WGU D118 LATEST EXAMS SCRIPT ALL QUESTIONS
AND ANSWERS SURE A+
✔✔Migraine red flag - ✔✔Sudden worst headache of life - Subarachnoid hemorrhage
✔✔First-line insomnia treatment - ✔✔Cognitive behavioral therapy - Best long-term
outcomes
✔✔Medication for acute insomnia - ✔✔Short-term zolpidem - Use sparingly
✔✔Lung cancer screening in high-risk adults - ✔✔Low-dose CT - Reduces mortality
✔✔Weight loss red flag - ✔✔Unintentional >10% body weight - Malignancy concern
✔✔First-line mild cellulitis treatment - ✔✔Cephalexin - Covers streptococci
✔✔Cellulitis red flag - ✔✔Rapid progression with systemic symptoms - Necrotizing
infection risk
✔✔Initial test for suspected C. difficile - ✔✔Stool PCR - Detects toxin genes
✔✔First-line treatment for initial C. difficile - ✔✔Oral vancomycin - Superior efficacy
, ✔✔Best first-line medication for newly diagnosed HTN with diabetes - ✔✔ACE inhibitor
- Renal protective and first-line for diabetics
✔✔Lab to monitor after starting ACE inhibitor - ✔✔Serum creatinine and potassium -
Risk of AKI and hyperkalemia
✔✔HTN red flag requiring urgent evaluation - ✔✔BP >180/120 with symptoms -
Hypertensive emergency
✔✔First-line test for suspected pulmonary embolism in low-risk patient - ✔✔D-dimer -
Rules out PE if negative
✔✔Next step after positive D-dimer - ✔✔CT pulmonary angiography - Confirms PE
✔✔COPD diagnostic criterion - ✔✔Spirometry with FEV1/FVC <0.70 - Confirms
obstruction
✔✔COPD patient with frequent exacerbations next step - ✔✔Add inhaled corticosteroid
- Reduces exacerbations
✔✔Asthma hospitalization red flag - ✔✔Peak flow <50% predicted - Severe
exacerbation
✔✔First-line treatment for mild persistent asthma - ✔✔Daily low-dose inhaled
corticosteroid
✔✔Acute monoarticular arthritis with fever next step - ✔✔Joint aspiration - Rule out
septic arthritis
✔✔First-line acute gout treatment (normal renal function) - ✔✔NSAIDs
✔✔Definitive diagnostic test for gout - ✔✔Monosodium urate crystals - Negatively
birefringent
✔✔Iron deficiency anemia most sensitive lab - ✔✔Ferritin - Low confirms iron deficiency
✔✔Anemia red flag - ✔✔Hemoglobin <7 with symptoms - Needs urgent evaluation
✔✔First-line uncomplicated UTI treatment - ✔✔Nitrofurantoin
✔✔UTI red flag - ✔✔Fever with flank pain - Suspect pyelonephritis
✔✔GERD alarm symptom - ✔✔Dysphagia - Possible malignancy
AND ANSWERS SURE A+
✔✔Migraine red flag - ✔✔Sudden worst headache of life - Subarachnoid hemorrhage
✔✔First-line insomnia treatment - ✔✔Cognitive behavioral therapy - Best long-term
outcomes
✔✔Medication for acute insomnia - ✔✔Short-term zolpidem - Use sparingly
✔✔Lung cancer screening in high-risk adults - ✔✔Low-dose CT - Reduces mortality
✔✔Weight loss red flag - ✔✔Unintentional >10% body weight - Malignancy concern
✔✔First-line mild cellulitis treatment - ✔✔Cephalexin - Covers streptococci
✔✔Cellulitis red flag - ✔✔Rapid progression with systemic symptoms - Necrotizing
infection risk
✔✔Initial test for suspected C. difficile - ✔✔Stool PCR - Detects toxin genes
✔✔First-line treatment for initial C. difficile - ✔✔Oral vancomycin - Superior efficacy
, ✔✔Best first-line medication for newly diagnosed HTN with diabetes - ✔✔ACE inhibitor
- Renal protective and first-line for diabetics
✔✔Lab to monitor after starting ACE inhibitor - ✔✔Serum creatinine and potassium -
Risk of AKI and hyperkalemia
✔✔HTN red flag requiring urgent evaluation - ✔✔BP >180/120 with symptoms -
Hypertensive emergency
✔✔First-line test for suspected pulmonary embolism in low-risk patient - ✔✔D-dimer -
Rules out PE if negative
✔✔Next step after positive D-dimer - ✔✔CT pulmonary angiography - Confirms PE
✔✔COPD diagnostic criterion - ✔✔Spirometry with FEV1/FVC <0.70 - Confirms
obstruction
✔✔COPD patient with frequent exacerbations next step - ✔✔Add inhaled corticosteroid
- Reduces exacerbations
✔✔Asthma hospitalization red flag - ✔✔Peak flow <50% predicted - Severe
exacerbation
✔✔First-line treatment for mild persistent asthma - ✔✔Daily low-dose inhaled
corticosteroid
✔✔Acute monoarticular arthritis with fever next step - ✔✔Joint aspiration - Rule out
septic arthritis
✔✔First-line acute gout treatment (normal renal function) - ✔✔NSAIDs
✔✔Definitive diagnostic test for gout - ✔✔Monosodium urate crystals - Negatively
birefringent
✔✔Iron deficiency anemia most sensitive lab - ✔✔Ferritin - Low confirms iron deficiency
✔✔Anemia red flag - ✔✔Hemoglobin <7 with symptoms - Needs urgent evaluation
✔✔First-line uncomplicated UTI treatment - ✔✔Nitrofurantoin
✔✔UTI red flag - ✔✔Fever with flank pain - Suspect pyelonephritis
✔✔GERD alarm symptom - ✔✔Dysphagia - Possible malignancy
