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WGU PATHOPHYSIOLOGY D236 EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

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WGU PATHOPHYSIOLOGY D236 EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

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WGU PATHOPHYSIOLOGY D236 EXAM
WITH CORRECT QUESTIONS AND
ANSWERS 2025

What is Starling's Law of Capillary forces?

How does this explain why a nutritionally deficient child would have edema?

- CORRECT-ANSWERS>>>>>>>Starling's Law describes how fluids move

across the capillary membrane. There are two major opposing forces that act

to balance each other, hydrostatic pressure (pushing water out of the

capillaries) and osmotic pressure (including oncontic pressure, which pushes

fluid into the capillaries).



Both electrolytes and proteins (oncontic pressure) in the blood affect osmotic

pressure, high electrolyte and protein concentrations in the blood would

cause water to leave the cells and interstitial space and enter the blood

stream to dilute the high concentrations.



On, the other hand, low electrolyte and protein concentrations (as seen in a

nutritionally deficient child) would cause water to leave the capillaries and

enter the cells and interstitial fluid which can lead to edema.

How does the RAAS (Renin-Angiotensin-Aldosterone System) result in

increased blood volume and increased blood pressure? - CORRECT-

,ANSWERS>>>>>>>A drop in blood pressure is sensed by the kidneys

triggers prodcution of renin



Renin triggers the liver to produce angiotensinogen, and converts it into

Angiotensin I and angiotensin II by the enzyme



Angiotensin-converting enzyme (ACE). Angiotensin II stimulates peripheral

arterial vasoconstriction which raises BP.



Angiotensin II stimulate the adrenal gland to release aldosterone, which acts

to increase sodium and water absorption increasing blood volume, while also

increased potassium secretion in urine.

How can hyperkalemia lead to cardiac arrest? - CORRECT-

ANSWERS>>>>>>>Normal levels of potassium are between 3.5 and 5.2

mEq/dL. Hyperkalemia refers to potassium levels higher that 5.2 mEq/dL.



A major function of potassium is to conduct nerve impulses in muscles. Too

low causes muscle weakness too much can cause muscle spasms.



This is especially dangerous in the heart muscle and an irregular heartbeat

can cause a heart attack

The body uses the Protein Buffering System, Phosphate Buffering System,

and Carbonic Acid-Bicarbonate System to regulate and maintain homeostatic

,pH, what is the consequence of a pH imbalance - CORRECT-

ANSWERS>>>>>>>Any increase or decrease in blood pH can alter the

structure of the protein (denature), thereby affecting its function as well

Describe the laboratory findings associated with metabolic acidosis,

metabolic alkalosis, respiratory acidosis and respiratory alkalosis. (ie relative

pH and CO2 levels). - CORRECT-ANSWERS>>>>>>>Normal ABGs (Arterial

Blood Gases) Blood pH: 7.35-7.45 PCO2: 35-45 mm Hg PO2: 90-100 mm Hg

HCO3-: 22-26 mEq/L SaO2: 95-100%

Metabolic acidosis ph less than 7.35 and low HC03. Metabolic alkolosis ph

greater than 7.35 and so is hco3 both of these can be caused my dka. if the

ph and pco2 levels are going in the same direction it is metabolic if they are

going in a different direction it is respiratory

Respiratory alkolosis ph greater than 7.35and pco2 is decreased. repsiratory

acidosis is ph less than 7.35 and pco2 greater than

The anion gap is the difference between measured cations (Na+ and K+) and

measured anions (Cl- and HCO3-), this calculation can be useful in

determining the cause of metabolic acidosis.



Why would an increased anion gap be observed in diabetic ketoacidosis or

lactic acidosis? - CORRECT-ANSWERS>>>>>>>The anion gap is the

calculation of unmeasured anions in the blood.

, Lactic acid and ketones lead to the production of unmeasured anions,

therefore leads to an increase in the AG.

Why is it important to maintain a homeostatic balance of glucose in the

blood (ie describe the pathogenesis of diabetes)? - CORRECT-

ANSWERS>>>>>>>Insulin is the hormone responsible for initiating the

uptake of glucose by the cells. Cells use glucose to produce energy (ATP).



In a normal individual, when blood glucose increases, the pancreas is

signaled to produced in insulin, which binds to insulin receptors on a cells

surface and initiates the uptake of glucose.



Glucose if left in the blood, can to bind to proteins and lipids, which can lead

to loss of function. leading to damage in the heart and kidneys.

Compare and contrast Type I and Type II Diabetes - CORRECT-

ANSWERS>>>>>>>Type I diabetes is caused by lack of insulin. With out

insulin signaling, glucose will not be taken into the cell and leads to high

blood glucose (hyperglycemia). Type I is usually treated with insulin

injections.



Type II diabetes is caused by a desensitization to insulin signaling. The

insulin receptors are no longer responding to insulin, which also leads to

hyperglycemia.

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