AND METABOLIC
PROBLEMS
Morris has had type one DM for 10 year. several recent urinalysis repots
have shown microalbuminuria. Your next step would be to -
ANSWERS-a. order a 24 hour urinalysis
b. start him on an ace
c. stress the importance of strict blood sugar control
d. send him to a dietcien because he obviously has not been following
his diet
Clients with DM are more prone to cardiovascular disease than those
without. This is probably because. - ANSWERS-a. of their difficulty in
metabolizing fats and protiens, the end products of which accunulate in
the blood vessels
b. they are usually overweight which incraeses the workload on the heart
and blood vessels
c. most are older adults who are more likeley to have poor control result
om atherosclerotic changes in the blood vessels
which of the following can incrse teh ocular manifestations of Grave's
Disease - ANSWERS-a. Pregnancy
b. Hypertension
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,DUNPHY ENDOCRINE LATEST
AND METABOLIC
PROBLEMS
c. Smoking
d. Hyperlipidmeia
Jeffrey age 17 has gynecomastia. You should also assess him for -
ANSWERS-a. obesity
b. endocrine abnormalities
c. testicicular cancer
d. tuberculosis
Dena said that she read on her husbands hospital chart that he hs
podagra. She asks what this is. You tell her it is - ANSWERS-a.
rheumatoid srthritis
b. a fungal nail infection
c. an ingrown toenail
d. gout
Lynne has cushing's syndrome. You would expect het to have or
develope - ANSWERS-a. onchomycosis
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,DUNPHY ENDOCRINE LATEST
AND METABOLIC
PROBLEMS
b. generalized increaesd pigmentation of the skin
c, hair loss
d. excitability and nervousness
The ADA recommends which of the following quarterly blood tets be
performed n all clients - ANSWERS-a. urine
b. liver function
c, glycohemeglobin
d. serum glucose
which of the following antithyroid drugs block throid hormone
production and release - ANSWERS-a. Propylthiouracil(PTU)
b. methimazole (Tapazole)
c. saturated solution of potassium iodide
d. radioactive iodine (I 131)
After a subtotal thyroidectomy it is cucial to assess - ANSWERS-a.
heart tones
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, DUNPHY ENDOCRINE LATEST
AND METABOLIC
PROBLEMS
b. for peripheral edema
c. speaking ability
d. skin turgor
Diane has had Cushings diseaese for years and has been taking
hydrocortisone since then. Todya she appears witha thick trunk and thin
extremities. She has a " moon face" , a buffallo hump, thin skin with
visable capillaries and a number of bruises that appear to be slow in
healing. To what do you attribute these symptoms - ANSWERS-a.
decreased adrenal androgen levels
b. malfunctioning of the adrenal cortex
c. excessive levels of circulating cortisol
d. ectopic secretion of adrenocorticotropic hormone
You suspect myexedama in your client because she exhibits -
ANSWERS-a. smooth, moist skin
b. pitting edema
c. abnormal deposits of mucin in the skin
d. abnormal boatng
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