, Zoloft) - ANSWER ✓ treatment of panic disorder to
decrease frequency and intensity of attacks
12.Vistaril - ANSWER ✓ antihistamine that can treat anxiety
13.Seroquel - ANSWER ✓ treatment of anxiety, antipsychotic effects
14.Side effect of risperidone - ANSWER ✓ neutropenia
15.Chlorpromazine - ANSWER ✓ treats schizophrenia
,16.Left hypoplastic heart defect diagnosis and treatment - ANSWER ✓ birth
defect that affects normal blood flow
Diagnosis: echocardiogram shows smaller than normal LV and aorta
Treatment: surgery
17.Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - ANSWER
✓ SLE disrupts immune homeostasis and promotes development of self-
reactive antibodies.
18.A female patient presents to an office to establish care. Her previous primary
care provider told her to follow up regarding an elevated ferritin level. She
has no previous medical history and is currently asymptomatic. She is
concerned about the elevated ferritin and would like to know if she should
be worried. What should the provider do next for this patient? - ANSWER ✓
Order a liver function test
19.A 75-year-old female presents to the emergency department with an
irregular heart rate of 130.What can be ascertained about this patient's
findings given the limited information? - ANSWER ✓ She is diagnosed with
atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
20.Which condition from this patient's medical history is contributing to the
loss of contractility? - ANSWER ✓ Acute myocardial infarction
21.Which condition is this patient suffering from? - ANSWER ✓ Diabetic
ketoacidosis
22.A 45-year-old female fears that she is having a stroke and takes herself to an
emergency room. After several diagnostic and laboratory tests, the patient is
diagnosed with Cushing disease. Which lab abnormality would be present in
this patient? - ANSWER ✓ Increased cortisol
23.SOB when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely exhibiting? -
ANSWER ✓ Asthma
, 24.A two-year-old child presents with a clear runny nose and cough which has
lasted 3 days. The child's mother reports the cough sounds like a barking
noise. The child is sleeping in the mother's arms and appears to have stridor.
The child's mother also reports an axillary temperature of 101°F last night.
Which management technique is appropriate for this child's symptoms? -
ANSWER ✓ Oral steroids and breathing treatments
25.Delerium, urinary incontinence, fever-- Which lab and diagnostic tests
should be ordered as part of the patient's assessment? - ANSWER ✓
Complete blood count, complete metabolic profile, and urinalysis
26.An 18-year-old male is involved in a motorcycle crash while not wearing a
helmet. He is brought into an emergency room and is immediately taken for
a CT scan. The provider tells the patient's parents he has bleeding between
the dura mater and the skull. What is this patient's condition called? -
ANSWER ✓ Epidural hematoma
What is the appropriate diagnosis for this patient? - ANSWER ✓
Crohn's disease
Which diagnostic test is appropriate to order for this patient? - ANSWER ✓
Ultrasound
27.A 45-year-old male is being seen in the clinic for a yearly check-up and lab
work. His history includes hypertension and hyperlipidemia for which he
currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a
family history of diabetes, hypertension, heart disease, and hyperlipidemia.
After obtaining lab work, the provider notices the patient's hgbA1c is
elevated at 7.5. The patient is already on a DASH diet and watching the
amount of sweets and carbohydrates he eats daily. The patient is not
overweight and participates in moderate physical activity at least 4-5 days a
week. He was started on Metformin three months ago, and his hemoglobin
A1c is now 6.9. The nurse expects to see a class of medication prescribed
which is proven to reduce the risk of cardiovascular events. Considering the
treatment guidelines from the American College of Cardiology, which
medication should be recommended for this patien - ANSWER ✓ Invokana
100 mg daily
PATHOPHARMACOLOGICAL FOUNDATIONS
OBJECTIVE ASSESSMENT ACTUAL EXAM
2025/2026 QUESTIONS WITH VERIFIED
CORRECT SOLUTIONS || 100%
GUARANTEED PASS
<BRAND NEW VERSION>
1. In what structure do B lymphocytes mature and become B cells? -
ANSWER ✓ Bone marrow -
The bone marrow is where immature immune cells, such as B and T
lymphocytes, reside to mature into B cells. After this maturation process,
these cells migrate to other organ sites such as the thyroid, spleen, and
thymus to enter their final stages of differentiation and development.
2. Which type of immunity occurs when antibodies are transferred from donor
to recipient? - ANSWER ✓ Passive acquired immunity -
Active immune processes are the self-originating processes of the immune
system that occur from (acquired) or without (innate) prior exogenous
simulation or exposure to foreign antigens. Passive immunity is stabilized.
Existing immune responses that are present with or without simulation can
arise or be created from oneself (innate) or acquired from an outside source
(e.g. donor antibodies).
