Block 4 Flashcards
To have metabolic syndrome, you must have how many conditions to be diagnosed?
At least 3 or greater
How many oz of non-sugar liquid should you consume while taking Orlistat?
64oz / day
Overweight BMI?
25-29.9
MOA Pregnancy Test
Detect hCG
Orlistat is approved for what age for OTC or RX?
OTC: >18yrs old
RX: >12 yrs old
Techniques for naturopathy?
Nutritional counseling/support using dietetics, fasting, supplements
Belief that mental attitude/emotional states may influence physical illness
Callus vs Corn
Indefinite border
Callus
Callus vs Corn
Central core
Corn
Stage 2 hypertension is what?
≥140/90
Techniques for Ayurveda?
Relies on individual’s willingness to participate in lifestyle and behavioral changes
Uses pt interview, physical exam, lab tests to diagnose
When do pts w/ achilles tendon rupture need to be referred?
Regardless of pain level, they need to be always referred
When should you take vitamin supplements while taking Orlistat?
Bedtime
With diabetic ketoacidosis, ketones can be tested when BG is ______mg/dL and is associated w/ (T1DM/T2DM)
> 240
T1DM
Bariatric surgery is recommended for someone with a BMI of _____ and _____ if they have HTN, T2DM, etc
No conditions: >40
W/ conditions: >35
Callus vs Corn
Thickening of skin
Callus
Digoxin is derived from where?
Foxglove
Sever’s Disease occurs in what population?
Young boys (8 to 15 yrs old)
When are blood glucose screenings recommended to?
Overweight adults between ages 40 to 70
How long should you soak your feet in WARM water for calluses/corns?
5 minutes
To have metabolic syndrome, your BP would be greater than ______
130/85
Paclitaxel is derived from what?
Yew tree bark
Orlistat AE?
Greasy diarrhea increases w/ fatty meals
To have metabolic syndrome, your fasting glucose would be greater than _____mg/dL
100
Callus vs Corn
Small
Corn
What foods should you avoid when losing weight?
Carbs + fats (saturated)
To have metabolic syndrome, you will have a triglyceride level greater than ______mg/dL
150
In a blister, accumulation of fluid is beneath the _________
stratum corneum
Extra intake of just 10kcal/day leads to how much increase of lb(s)/year?
1
How long can it take to develop antibodies for HIV and HCV after exposure?
HCV - 6 months
HIV - 3 wks to 6 months
According to the American Cancer Society, what population should utilize fecal occult blood tests, and how often should they be tested?
> 50 yrs old; AA = >45 yrs old
every 10 yrs
1lb of fat equals how many kcal?
3500
Class 3 BMI?
≥40
How do you treat onychoncryptosis?
- Warm water
- Insert small cotton piece or dental floss
- If infection occurs, referral
Who should not use chiropractic therapies for health purposes?
- Arthritis
- Osteoporosis
- Bleeding disorder
- Tumor on the spine
- Aneurysms
How many kcal/day should you reduce by if trying to lose weight?
500kcal/day
Orlistat + RX; dose
120mg TID before meals
What rx is derived from yew tree bark?
Paclitaxel
Long-term Rx therapy is recommended for someone with a BMI of _____ and _____ if they have HTN, T2DM, etc
No condition: >30
W/ condition: >27
MOA UTI bladder
Detects nitrates
Pharmacologic therapy for calluses/corns?
Salicylic acid (0.5 to 40%) for 14 days max
To have metabolic syndrome, you would have a HDL level less than _____ in males and ______ in females
Men - 40
Females - 50
What are some research issues in regards to CIM therapies?
- Lack of standardization in CIM research
2. Experimental design is the most problematic issue
Stage 1 hypertension is what?
130-139 / 80-89
When should you replace cushioning pads for calluses/corns?
QD
Who should not receive massages for health purposes?
- History of physical abuse
- Bleeding disorders
- Pregnant
- Peripheral vascular disease
FDA regulates homeopathic medicines as what?
Drugs not dietary supplements
How do you calculate BMI?
Wt (lbs) / Ht (in)^2 * 703
Orlistat + OTC; dose
60mg TID before meals
Callus vs Corn
Raised and yellowish gray
Corn
Fecal occult blood tests should be performed on how many consecutive bowel movements?
3
Who should receive HCV testing?
- If you had hemodialysis before 1987
- Transplant before 1992
- Sex w/ multiple peeps
- Birth from infected mother
- Occupational hazard
When do pts with blisters need to be referred?
If drainage is needed
According to the clinical guidelines, how much weight must be lost?
5 to 10% over 6 months
How do you confirm diagnosis of Sever’s Disease?
Squeeze test
How many minutes of exercise should you incorporate / week
150 minutes
What rx is derived from foxglove?
Digoxin
When should ovulation prediction urine tests be done?
2 to 4 days before estimated ovulation time
T/F
Basal body temperature is a more accurate method of female fertility testing compared to urinary hormone tests
True?
What is the difference between complementary and integrative medicine?
Complementary - using non-mainstream approach w/ conventional rx
Integrative - using non-TRADITONAL approach w/ conventional rx
Interferences w/ UTI tests
Strict vegan and/or using tetracycline - gives out a false negative
High dose of Vit. C - gives out a false negative
Phenozopyridine - gives out a false positive
Callus vs Corn
Broad base
Callus
What are the major categories of complementary/integrative medicine (CIM)?
- Natural
- Mind-body practice
- Other approaches
Difference between urine + hair samples for drug detection?
Urine - Hours to few days prior to testing
Hair - 5 to 90 days prior with 1 and a half inch sample
Pathophysiology of Onychocryptosis?
Nail curves and becomes embedded into flesh causing pain; bacteria can invade if broken
Class 1 BMI?
30-34.9
To have metabolic syndrome, a males circumference is greater than ______ and a females have a number greater than _____
Men - 40
Women - 35
MOA Azo (for UTIs)
Detects NITRITES + leukocyte esterase
Techniques for Chinese medicine?
Emphasis on herbal medicine, minerals, metals, animal products
Acupuncture, cupping, moxibustion are often used
MOA Ovulation Urine Test
Detect LH surge
When do pts w/ toenail loss need to be referred?
All pts with this need to be referred
MOA Male Fertility Test
Detects SP-10 antigen
Pharmacologic therapy for onychoncryptosis?
Sodium sulfide 1% gel; apply twice daily for up to 7 days
Elevated BP is what?
120-129 / <80
Oseltamivir is derived from what?
Chinese star anise
To have metabolic syndrome, what kind of resistance would likely to occur?
Insulin
When testing for osteopenia/osteoporosis, what should the bone mineral tests be like?
Penia - 1 to 2.5
Porosis - >2.5
Obese child BMI?
≥95% BMI of adult
How do you treat intermetatarsal neuitis?
Wear proper footwear
Overweight child BMI?
85 to 95% BMI of adult
Class 2 BMI?
35-39.9
Techniques for homeopathy?
Undergoes attenuation to increase potency
When should pregnancy tests be done?
1 wk after 1 day of missed period
What rx is derived from the Chinese star anise
Oseltamivir
What RX should be avoided before and during fecal occult blood tests?
ASA, NSAIDS, steroids
With hyperglycemic hyperosmolar nonketotic syndrome, BG is found at _____mg/dl with few or no ketones and is associated w/ (T1DM/T2DM)
> 600
T2DM