FM Pretest - Doctor-Patient Issues Flashcards
What 4 conditions tend to be higher in Native Americans?
- DM
- Obesity
- Alcoholism
- Suicide
What does LEARN stand for and what does it mean in regards to treating a patient from a cultural background different than yours?
- Listen to your pts perspective
- Explain your plan
- Acknowledge similarities and differences
- Recommend an action
- Negotiate a plan
What has Gingko biloba been found to help?
-dementia
What has garlic been shown to do?
-help prevent heart disease
What has Saw palmetto been shown to do?
-tx of benign prostatic hypertrophy
What is bee pollen used for?
- to increase energy
- studies do not clearly show a benefit
What 3 classes of drugs can be given to relieve the burning/itching pain seen with shingles?
- Tricyclic antidepressants
- Anticonvulsants
- Anti-histamines
What can be used to relieve breathlessness associated with advanced cancer?
- opioids
- unknown mechanism
What 2 treatments can be used to increase energy and improve mood in a terminally ill patient?
- Short course of steroids
2. Psychostimulant
What are the most important symptoms to monitor depression in a terminally ill patient?
- Anhedonia
- Hopelessness
- Guilt
- Wish to die
An increase in which cancer is seen in homo-sexual males?
-anal cancer
Hetero-sexual v. Homo-sexual females and risk for STDs
-SAME risk in both groups!