Falvo Ch. 23, 24, 25

1. ____________________ results from overproduction of hormones by the adrenal cortex, and is characterized by puffiness and a rounded moon face, obesity of the trunk of the body, fat pads at the back of the neck, and weakness.

 

• 1. Hypothyroidism

• 1. Addison’s disease

• 1. Hyperthyroidism

• 1. Cushing’s syndrome

1. Mr. L has recently been diagnosed as having Type II diabetes mellitus. This means that:

• 1. he will not need to worry about developing complications since this type of diabetes is the mild form of the disease and complications are rare.

• 1. Mr. L will need to take daily insulin injections.

• 1. He should be able to control this condition with diet, exercise, and oral hypoglycemic medications.

• 1. there is no treatment involved and no restrictions that Mr. L needs to incorporate into his lifestyle.

1. Mrs. H, a teller at a local bank, recently lost her job because of behavioral difficulties at work. She worked at the bank for 10 years with no problems; however, within the last six months, coworkers reported significant changes in her behavior. It was recommended that she receive a psychological evaluation; however, she was also referred for a medical evaluation and found to have hyperthyroidism, which was believed to contribute to her behavioral symptoms. The symptoms you would most expect Mrs. H to have exhibited because of hyperthyroidism are:

 

 

• 1. lack of energy, complaints of being tired, subdued emotional responses, and slowing of mental processes

• 1. decreased interest in activities once found to be enjoyable

• 1. obsession with drinking large quantities of water

• 1. palpitations, tachycardia, restlessness, irritability, nervousness

1. In addition to injections of insulin, treatment of type I diabetes mellitus includes:

 

• 1. dietary regulation

• 1. regular injections of pain medication

• 1. oral insulin to supplement injected insulin

• 1. kidney dialysis

1. Individuals with diabetes mellitus:

 

• 1. should only engage in sedentary work

• 1. should avoid cuts, scratches, or other injury to lower extremities, especially the feet

• 1. must avoid hot, humid climates

• 1. will probably be unable to work

1. Mr. A has type II diabetes mellitus. This differs from type I diabetes mellitus in that:

 

• 1. insulin can be taken orally

• 1. insulin may be administered only as needed rather than every day

   

• 1. there are no serious consequences of the disease

• 1. loss of weight and careful monitoring of diet alone may, at times, be enough to control the disease

1. In general, when working with individuals with musculoskeletal disorders to help them evaluate vocational potential, it is important to consider that:

 

• 1. most people with musculoskeletal disorders are never able to return to work

• 1. there is a gradual cognitive decline associated with many musculoskeletal conditions

• 1. the amount of lifting, bending, and stooping required on any job must be considered

• 1. jobs which impose mild to moderate psychological stress should not be considered

1. Two general issues for most individuals with musculoskeletal disorders are:

 

 

• 1. pain and movement

• 1. sensation and perception

• 1. sleep and wakefulness

• 1. cognitive and psychological function

1. In evaluating Mr. G’s medical report, you note that the physician has stated that he needs to avoid inversion of the leg due to his joint deformity. In helping him to prepare to go back to work, you would know that he will need to avoid any movements which cause him to move his leg:

 

• 1. upward

• 1. downward

• 1. inward

• 1. outward

1. Mrs. P had worked as a legal secretary until she developed carpal tunnel syndrome. She has now been referred for surgery. Based on your knowledge of carpal tunnel syndrome, you know that she will have surgery involving the:

 

• 1. hand

• 1. shoulder

• 1. spine

• 1. knee