EXAM 3

Question 1

What is Diabetes insipidus?

Answer 1

deficient production of or response to ADH

Question 2

Types of diabetes insipidus

Answer 2

Neurogenic DI

Nehrogenic DI

Question 3

What is neurogenic DI?

Answer 3

defect in synthesis / release of ADH

Question 4

What is nephrogenic DI?

Answer 4

kidneys do not respond to ADH

patient will present with excessive urination and thirst

Question 5

Where does diabetes insipidus occur

Answer 5

pituitary gland and kidney

Question 6

What is the pathophysiology of diabetes insipidus

Answer 6

ADH deficiency

Question 7

Signs and symptoms of diabetes insipidus

Answer 7

Polydipsia
polyuria
dehydration

Question 8

Management of diabetes insipidus (NEURO DI)

Answer 8

drugs to stimulate ADH
vasocompression
Watch for SIADH increase
ADH retention (water intoxication)

Question 9

Management for diabetes insipidus (NEPHRO DI)

Answer 9

drugs to increase sodium excretion
diuretics
antinflammatories

Question 10

What is type one diabetes

Answer 10

body makes little to no insulin

insulin dependent patients

Question 11

Where does type one diabetes occur

Answer 11

pancreas

Question 12

What is the pathophysiology of type one diabetes

Answer 12

insulin not present at all

glucose collects in the blood and cannot enter cells

Question 13

signs and symptoms of type one diabetes

Answer 13

ketoacidosis
increased thirst
increased urination
weight loss
increased appetite 
fatigue, nausea, vomiting

Question 14

PT for type one diabetes

Answer 14

exercise 2-3 hours after meal
low moderate intensity
foot management

Question 15

Whats is type two diabetes

Answer 15

pancreas does not make enough insulin for normal blood glucose

body doesn’t respond to insulin

Question 16

Where does type two diabetes occur

Answer 16

pancreas

Question 17

What is the pathophysiology of type two diabetes

Answer 17

insulin present in the cell but the cell is resistant to actions
glucose collects in the blood

Question 18

Signs and symptoms of type two diabetes

Answer 18

dehydration
shock
electrolyte  loss
increased thirst
increased urination 
increased appetite
Fatigue
BLURRED VISION
SLOW HEALING INFECT.

Question 19

PT for type two diabetes

Answer 19

reduce controllable risk factors: obesity, hypertension, hyperlipidemia
Exercise 2-3hr after meal
low to mod intensity

control blood glucose levels

Question 20

When is the best time to exercise for patients with DM

Answer 20

2-3hr after a meal

Question 21

What are the benefits to exercise for a patient with DM 1 and 2

Answer 21

control blood sugar
increase insulin sensitivity
improve lipids
decrease body fat
decrease platelet stickiness

Question 22

What is the normal range for blood glucose levels in management of DM?

Answer 22

100-150 mg/dl

Question 23

what are the NORMAL ranges for fasting blood glucose?

Answer 23

80- 100 mg/dl

Question 24

What is the most common glucocorticoid?

Answer 24

cortisol

Question 25

What is the most common mineralocorticoid?

Answer 25

aldosterone

Question 26

What is hyperthyroidism

Answer 26

disorder of thyroid

INCREASED metabolism

Question 27

What is hypothyroidism

Answer 27

disorder of thyroid

DECREASED metabolism

Question 28

What may cause HYPERthyroidism

Answer 28

immunoregulation defect
benign tumor
excessive iodine

Question 29

What may cause HYPOthyroidism

Answer 29

autoimmune mechanism

iodine deficiency

Question 30

Exercise for HYPERthyroidism?

Answer 30

intolerance may be present

monitor VITALS

Question 31

Exercise for HYPOthyroidism?

Answer 31

intolerance may be present

watch for RHABDOMYOLYSIS

Question 32

What is rhabdomyolysis

Answer 32

breakdown of muscle fibers into the blood

harmful and can cause kidney damage