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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
Systemic Lupus Erythematosus (SLE) affects which three organs the most?
Brain Kidney Heart
26
What rash and skin appearance are caused by Systemic Lupus Erythematosus?
Butterfly rash and malar flush
27
What is the prognosis of Multiple Sclerosis
Poor
28
What are the 4 main possible causes of Multiple Sclerosis
Epstein Barr Virus Mercury from silver fillings Hormones Genetics (even though there's no genetic marker for it)
29
What is the first sign of Multiple sclerosis?
double vision
30
how to test for Multiple sclerosis? What are you looking for? What number is a problem?
spinal tap for Antinuclear antibodies (ANA). anything greater than 1:40 is a problem
31
Scleroderma is when the skin is _____
tight
32
What is CREST syndrome?
Caused by scleroderma ``` Calcium deposits all over the body Raynaud's Esophageal motility problems Syndactyly (spider fingers) Telangiectasia (blood blisters and spider veins) ```
33
What is another name for Sjögren's Syndrome?
dry eye syndrome
34
Which antibodies are associated with Sjogren?
Anti-Rho/SSA
35
What are the three types of Alopecia
Ariata (Patches) Totalis (Entire body) Capitis (Whole head)
36
Which other AI disease is associated with Alopecia?
Vitiligo
37
What are the best treatments for Alopecia?
Low dose naltrexone | Plasma reacted platelets
38
What are the two most common treatments for psoriasis?
Immunosuppressants | Steroid creams
39
what's the problem with using steroids to treat autoimmune diseases
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
what are the best treatments for Psoriasis
UV light Gluten free LDN bee stings around patches
41
Where is psoriasis most likely to appear
elbows knees scalp nails
42
What is the cause of Myasthenia Gravis?
Acetylcholine receptor problem
43
What is a main sign of myasthenia gravis?
ptosis of the eyelid
44
Grave's Disease is hyp__thyroidism and the TSH level is
hyperthyroidism | TSH less than .2
45
What kind of diet causes hyperthyroidism
cruciferous greens, soy, strawberries, peanuts, peaches, spinach
46
which other AI disease is linked with Pernicious Anemia?
Crohn's
47
What types of b12 should a person with pernicious anemia take?
methyl or hydroxy B12
48
what is dermatomyositis
destruction of muscle tissue and rash
49
What type of cancer is associated with Dermatomyositis
GI cancer
50
Guillain Barre was first documented in ____ after the __ vaccine
1976 | flu
51
Guillain Barre results in ________ that can occur at any level. The person will be _______ from there down
demyelination | paralyzed
52
if demyelination from Guillain Barre occurs in the ___________ area then the person will need a ventilator
cervical
53
Is Guillain Barre reversible?
no
54
what is antiphospholipid syndrome? and what is the other name for it
The blood has a propensity to clot | Anticardiolipin syndrome
55
IgM means the disease is _____ | IgG means the disease is _____
active | inactive
56
What med do we use for antiphospholipid syndrome? What is the risk if we don't use it?
cumadin to thin the blood | we risk DVT/Pulmonary embolism
57
Type ___ Diabetes is insulin dependent
1
58
The ___ cells of the ___________________________ in the _________ make insulin
B cells islets of langerhan pancreas
59
Why might the Pancreas be damaged and cause type 1 diabetes?
children born with problems | pancreas can be damaged by virus, extreme exercise, or injury (fall/gunshot)

Physical Exam (11 decks)

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