If I change 'active' to 'open' for this deprecated property, selectedItems is empty.
https://developers.arcgis.com/calcite-design-system/components/dropdown/

Creating dynamic dropdown
let opt_item = document.createElement('calcite-dropdown-item');
opt_item.setAttribute('id', 'pao-unit-feet');
opt_item.setAttribute('active', '');
opt_item.setAttribute('data-unit-abrv', 'ft');
opt_item.innerHTML = 'Feet';
grp.appendChild(opt_item);
OK Use opt_item.setAttribute('active', '');

Change to opt_item.setAttribute('open', '');
