AFMCP Flashcards

1
Q

What does GOTOIT stand for?

A
Gather
Organize on the Matrix
Tell the patient's story
Order your priorities
Initiate assessment and care
Track progress
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2
Q

Define Antecedent

A

Genetic or acquired factors which predispose an individual to an illness or pattern
(Congenital, trauma, environmental, drug-induced, dietary, occupational, etc)

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3
Q

Define Triggers

A

Factors provoking signs or symptoms of illness

trauma, microbes, antigens, toxins, radiation, memories, etc

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4
Q

Define Mediators

A

Biochemical or psychosocial factors that contribute to pathological changes and dysfunctional responses
(Hormones, cytokines, ROS, thoughts, beliefs, social reinforcement, etc)

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5
Q

What does “ABCD” stand for?

A

Anthropometrics and vitals
Biomarkers and functional labs
Clinical signs from NPE
Diet and lifestyle review

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6
Q

What are the nodes in the matrix?

A

Biotransformation and Elimination,
Communication (endocrine, neurotransmitters)
Structural (MSK, cell membranes)
Transport (CV, lymph)
Assimilation (GI, respiration, microbiota) Mental/emotional/spiritual
Defense & repair (immune, inflammation, infectious)
Energy (Mitochondria, energy regulation)

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7
Q

What does “PFCMVP” stand for?

A

Proteins, fats, carbohydrates, minerals, vitamins, phytonutrients

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8
Q

What are anthropometrics suggesting “skinny fat” or metabolically obese?

A

Normal BMI, increased or normal WC/WHR, increased % body fat

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9
Q

What anthropometrics suggest Metabolic dysfunction?

A

Increased BMI, WC, WHR & %body fat (android obesity(

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10
Q

What anthropometrics suggest gynoid obesity or overSAT?

A

Increased BMI & % body fat, increased/normal WC, and normal WHR
(consider gut/detox/hormonal interventions)

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11
Q

What micronutrient deficiencies are associated with angular cheilosis?

A

B2, B3, B6, folate, B12, biotin, C, Fe, Zn

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12
Q

What micronutrient deficiencies are associated with glossitis?

A

B2, B3, B6, folate, B12, Fe, protein-energy malnutrition

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13
Q

What micronutrient deficiencies are associated with poor mucocutaneous borders?

A

B2, B3, B6, Zn

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14
Q

What micronutrient deficiencies are associated with burning mouth syndrome and lip fissures, and candidiasis

A

BMS & lip fissures - B6

Candidiasis - folate, B12, iron

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15
Q

What micronutrient deficiencies are associated with oral sensitivity, recurrent apthae and stomatitis?

A

Sensitivity - B1, B6
Recurrent apthae - B2, folate, B12, C
Stomatitis - B3, folate, B12

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16
Q

What micronutrient deficiencies are associated with periodontal disease?

A

Vitamins A, D, E, beta-carotene
B1, folate, B12, C
Ca, Se

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17
Q

What are the 5 modifiable lifestyle factors?

A
Sleep & relaxation
Exercise & movement
Nutrition
Stress
Relationships
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18
Q

Most people with IgE allergies tend to have what characteristics? (7)

A
Leaky barrier
Bacterial/fungal dysbiosis, SIBO
Non-IgE food reactions
Cross reactions
Nutrient deficiencies: vitamin D, A, B12, Mg, Zn
High stress
Toxin exposure
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19
Q

What are some natural ACEIs?

A

Corn protein, egg yolks, bonito, fish sauce, sardines, tuna, garlic, gelatin, Hawthorne berry, casein, pomegranate, kelp, wakame, wheat germ, whey, omega-3, zinc, pycnogenol, melatonin

20
Q

What herb is a natural beta blocker?

A

Hawthorne berry

21
Q

What foods/nutrients are natural direct vasodilators?

A

celery, fiber, garlic, MUFAs, soy

Arginine, taurine, Alpha linolenic acid, omega-3, Ca, Mg, K, vitamin C, E, flavonoids

22
Q

What nutrient deficiencies are associated with alopecia areata?

A

Protein, zinc, iron, copper, biotin

23
Q

What nutrient deficiencies or conditions can lead to hair thinning?

A

Protein, zinc, selenium

Hypothyroid, anemia

24
Q

What nutrient insufficiencies and medications are associated with hyposmia or anosmia?

