WGU D027 Questions and Answers Already Graded A

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WGU D027 Questions and Answers Already Graded A What organ does cystic fibrosis affect? ✔✔Affects the pancreas causing secretions into the lungs What is Klinefelter syndrome? ✔✔An extra X chromosome for males so example XXY causing female-like qualities What is Turner Syndrome? ✔✔females. missing or deformed x chromosome. right hemisphere dysfunction, hearing loss, ear infection, language and articulation disorders, visual spatial and attentional problems What is beta thalassemia? ✔✔a condition in which the synthesis of the beta-globin chains is decreased or absent. Causes low hemoglobin. Which medication is contraindicated in a patient with Beta Thalassemia? ✔✔Ferrous Sulfate What drug is used in combination with other agent to treat lymphoid tissue (leukemia). Directly toxic to lymphoid tissues Selective estrogen receptor modulators (SERM) - for hormone receptor positive and advanced breast cancer. (Tomaxafin - reduces risk and recurrence risk) ✔✔Glucocorticoids What is the normal ejection fraction? ✔✔55-60%. Less than 50% is BAD Is an ejection fraction of 50% reduced or preserved? ✔✔Preserved What are symptoms of left sided heart failure? ✔✔Think PULMONARY. JVD, FVO, rails, S3 murmurs. Number one cause of right sided heart failure! What are symptoms of right sided heart failure? ✔✔Think peripheral vascular. Lower extremity edema, abdominal distension. What is the gold standard lab test for heart failure? ✔✔BNP. Heart failure is a result greater than 100 What heart disease is worse with exertion? ✔✔Ischemic heart disease because the demand requirements are higher. What should you assess before giving Digoxin? ✔✔Apical pulse How should Warfarin be started? ✔✔Start initial dose at half to monitor the effects What causes the destruction of alveolar walls? Air goes in but can't get out which leads to hyperinflation ✔✔Emphysema What causes excess mucus production and smooth muscle hypertrophy? ✔✔Bronchitis What is a chronic inflammatory obstruction of bronchi? ✔✔Asthma, Triggers cause mucus to clog bronchial tubes. What causes an overbite and buffalo hump? ✔✔Endocrine disorder called acromegaly (overproduction of growth hormone) What causes Addison's disease? ✔✔Decreased glucocorticoid (due to autoimmune destruction of adrenal cortex) What causes Cushing's syndrome? ✔✔excess cortisol What causes Grave's disease? ✔✔overproduction of thyroid hormone. HYPERthyroidism. When should you instruct the patient to take their FIRST dose of antihypertensive? ✔✔At night to avoid orthostatic hypotension. Educate slow position changes and lay down if needed. What are side effects of ACE inhibitors? ✔✔dry cough angioedema hyperkalemia *Contraindicated in pregnancy Which type of antihypertensive should NOT be given to patients with Asthma? ✔✔Nonselective beta blocker (-lol) because both beta-2 receptors are effected What is the first choice of calcium channel block

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