Chapter 3 (Study Group) - Key Clinical Processes in Lifestyle Medicine Flashcards
Which of these statements is not correct about the physical activity vital sign?
A. Physical activity vital sign can be measured by asking 2 questions
B. It is not a validated screening tool
C. Physical activity vital sign is important as it’s the one aspect of total daily energy expenditure over which people have most control
D. Strength training generally needs to be asked about separately
B It is validated along with AUDIT-C and BMI
Which of these statements is not correct about the diet vital sign?
A. Typical shortfall nutrients should be assessed including potassium and selenium
B. Foods should be assessed as food packages
C. You should ask about how many servings of vegetables, fruits, whole grains, beans and legumes, nuts and seeds and dairy products in one typical day
D. It is also good to assess what unhealthy foods might be being consumed
A It is better to consider food as whole packages and not focus on specific nutrients as its “complicated possibly misleading and generally not necessary”
Which of these statements is not correct about the stress vital sign?
A. It can be assessed on a 10 item questionnaire
B. Stressed individuals are at higher risk for many diseases
C. 40% of primary care visits are related to stress so it is important to assess and address it
D. Stressed people are less likely to engage in healthy habits
C 70%
Which of these statements is not correct?
A. Alcohol vital sign should be assessed at every visit for all patients
B. Audit- C is a validated tool
C. BMI of 18.5 to 24.9 is Normal
D. Tobacco use is a vital sign
A. If patient drinks regularly then alcohol should be screened at every visit. If not regular then annually is recommended.
Shiro is a 35 year old man born in Japan to Japanese parents but now living in Sandringham. His BMI is 33. His waist circumference is just under 40 inches. Which of these is not correct?
A. Shiro is at severe comorbidity risk
B. Shiro is at very high risk of type 2 DM, Hypertension and CVD
C. Shiro is in Obese Class II
D. Shiro is in Obese Class I
D As he is of Asian descent he would be categorised in Obese Class II with a BMI of 33 (If Caucasian would be Obese Class I)
Screening and diagnostic tests relevant to a lifestyle assessment are all EXCEPT
A. FBC
B. Fasting Lipids
C. Fasting glucose
D. Iron studies
D not routine recommended to assess, FBC, U/ELFT’s, Fasting glucose/chol, HbA1c,Vit D, TSH , possibly C-peptide and HOMA-IR
A screening test for diabetes should be considered in all except ?
A. People under 45 with no risk factors
B. All adults with a BMI >25
C. Patients who are physically inactive
D. Latino people
A, All adults BMI >25, and anyone with RF’s ( physical inactivity, first dgree relative, high risk race, HT, PCOS, GDM, women with hx of Macrosomic baby,CVD, signs insulin resistance ( eg acanthus nigrans), pre diabetes) . If no RF’s start at 45years.
Which of these is not recommended when trying to enhance behavioural lifestyle interventions?
A. Use a team based approach
B. Support staff should routinely collect lifestyle medicine vital signs
C. Support high levels of self efficacy and self management in patients
D. Give lifestyle advice but let the patient work out what community resources they need to implement them
D Support staff should help patients identify which community resources they need and can use to implement changes
Which of these lifestyle programs is not available nationally?
A. Million hearts initiative
B. Blue Zones project
C. National Diabetes Education Program
D. California smokers helpline 1800 NO BUTTS
B not a lifestyle change support
