Exam #2: Review

Question 1

List the power 9 of wellness.

Answer 1

1) Move naturally
2) Purpose
3) Downshift
4) 80% rule
5) Plant slant
6) Wine at 5
7) Belong
8) Loved ones first
9) Right tribe

Question 2

What are the six D’s of epidemiology?

Answer 2

1) Death
2) Disease
3) Discomfort
4) Disability
5) Dissatisfaction
6) Destitution

Question 3

What are the four steps of motivational interviewing?

Answer 3

1) Engage= establish a connection
2) Focus= direct the conversation
3) Evoke= elicit the motivation for change
4) Plan

Question 4

What are the OARS of communication?

Answer 4

O= open-ended 
A= affirmation 
R= reflective listening 
S= summarize

Question 5

What are the three things that patients need in motivational interviewing to be successful?

Answer 5

• To be ready for change
• To be engaged
• Self-efficacy

Question 6

List the characteristics of foods with a high cariogenic potential.

Answer 6

• Highly fermentable carbohydrates
• Break into small particles in the mouth
• Sticky
• Drop pH below 5.5
• Highly processed

Question 7

List the characteristics of foods that have a low cariogenic potential.

Answer 7

• High protein, moderate fat, low carb.
• High Ca++ and phosphorus
• pH greater than 6
• Stimulate saliva secretion

Question 8

List the classes of medications that induce xerostomia.

Answer 8

• Antihypertensive
• Antiarrhythmic
• Antilipidemic
• Antidepressant
• Antihistamine
• Anti-PD

Question 9

What are the risk factors for infant mortality?

Answer 9

1) Maternal age 35
2) Unwed mothers
3) Low income
4) Smoking
5) Inadequate prenantal care

Question 10

List the factors that make one “high risk” for contracting TB.

Answer 10

1) Having BCG vaccine
2) Injection drug user
3) Homeless residents and workers
4) Former prisoners
5) Recent arrivals to the US
6) Immunocompromised w/ risk of conversion from latent to active TB

Question 11

What are the three common health disparities seen in the LGBT community?

Answer 11

1) Substance abuse
2) Suicide
3) Homelessness

Question 12

What are the USPSTF screening recommendations for colorectal cancer? Specifically, what age group is screening recommended for?

Answer 12

50-75= screen with one of the following methods:

1) Fecal, Q3
2) Sigmoid, Q5
3) Colonoscopoy, Q10

76-85= "C" 
86+ = "D"

Question 13

What are the USPSTF screening recommendations for breast cancer screening?

Answer 13

• Biannual mammography
• 50-75 y/o
• NO CBE

Question 14

What are some of the adverse consequences of fish oil/ omega 3 fatty acids?

Answer 14

1) Increased risk of bleeding
2) Increased blood glucose
3) Possibility of heavy metal contaimination

Question 15

What is a common side effect of Glucosamine?

Answer 15

Reduction in the effectiveness of hypoglycemic medications

Question 16

What are the therapeutic purposes of Ginseng?

Answer 16

1) Fatigue in cancer
2) Antioxidant in heart disease
3) Improves thinking and sleep

Question 17

What drugs does Ginkgo interact negatively with?

Answer 17

1) Thiazide diuretics

2) ASA

Question 18

What are the general classes of medications that you should be especially wearing of prescribing supplements with?

Answer 18

• Anti-coagulants
• Arrhythmic
• Anti-convulsants
• Meds to prevent organ rejection

Question 19

What are the 5 A’s?

Answer 19

1) Ask
2) Advise
3) Assess
4) Assist
5) Arrange

Question 20

What are the five R’s?

Answer 20

1) Relevance
2) Risks
3) Rewards
4) Roadblocks
5) Repetition

Question 21

What patient populations are at highest risk for ASCVD?

Answer 21

• DM
• Noncoronary athersclerotic arterial disease
• Aortic aneurysm