2024 WGU D118 ADULT PRIMARY CAREREVIEW OBJECTIVE FINAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS | GRADED A+

2024 WGU D118 ADULT PRIMARY
CAREREVIEW OBJECTIVE FINAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS | GRADED A+
Which is a modifiable risk factor for
melanoma - ANSWER ✔✔Considerable sun
exposure and sunburn
A 19 year old female comes to your clinic
for a routine visit to obtain birth control
pills. You notice a red sunburn over her
body. She states that she stayed a little
too long in the sunbed. She denies pain
and appears happy. What is your most
appropriate course of action for skin
health promotion and disease prevention?
- ANSWER ✔✔Ask how often she uses the
sun bed and explore why it is important to
her
Large, flaccid bullae with honey-colored
crusts around the mouth and nose are
characteristic of - ANSWER ✔✔Impetigo
You examine a patient with a well
demarcated erythematous rash with
silvery scale. You diagnose____? - ANSWER
✔✔Psoriasis
A teenage male comes to your clinic with
the chief complaint of foot odor. He notes
"extra" white skin between his toes. He
denies pain at this time. On history you
find that he plays on the local high school
football team and is sexually active. What
will you include in your plan of care? -
ANSWER ✔✔Miconazole nitrate 2% cream
or Clotrimazole 1% solution twice a day x
4 weeks
A 60 year old male comes to your office
with a history of urticaria. He is staying at
home more due to his "rash". The lesions
are papular and scabbed on extremities
and trunk. What will you include in your
treatment plan? - ANSWER ✔✔Assess
medication list for ACE inhibitors and
NSAIDs
A teenager comes to your clinic with the
chief complaint of warts located on her
hands. Which treatment is NOT an
evidence-based option? - ANSWER
✔✔Shaving the warts
Mr. Jackson, age 64, is active and
continues to farm as he has all of his adult
life. He is asymptomatic for skin lesions.
What should you discuss with him for skin
health promotion and disease prevention
course of action in this patient encounter?
- ANSWER ✔✔Show Mr. Jackson how to
inspect his skin using the ABCDE model
and encourage him to do self-skininspections
A 40 y/o man comes to the office with a
rash of 4-5 months duration. He had
bumps on his shoulders, back and arms.
He reports that the bumps are larger, he
has nighttime pruritis and oral and topical
corticosteroids have not helped. He has
no pets, lives alone, and recalls no insect
bites or contacts with anyone with a rash.
On eaxm there is a symetric eruption with
erythematous papules and excorations on
his back, shoulders, axillae, wrists,
scrotum, and upper legs. There are a few
pustles in the axillae. Which of the
following is the most appropriate next
step? - ANSWER ✔✔Examine a skin
scraping in mineral oil under a light
microscope
A 75 y/o man in a nursing facility has
developed a Stage 3 pressure ulcer. He
weighs 160 lbs with a 10 lb weight loss in
the last month. BMI=20.5, Albumin 3.2,
Pre-albumin 14. Which of the following is
most likely to aid healing? - ANSWER
✔✔Protein 100 GM qd
A 70 y/o patient has a large sacral ulcer
measuring 11 by 10 cm, with a depth of 4
cm. There is surrounding erythema,
exposed muscle, undermining of the
edges and a tunneling tract that extends
another 2 cm. Within the ulcer, there is
necrotic material and a significant amount
of exudate with a foul odor. Which of the
following is the next step to reduce odor?
- ANSWER ✔✔Perform surgical
debridement