AFMCP Flashcards
How does imagery improve anxiety to past negative experience?
The right appears to have a special link to emotions and processes favor imagery
Factors that improve cellularly sensitivity to thyroid hormones
A, exercise, zinc
Readiness-to-change model
Pre-contemplation (denial) contemplation (bargaining) preparation action (acceptance) maintenance
GOTOIT
Gather, organize, tell, order, initiate, track
Which clinical imbalances in the matriculates model are initially considered?
- Assimilation -Digestion, Absorption, Microbiota/GI, Respiration, skin
- Structural Integrity – Subcellular membranes, tissue, bone health, musculoskeletal
- Communications – endocrine/hormones, neurotransmitters, immune messengers
- Transport – cardiovascular, lymphatic
- Biotransformation & Elimination – toxicity, detoxification
- Energy – Energy regulation, mitochondrial function, pain/brain/drained
- Defense & Repair – Immune, inflammation, infection/microbiota.
You are treating a 54‐year‐old female patient for chronic migraines. She has a history of temporal mandibular joint (TMJ) dysfunction, abdominal bloating, and fatigue. From a Functional Medicine perspective, how might her symptoms be related?
TMJ can lead to dysfunctional chewing, causing problems with digestion and assimilation.
A 49‐year‐old male presents to your office with concerns about his weight gain of 30 pounds over the past six years. He has not made significant lifestyle changes as yet, but says he is sampling low‐fat foods and has purchased a pair of good‐quality walking shoes. He is in what phase?
Preparation for change
In the initial phase of gathering oneself in GOTOIT, the core elements for transforming the therapeutic encounter into an environment where insights emerge are:
Intentionality and centering
A 30‐year‐old male presents with a BMI of 31.4, android obesity, and a normal lipid panel but a borderline elevated fasting glucose and a diet low in vegetables and high in animal fat. He exercises once every two weeks on the weekend. On clinical exam, he is hypertensive at 135/90 mmHg. What aspects of the ABCDs of Functional Nutrition Assessment have been collected so far?
Anthropometrics, Biomarkers and Functional Labs, Diet and Lifestyle Assessment
A dental colleague refers a 13‐year‐old female patient to you. She has noted gingivitis and periodontitis. On your physical examination, you note red, swollen patches in the corners of her mouth, a swollen red tongue, and round ulcers with well‐defined erythematous margins on the inside of her cheeks. Deficiency of what nutrient from the list below could explain all her symptoms?
Riboflavin (B2)
Anosmia disorders (loss of smell) can be associated with deficiencies or excesses of which of the following nutrients or toxins?
Insufficient iron and/or zinc
Elevated formiminoglutamic acid (FIGLU) is associated with what nutrient insufficiency?
folate
A 43‐year‐old female with early rheumatoid arthritis is interested in adding one supplement to her diet that would help with her symptoms. She has already started a modified elimination food plan. Which is her best choice?
borage (GLA)
A 22-month-old female infant presents with sharply demarcated perioral and perianal dermatitis. She has chronic loose stools. The mother notes the child’s hair is falling out. She was weaned off breast milk at six months of age. Her older sibling had the same symptoms at two years of age. Which is the most accurate statement about the presentation?
A low serum alkaline phosphatase helps with the diagnosis.
A 52-year-old homeless male is brought in by a county health worker and reports he has only been getting one to two meals per day. On physical exam, he exhibits peeling skin around his nose, his sense of taste is diminished, his tongue is swollen and purplish red, he seems sensitive to light, and he is both anxious and disoriented. Based on these symptoms and history, what one nutritional supplement wouldyou consider adding today?
B2
Some cardiometabolic conditions can be identified through findings on physical exam. Which of the following is a true statement about these findings?
Over half of diabetics have some dysfunction of smell and taste
A 48-year-old female presents to your office for the first time. She is 60 pounds overweight and has type 2 diabetes. She wants to lose weight. After being cleared for aerobic exercise, which of the following is the best aerobic exercise program to prescribe initially?
A daily 15-minute stationary cycling program at 55-70% maximum heart rate, gradually increasing to 30-minute daily sessions
in which step of the GOTOIT clinical flow process does the clinician collect forms and questionnaires and priories information?
Gather = forms and questionnaires, Order = prioritizing information
