Common Glandular Dysfunctions

Question 1

What mineral is essential for alpha tocopherol?

Answer 1

Selenium

Question 2

Describe the lingual ascorbic acid test.

Answer 2

The test is performed by dropping a blue summation onto the tongue and waiting to see how long it takes for the color to dissipate. Greater than 30 seconds is an indicator of ascorbic acid deficiency, although a deficiency you sometime seen between 10 to 20 seconds.

Question 3

Taking a lot of vitamin C can increase your need for what vitamin?

Answer 3

Vitamin A

Question 4

True/false we are more often concerned with the frequency with which the patient takes a supplement rather then the absolute amount of the substance ingested.

Answer 4

True

Question 5

P factors are known as what?

Answer 5

Anti-capillary fragility factors or bioflavonoids

Question 6

What copper carrying enzyme is found in vitamin C?

Answer 6

Tyrosinase

Question 7

What four major chemical groups make up vitamin E?

Answer 7

Tocopherols, phospholipids, Vitamin F group, and steroid hormone precursors

Question 8

Name the three groups of glandular preparations.

Answer 8

Aqueous tissues, raw glandular material, protomorphogens

Question 9

Deficiency of which hormone can cause excessive sweating?

Answer 9

Aldosterone

Question 10

How long should a pupil constrict normally when a light is shined into it?

Answer 10

At least 30 seconds

Question 11

T/F A minor flutter or twitch of the pupil, known as hippus, is normal when a light is shined into it.

Answer 11

True

Question 12

In the stressed patient, which does the body dump into the urine, sodium or potassium?

Answer 12

Sodium (increasing intracellular levels of potassium and decreasing extracellular levels of sodium, which can cause non-pitting edema in legs)

Question 13

T/F A Koenisburg test can be performed on urine at any time of the day.

Answer 13

False, it should be a first morning urine

Question 14

Which 2 reagents are used in a Koenisburg test?

Answer 14

10% potassium chromate and 0.74% silver nitrate

Question 15

How is the Koenisburg test performed?

Answer 15

10 drops urine, 1 drop 10% potassium chromate (mix until yellowish), titrate drop by drop with 0.74% silver nitrate and observe for color change from red-orange to brick red. Normal is 17-25 drops. Too high or low could be hypoadrenia or high dietary salt intake

Question 16

Is epinephrine a vasoconstrictor or vasodilator?

Answer 16

Vasoconstrictor peripherally

Question 17

How does cortisol affect epinephrine?

Answer 17

Cortisol sensitizes the tissues to epinephrine

Question 18

How much louder should the first heart sound be normally?

Answer 18

3 times louder

Question 19

What would you expect in a hypoadrenic patient?

Answer 19

The second sound will be as loud, or louder, than the first sound over the pulmonary valve due to pulmonary hypertension

Question 20

What does a loud second heart sound over the tricuspid valve indicate?

Answer 20

Liver congestion

Question 21

How do corticosteroids cause hypoadrenia?

Answer 21

They create a negative feedback loop with the pituitary and cause low output of ACTH

Question 22

Hyperpigmentation will be seen in what?

Answer 22

Hypoadrenia

POMC: pro-opiomelanocortin

Question 23

What are the three basic diagnostic factors in hypoadrenia?

Answer 23

Ragland’s sign, paradoxical pupillary response, loud second heart sound over the pulmonic valve.

Question 24

What is Rogoff’s sign?

Answer 24

Tenderness over the junction of the 12th rib and 12th vertebra

Question 25

What is vitamin G?

Answer 25

Riboflavin and Niacin

Question 26

How often should you tell the patient to hold the NV points on the forehead for emotional recall technique?

Answer 26

Do it in the office until they no longer weaken then tell them to hold the points once per day before going to sleep or when confronted with excessive emotional stress.

Question 27

T/F Glucocorticoids stimulate the immune system.

Answer 27

False

Question 28

What does it mean when a sartorius strengthens to the NL point of thymus?

Answer 28

The thymus is holding back improvement of the adrenals.

Question 29

What is the single most important factor in treating all types of infections?

Answer 29

Improving elimination

Question 30

What 3 muscles could be associated with a thyroid problem?

Answer 30

Teres minor, pec major sternal, SCM.

Question 31

What should you check if a patient has a metallic taste in his mouth?

Answer 31

A strong teres minor (but could also be weak) and a weak pec major sternal that is negated by the need for iodine.

Question 32

What is needed in excessively thin mucus secretions?

Answer 32

Better biliary function, give bile salts.

Question 33

What 3 things can be given for hyperthyroid?

Answer 33

Iodine (in high doses will suppress the thyroid), thymus tissue, and vitamin A.

Question 34

Which vitamin should be given with manganese because it increases the body's need for this vitamin?

Answer 34

Vitamin B12

Question 35

What metal when taken in excess can cause a manganese deficiency?

Answer 35

Zinc

Question 36

On what days of the female cycle would you expect a drop in basal temperature in a person with a slightly underactive thyroid?

Answer 36

The day before her period and the first 2-3 days after period.

Question 37

What would you expect to see in the basal temperature of a patient with a normal functioning thyroid and low progesterone?

Answer 37

An elevation of the basal temperature a few days prior to the onset of the period and normalization several days later.

Question 38

At what half of the female cycle can you best detect an estrogen excess?

Answer 38

Second half because they should be progesterone dominant at that point but won't be if they are estrogen dominant.

Question 39

What would you expect to see with the basal temperature with an estrogen excess?

Answer 39

A drop by as much as 1 degree during the second half of the cycle.

Question 40

Brilliant, blinding flashes of light across the visual field can indicate a need for what?

Answer 40

Bile salts

Question 41

A metallic taste in the mouth can indicate a need for what?

Answer 41

Iodine

Question 42

A bitter taste in the mouth can indicate a need for what?

Answer 42

Bile salts

Question 43

Name the vitamin B related muscles.

Answer 43

PMC, tib ant, peroneal muscles

Question 44

Burning symptoms anywhere in the body are often symptoms of what?

Answer 44

Colon floral imbalance

Question 45

Burning feet may mean what?

Answer 45

B1 deficiency or diabetic neuropathy

Question 46

What should the rectal pH be?

Answer 46

Slightly acidic

Question 47

If the rectal pH is normal or alkaline, what should be indicated?

Answer 47

HCl, lactic acid yeast, or acidophilus (probiotics)

Question 48

What is the use of lactic acid yeast?

Answer 48

To convert carbohydrates into lactic acid

Question 49

At what point of the female cycle are B vitamins most important and why?

Answer 49

The second half because they are used via the liver for breakdown of estrogen and the second half of the cycle should be progesterone dominance.

Question 50

What is the major function of the liver?

Answer 50

To detoxify the colon.