A

Zinc, copper, iron, iodine, vitamins A, E, B complex (B2, B3, B5, biotin, folate, B12)

CCBs, cholestyramine, pravastatin, doxy, cipro, carbimazole, codeine, morphine, amitriptyline, phenytoin, nasal decongestants, smoking, cadmium fumes, pesticides; also post-URI, head and dental trauma, AD/PD/MS

25
Q

What conditions are associated with an enlarged tongue?

A

Hypothroid, Down syndrome, increased growth hormone, upregulated GALT, sleep apnea, medications

26
Q

What conditions are associated with tongue scalloping?

A

Bruxism, sleep apnea, hypothyroid, food sensitivities or allergies, hypoglycemia

27
Q

What conditions are associated with a red, beefy tongue (non painful)?

A

Niacin deficiency/pellagra, liver disease

28
Q

What nutrient deficiencies or conditions are associated with glossitis?

A

Protein, B2, B3, B6, B9, B12 & Fe
Also protein-energy malnutrition, Crohn’s, celiac, uremia, antibiotics, irritants (tobacco, alcohol, spices), psoriasis, drug reactions

29
Q

What conditions are associated with white coating on tongue?

A

dysbiosis w/ increased anaerobes

30
Q

What conditions are associated with yellow coating on tongue?

A

Hypochlorhydria, steroid-induced dysbiosis, smoking, increased anaerobes
(Chinese medicine: disorders of the spleen and stomach; yellow = increased heat w/increased thickness suggesting digestive or sleep issues)

31
Q

What nutrient insufficiencies or conditions are associated with geographic tongue?

A

Iron, zinc, niacin, B6, folate, B12

Asthma/atopy, T1DM, allergies, psoriasis, smoking

32
Q

What conditions are associated with central tongue fissure? Transverse fissure? Lambda fissure?

A

Central: psoriasis, upregulated GALT, autoimmune
Transverse: Sjogrens, syphilis, Melkersson-Rosenthal syndrome
Lambda: inadequate pancreatic/chief cell gastric fxn

33
Q

What toxins can lead to Burton’s lines?

A

Cd, Pb, Hg, Cu, cisplatin, bismuth; also Addison’s, chemotherapy

34
Q

What nutrient insufficiencies are associated with skin findings? (xerosis, follicular hyperkeratosis)

A

EFA, zinc, vitamin C, vitamin A, B vitamins (+ consider cofactors and adequacy of elongates and desaturases)

35
Q

What is the duration of time for which nail changes give clues about nutrient status?

A

The last 4-6 months

36
Q

What nutrient insufficiencies are associated with spoon nails (koilonychia)?

A

Protein, cysteine, methionine, iron, copper, chromium, selenium, zinc, riboflavin, niacin, vitamin C

37
Q

What can cause leukonychia punctate? (white opaque spots)

A

Insufficient protein, zinc, niacin

Anemia, iron toxicity, Pb, As, infections, hemochromatosis, hypocalcemia, trauma

38
Q

What can cause leukonychia striata? (transverse leukonychia)

A

Insufficiencies in protein, zinc, selenium, severe hypocalcemia, niacin;
Selenium toxicity

39
Q

What are Mees’ lines?

A

Transverse white lines on nails that move with nail growth and do not fade with nail compression.
Caused by niacin, zinc insufficiency
Also sickle cell, heavy metals, nephrotic syndrome, chemo

40
Q

What can cause brittle nails?

A

Malnutrition
Insufficiencies in protein, EFAs, calcium, Mg, Fe, silicon, Zn, biotin, vitamin D
Excess vitamin A, Se
Hypochlorhydria

41
Q

What can cause nail beading?

A

Low B vitamins

Also psoriasis, RA, DM, Addisons, hypothyroid

42
Q

What can cause Beau’s lines? (transverse ridging of multiple fingernails)

A

Low protein, vitamins A, C, niacin, calcium, iron, zinc

Also: infection, autoimmune, CVD, DM, GI issues, etc

43
Q

Which nutrient deficiencies are associated with bilateral, symmetric loss of monofilament and vibrational sense?

A

B12, folate, niacin, Cu, thiamine, B6

44
Q

What are most common cross-reacting foods with grass allergy?

A

Melon, orange, watermelon, chard, tomato, rye, wheat

45
Q

What are most common cross-reacting foods with ragweed allergy?

A

apple, banana, cantaloupe, honeydew, watermelon, chamomile, stevia, honey, sunflower seed

46
Q

What are most common cross-reacting foods with tree pollen? (esp birch and alder)

A

Apple, apricot, cherry, peach, nectarine, carrot, celery, cilantro, parsley