Chapter 11

Difference between diabetic ketoacidosis and hyperosmolar hyperglycemic state

No ketosis in hyperosmolar hyperglycemic state

Which glycosylated hemoglobin (A1C) value is within the recommended range? a. 6% b. 8% c. 10% d. 12%

a. 6%

Clients with diabetes insipidus would most likely come to the therapist with which of the following clinical symptoms a. severe dehydration, polydipsia b. headache, confusion, lethargy c. weight gain d. decreased urine output

a. severe dehydration, polydipsia

parathyroid hormone secretion is particularly important in the metabolism of bone. the client with a oversecreting parathyroid gland would most likely have a. increased blood pressure b. pathologic fracture c. decreased blood pressure d. increased thirst and urination

b. pathologic fracture

Clients who are taking corticosteroids medications should be monitored for the onset of Cushing's syndrome. You will need to monitor your client for which of the following problems? a. low blood pressure, hypoglycemia b. decreased bone density, muscle wasting c. slow wound healing d. b and c

d. b and c

A 38 y/o man comes to the clinic for low back pain. When asked if there are any other symptoms of any kind, he replies, "increased appetite and excessive sweating". When you perform a neurologic screening examination, what might be present that would be associated with Grave's disease a. hyporeflexia, but no change in strength b. hyporeflexia, with decreased muscle strength c. hyperreflexia, but no change in strength d. hyperreflexia, with decreased muscle strength

d. hyperreflexia, with decreased muscle strength

Signs and symptoms of Cushing's syndrome in an adult taking oral steroids may include a. increased thirst, decreased urination, and decreased appetite b. low white blood cell count and reduced platelet count c. high blood pressure, tachycardia, and palpitations d. hypertension, slow wound healing, easy bruising

d. hypertension, slow wound healing, easy bruising

All of the following are common signs or symptoms of insulin resistance except a. acanthosis nigricans (dark, velvety discoloration in body folds and creases.) b. drowsiness after meals c. fatigue d. oliguria

d. oliguria

what systemic conditions can cause carpal tunnel

endocrine disorders, infectious disease, collagen disorders, cancer, liver disease

Disorders of the endocrine glands can be caused by: a. Dysfunction of the gland b. External stimulus c. Excess or insufficiency of hormonal secretions d. a and b e. b and c f. All the above

f. all of the above

common symptoms of DM

polydipsia, polyuria, polyphagia

what are the common MSK symptoms associated with endocrine disorders

proximal muscle weakness, myalgia, carpal tunnel, periarthritis, adhesive capsulitis

is it safe to administer a source of sugar to a lethargic unconscious person with DM?

yes, high blood sugar is not as deadly as low blood sugar. you could save their life.