Exam 13: The Immune System

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As a social worker, one of your clients exhibits symptoms of fatty deposits around the face (moon face)and a trunk with thick arms and legs. As you talk with her, she confides in you that she has been experiencing sleep disturbances, weight gain, and water retention lately. Which condition would you most suspect in this client?

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A

Your grandmother, Lois, who lives with you, has recently begun to complain of being hungry and thirsty all the time. You notice that she goes to the bathroom a lot and that she has lost quite a bit of weight. Based on her symptoms, what endocrine system disorder would you most suspect in your grandmother?

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You are a nurse working with patients with diabetes in your local community health clinic. You are providing instruction to your patients regarding complications associated with this disease. List and describe some of the complications you should mention.

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The variety of complications associated with diabetes make effective management of this disease difficult. These include the following: (a) leg ulcers or pressure ulcers that make mobility difficult; (b) blindness, deafness, swallowing, and communication problems that influence compliance; (c) chronic health conditions such as cardiac or renal diseases that increase the risk of adverse drug reactions; (d) increased risk of hypoglycemia caused by inadequate food intake, poor glucose monitoring, or acute illness; (e) recurrent infections such as lung, bladder, or others that increase the risk of hyperglycemia; and (f) inadequate teaching about all aspects of the disease.

As a physical therapist, you are working with an older client, Melba, who has recently begun experiencing symptoms of fatigue, depression, weight gain, and cold intolerance. You should most suspect a disorder of which endocrine gland in Melba?

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A resident of the nursing home in which you work seems to have trouble falling asleep at night. A disorder of which of the following glands or hormones secreted by the glands would best explain this condition?

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Which of the following are significant risk factors for type 2 diabetes? Select all that apply.

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Which of the following hormones secreted by the pituitary gland are produced by both sexes and necessary for the normal development and functioning of the gonads? Select all that apply.

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