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Physical Exam > Class 11 > Flashcards

Class 11 Flashcards

1
Q

All autoimmune diseases will improve with a ______ free diet

A

gluten

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2
Q

Typically, most western doctors treat ai disease with either _______ or ______________

A

steroid

biologic immunosuppressives

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3
Q

Dr. Fratellone’s favorite med for AI disease is ____ dose _______

A

low dose naltrexone

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4
Q

how much is in a low dose of naltrexone?

A

1 - 4.5mg

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5
Q

low dose naltrexone boosts the __________ system and brings down _________

A

immune

antibodies

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6
Q

What is the main side effect of low dose naltrexone?

A

colorful dreams

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7
Q

if colorful dreams interfere with sleeping, you should take low dose naltrexone at what time?

A

during the day

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8
Q

What drugs will low dose naltrexone interfere with

A

opiates

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9
Q

what is the other name for naltrexone?

what is it typically used for?

A

narcan

reversing overdoses

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10
Q

Which 6 autoimmune diseases have no blood test?

A 
alopecia
psoriasis
multiple sclerosis
fibromyalgia
demyelinating polyneuropathy
Guillain Barre Syndrome
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11
Q

which two autoimmune syndromes fall under the category of IBS?

A 
Celiac disease
Regional Enteritis (aka Crohn's)
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12
Q

What are the two most common symptoms of the IBS AI diseases, in order?

A

bloating

loose stools

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13
Q

Which enzyme test indicates celiac disease?

A

transglutenaminase

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14
Q

which are the four basic glutenous grains?

A

barley
rye
oats
wheat

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15
Q

Which 7 grains are safe for celiacs to eat

A 
brown rice
millet
amarinth
teff
buckwheat
quinoa
einhorn
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16
Q

Most people with Hashimoto’s Autoimmune Thyroiditis have hyp___thyroidism, but some can have ________ thyroid levels

A

hypothyroidism

swinging

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17
Q

the tissue of the thyroid is typically __________ but in Hashimoto’s, it’s ___________

A

homogenous

heterogenous

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18
Q

the thyroid peroxidase antibodies should be below ___ for Hashimoto’s patients

A

35

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19
Q

what are the three most important treatments for Hashimoto’s patients?

A

1) Be gluten free
2) Eat one brazil nut per day for selenium
- make sure they have a balance of zinc and copper
3) Get on LDN

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20
Q

which trace mineral is contraindicated for hashimotos

A

iodine

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21
Q

synthroid causes _________

A

osteoporosis

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22
Q

What is the blood test for Rheumatoid Arthritis?

Do all patients have it?

A

Rheumatoid Factor

No. 10% have negative RF and still have RA.

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23
Q

What are the four most common treatments for Rheumatoid Arthritis?

A

Steroids
Methotrexate (cancer treatment)
NSAIDs like prescription Motrin
Eating gold

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24
Q

Epinephrine is necessary in case of Bee Venom allergy. What is the contraindicated drug for Epinephrine?

A

Beta Blockers

25
Q

Systemic Lupus Erythematosus (SLE) affects which three organs the most?

A

Brain
Kidney
Heart

26
Q

What rash and skin appearance are caused by Systemic Lupus Erythematosus?

A

Butterfly rash and malar flush

27
Q

What is the prognosis of Multiple Sclerosis

A

Poor

28
Q

What are the 4 main possible causes of Multiple Sclerosis

A

Epstein Barr Virus
Mercury from silver fillings
Hormones
Genetics (even though there’s no genetic marker for it)

29
Q

What is the first sign of Multiple sclerosis?

A

double vision

30
Q

how to test for Multiple sclerosis? What are you looking for? What number is a problem?

A

spinal tap for Antinuclear antibodies (ANA). anything greater than 1:40 is a problem

31
Q

Scleroderma is when the skin is _____

A

tight

32
Q

What is CREST syndrome?

A

Caused by scleroderma

Calcium deposits all over the body
Raynaud's
Esophageal motility problems
Syndactyly (spider fingers)
Telangiectasia (blood blisters and spider veins)
33
Q

What is another name for Sjögren’s Syndrome?

A

dry eye syndrome

34
Q

Which antibodies are associated with Sjogren?

A

Anti-Rho/SSA

35
Q

What are the three types of Alopecia

A

Ariata (Patches)
Totalis (Entire body)
Capitis (Whole head)

36
Q

Which other AI disease is associated with Alopecia?

A

Vitiligo

37
Q

What are the best treatments for Alopecia?

A

Low dose naltrexone

Plasma reacted platelets

38
Q

What are the two most common treatments for psoriasis?

A

Immunosuppressants

Steroid creams

39
Q

what’s the problem with using steroids to treat autoimmune diseases

A

thins the skin
trains your adrenals to stop making your own steroids so you get puffy and moon face
increases blood pressure and sugar cravings
weight gain

40
Q

what are the best treatments for Psoriasis

A

UV light
Gluten free
LDN
bee stings around patches

41
Q

Where is psoriasis most likely to appear

A

elbows
knees
scalp
nails

42
Q

What is the cause of Myasthenia Gravis?

A

Acetylcholine receptor problem

43
Q

What is a main sign of myasthenia gravis?

A

ptosis of the eyelid

44
Q

Grave’s Disease is hyp__thyroidism and the TSH level is

A

hyperthyroidism

TSH less than .2

45
Q

What kind of diet causes hyperthyroidism

A

cruciferous greens, soy, strawberries, peanuts, peaches, spinach

46
Q

which other AI disease is linked with Pernicious Anemia?

A

Crohn’s

47
Q

What types of b12 should a person with pernicious anemia take?

A

methyl or hydroxy B12

48
Q

what is dermatomyositis

A

destruction of muscle tissue and rash

49
Q

What type of cancer is associated with Dermatomyositis

A

GI cancer

50
Q

Guillain Barre was first documented in ____ after the __ vaccine

A

1976

flu

51
Q

Guillain Barre results in ________ that can occur at any level. The person will be _______ from there down

A

demyelination

paralyzed

52
Q

if demyelination from Guillain Barre occurs in the ___________ area then the person will need a ventilator

A

cervical

53
Q

Is Guillain Barre reversible?

A

no

54
Q

what is antiphospholipid syndrome? and what is the other name for it

A

The blood has a propensity to clot

Anticardiolipin syndrome

55
Q

IgM means the disease is _____

IgG means the disease is _____

A

active

inactive

56
Q

What med do we use for antiphospholipid syndrome? What is the risk if we don’t use it?

A

cumadin to thin the blood

we risk DVT/Pulmonary embolism

57
Q

Type ___ Diabetes is insulin dependent

A

1

58
Q

The ___ cells of the ___________________________ in the _________ make insulin

A

B cells
islets of langerhan
pancreas

59
Q

Why might the Pancreas be damaged and cause type 1 diabetes?

A

children born with problems

pancreas can be damaged by virus, extreme exercise, or injury (fall/gunshot)

Physical Exam (11 decks)

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