Question 1

Which are causes of physiologic fatigue? (Select all that apply.)&#10;A) Acute and chronic illness&#10;B) Excessive alcohol use&#10;C) Irregular sleep habits&#10;D) Medication side effects&#10;E) Morbid obesity

Accepted Answer

B, C, D

Question 2

A patient with poorly controlled diabetes mellitus (DM) has chronic fatigue symptoms. Which of the following is the most likely underlying cause of this patient's fatigue?&#10;A) Calorie depletion&#10;B) Decreased metabolism&#10;C) Psychological distress&#10;D) Sleep apnea

Accepted Answer

Poorly controlled diabetes mellitus (DM) can lead to calorie depletion, causing fatigue symptoms in the patient. The body's inability to use glucose efficiently leads to glucose accumulation in the bloodstream, which, in turn, causes a lack of energy and a feeling of tiredness.

Question 3

A patient is seen in the clinic with reports of constant fatigue. The patient's spouse reports that the patient moves and kicks the legs frequently during sleep. What treatment will the provider anticipate once a diagnosis of the underlying cause is confirmed?

A) An anti-oxidant diet
B) Cognitive behavioral therapy
C) Iron supplements
D) Melatonin daily at bedtime

C

Accepted Answer

The patient's symptoms are suggestive of restless legs syndrome, which is often caused by iron deficiency anemia. Iron supplements can help alleviate the symptoms. A, B, and D are not indicated for this particular diagnosis.

Deck 202: Fatigue