Geriatrics

Question 1

The risk of cancer in the elderly increases with age. The TCM view on this is an increase in ___________

Answer 1

Qi and Blood Stasis

Phlegm Accumulation

Question 2

List classic signs of geriatric syndromes

Answer 2

Declining mental status
Sleep disorder
Loss of balance
Loss of temperature control
Susceptible to infection
Malnutrition
Constipation
Diarrhea
Fall
Hip Fracture
Incontinence

Question 3

What are important points to cover in taking history of geriatric patient?

Answer 3

medication history

Question 4

What are important points in physical exam of the elderly?

Answer 4

never force physical test
check BP sitting up and lying down
limit needle use, avoid strong stimulation
look for signs of dehydration

Question 5

Patients are considered geriatric if they are _________

Answer 5

age 55 and older

Question 6

List steps to manage Xu Lao

Answer 6

1) Monitor diet
2) Daily Exercise
3) Regular treatment schedule
4) Massage/reflexology as adjunct treatment

Question 7

List the 6 extreme exhaustions

Answer 7

Qi
Blood
Tendon
Bone
Muscle
Jing

Question 8

Spleen exhaustion is caused by _______

Answer 8

over/under eating
improper diet
worry
over-thinking

Question 9

Kidney exhaustion is caused by _______

Answer 9

sitting on ground for too long
over lifting heavy things
uncontrolled sexual activity
long term fear

Question 10

Lung exhaustion is caused by _______

Answer 10

cold weather / air, grief

Question 11

Heart exhaustion is caused by _______

Answer 11

over-worry/thinking, anxiety, depression

Question 12

Liver exhaustion is caused by _______

Answer 12

exposure to chemicals, rage

Question 13

List main signs and symptoms of Lin syndrome

Answer 13

urine is scanty, yellow, burning, painful

Question 14

The main TCM etiology of Lin syndrome is ________. Other causes include _____

Answer 14

Heat and Damp in UB

Diet, excessive alcohol, poor lifestyle choice

Question 15

Stoney Lin is generally caused by ______

Answer 15

damp heat congealing

Question 16

Constipation is often defined as having bowel movements less than __________________

Answer 16

3 times / week

Question 17

Causes of constipation include ________. Which are most common in the elderyly?

Answer 17

1) Constituional internal heat
2) emotional factors
3) Qi Xu in lower Jiao
4) Yang / Yin Xu, cold accumulations

3 and 4

Question 18

Organs related with constipation include ______

Answer 18

ST, LI

Question 19

Dietary and lifestyle habits for constipation

Answer 19

probiotics
minerals (Zn, Mg, Ca)
Exercise (yoga, light aerobics)
water intake
sit on toilet during LI time
position on toilet

Question 20

The two types of diarrhea are ______. Which is worse?

Answer 20

loose, watery

watery

Question 21

Diarrhea is more frequent during _______

Answer 21

summer and fall

Question 22

For diarrhea patients, they should not eat ________

Answer 22

cold/raw foods
seafood
greasy/oily/spicy food

Question 23

List auricular points for diarrhea

Answer 23

LI, ST, SI, LV, KD, Shen Men

Question 24

Common etiologies of diarrhea

Answer 24

external invasion (damp)
improper diet
emotions
SP / ST Xu
KD Yang Xu

Question 25

List etiology of diarrhea with:
explosion
mucous
preceded by cramping

Answer 25

1) external
2) SP Qi Xu, LV Qi Stagnation
3) LV Qi Stagnation, Damp Heat

Question 26

The most common cause of diarrhea is _____

Answer 26

virus that infects the gut

Question 27

Diarrhea upon waking is attributed to _____

Answer 27

SP and KD Yang Xu

Question 28

Diarrhea soon after eating is attributed to _____

Answer 28

SP Qi Xu

Question 29

Diarrhea with severe distention, strong breath, belching is attributed to _____

Answer 29

food stagnation

Question 30

Diarrhea that alternates with constipation is attributed to ________

Answer 30

LV attacking SP

Question 31

Diarrhea with fever is attributed to _____

Answer 31

Damp Heat or Summer Heat

Question 32

The most common western biomedical treatment for Lin Syndrome is ____

Answer 32

Antibiotics