A patient with distal symmetric polyneuropathy usually begins to ...

[lracut11]

A patient with distal symmetric polyneuropathy usually begins to complain of
 
  A)
  burning in the big toe.
  B)
  painful cramps in the calves.
  C)
  loss of feeling or touch in the feet.
  D)
  seeping wounds in lower legs.

Question 2

Which of the following statements best captures an aspect of the function of the hypothalamic-pituitary-adrenal (HPA) system?
 
  A)
  Adrenocorticotropic hormone (ACTH) released by the hypothalamus controls to release of cortisol.
  B)
  The pituitary gland communicates with the adrenal cortex through the release of ACTH.
  C)
  The adrenal cortex receives corticotrophin-releasing hormone (CRH) and in turn releases cortisol.
  D)
  The pituitary gland causes a release of CRH from the hypothalamus, which promotes hormone release from the adrenal cortex.

[qytan]

Answer to Question 1

Ans:
C

Feedback:

Peripheral neuropathy is often associated with the insensate foot. The loss of feeling, touch, sensation, and position sense increases the risk of falling, serious burns, and injuries to the feet. Burning in the big toe is usually associated with gout. Cramps in the legs may be electrolyte imbalances, and seeping wounds in lower legs could be a result of obesity, lymphedema, or diabetes to name a few.

Answer to Question 2

Ans:
B

Feedback:

ACTH mediates between the anterior pituitary gland and the adrenal cortex in the HPA system. ACTH is released by the pituitary, not the hypothalamus, and CRH acts on the pituitary, not the adrenal cortex. CRH flows from the hypothalamus to the pituitary, not vice versa.

[lracut11]

Thank you

[qytan]

No problemo