3. Treatment of Crohn's Disease - ANSWER ✓ Corticosteroids, infliximab
immunosuppressants and steroids; diet and nutrition, surgery.
patients with atopic dermatitis ad eczema have increased risk of
inflammatory bowel disease
,4. Diagnostic labs for ulcerative colitis - ANSWER ✓ CBC, CRP, ESR, LFT,
electrolyte panel, and ANA (antinuclear antibody)
5. Japanese man has htn and CKD. What is antihypertensive of choice? -
ANSWER ✓ angiotensin converting enzyme inhibitor or angiotensin
receptor blocker.
Next course of action is reduced salt diet.
6. What do you do if COPD/asthma patient has failed long acting beta agonists
(LABAs)? - ANSWER ✓ continuous oxygen??
7. medullary thyroid cancer presentation, diagnosis, and treatment - ANSWER
✓ Presentation: neck pain/lump, dysphagia, SOB
Diagnosis: fine needle aspiration & carcinoembryonic antigen (CEA)
Treatment: surgery, if not removed use chemo to inhibit tyrosine kinases
*Nib cancer drugs
8. PRN meds for anxiety - ANSWER ✓ benzodiazepam, vistaril, seroquel,
SSRIs, and Wellbutrin
9. Diazepam (Valium) - ANSWER ✓ 1st choice treatment for anxiety, is a
benzodiazepam
10.Buspirone - ANSWER ✓ treats anxiety, not a benzo
11.SSRIs (Prozac, Paxil, Zoloft) - ANSWER ✓ treatment of panic disorder to
decrease frequency and intensity of attacks
12.Vistaril - ANSWER ✓ antihistamine that can treat anxiety
13.Seroquel - ANSWER ✓ treatment of anxiety, antipsychotic effects
14.Side effect of risperidone - ANSWER ✓ neutropenia
15.Chlorpromazine - ANSWER ✓ treats schizophrenia
,16.Left hypoplastic heart defect diagnosis and treatment - ANSWER ✓ birth
defect that affects normal blood flow
Diagnosis: echocardiogram shows smaller than normal LV and aorta
Treatment: surgery
17.Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - ANSWER
✓ SLE disrupts immune homeostasis and promotes development of self-
reactive antibodies.
18.A female patient presents to an office to establish care. Her previous primary
care provider told her to follow up regarding an elevated ferritin level. She
has no previous medical history and is currently asymptomatic. She is
concerned about the elevated ferritin and would like to know if she should
be worried. What should the provider do next for this patient? - ANSWER ✓
Order a liver function test
19.A 75-year-old female presents to the emergency department with an
irregular heart rate of 130.What can be ascertained about this patient's
findings given the limited information? - ANSWER ✓ She is diagnosed with
atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
20.Which condition from this patient's medical history is contributing to the
loss of contractility? - ANSWER ✓ Acute myocardial infarction
21.Which condition is this patient suffering from? - ANSWER ✓ Diabetic
ketoacidosis
22.A 45-year-old female fears that she is having a stroke and takes herself to an
emergency room. After several diagnostic and laboratory tests, the patient is
diagnosed with Cushing disease. Which lab abnormality would be present in
this patient? - ANSWER ✓ Increased cortisol
23.SOB when lying down, and moving around --Based on the patient's
presentation, which disease process is the patient likely exhibiting? -
ANSWER ✓ Asthma
, 24.A two-year-old child presents with a clear runny nose and cough which has
lasted 3 days. The child's mother reports the cough sounds like a barking
noise. The child is sleeping in the mother's arms and appears to have stridor.
The child's mother also reports an axillary temperature of 101°F last night.
Which management technique is appropriate for this child's symptoms? -
ANSWER ✓ Oral steroids and breathing treatments
25.Delerium, urinary incontinence, fever-- Which lab and diagnostic tests
should be ordered as part of the patient's assessment? - ANSWER ✓
Complete blood count, complete metabolic profile, and urinalysis
26.An 18-year-old male is involved in a motorcycle crash while not wearing a
helmet. He is brought into an emergency room and is immediately taken for
a CT scan. The provider tells the patient's parents he has bleeding between
the dura mater and the skull. What is this patient's condition called? -
ANSWER ✓ Epidural hematoma
What is the appropriate diagnosis for this patient? - ANSWER ✓
Crohn's disease
Which diagnostic test is appropriate to order for this patient? - ANSWER ✓
Ultrasound
27.A 45-year-old male is being seen in the clinic for a yearly check-up and lab
work. His history includes hypertension and hyperlipidemia for which he
currently takes Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a
family history of diabetes, hypertension, heart disease, and hyperlipidemia.
After obtaining lab work, the provider notices the patient's hgbA1c is
elevated at 7.5. The patient is already on a DASH diet and watching the
amount of sweets and carbohydrates he eats daily. The patient is not
overweight and participates in moderate physical activity at least 4-5 days a
week. He was started on Metformin three months ago, and his hemoglobin
A1c is now 6.9. The nurse expects to see a class of medication prescribed
which is proven to reduce the risk of cardiovascular events. Considering the
treatment guidelines from the American College of Cardiology, which
medication should be recommended for this patien - ANSWER ✓ Invokana
100 mg daily
