Author Question: An adult male patient who works full time complains of being tired all day even after getting 8 ... (Read 70 times)

imanialler · **on:** Jul 11, 2018

An adult male patient who works full time complains of being tired all day even after getting 8 hours of sleep each night. Which condition is most likely the cause of this patient's complaint?

A) Sleep apnea
B) Alcohol abuse
C) Nocturnal myoclonus
D) Age-related changes to sleep

Question 2

A patient is depressed about the changes in her personal appearance related to Cushing's disease. She is particularly likely to exhibit which change?

a. Weight gain, moonface, and increased facial hair
b. Hand tremors and nervousness
c. Retracted eyelids and increased skin pigmentation
d. Muscle atrophy, bruising, and weight loss

hugthug12 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Feedback:
Sleep apnea is the most likely cause. It is two times greater in men than in women, and fatigue in spite of seemingly sufficient quantity of sleep is more characteristic of sleep apnea than of the other cited problems. There is no information to suggest the patient is using alcohol. The patient is not explaining symptoms of nocturnal myoclonus. It is unknown what the patient's age is to assume that the complaint is due to age-related changes.

Answer to Question 2

A
In patients with Cushing's disease, there is usually weight gain and hirsutism (excessive body hair in a masculine distribution). This overabundance of hormones produces many signs and symptoms, including moonface.