IRATs Flashcards

1
Q

80-90% of americans have a sleep disorder. T/F

A

False (50-70 million)

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2
Q

Men sleep longer than women. T/F

A

False

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3
Q

Short sleepers are able to operate on only ___ hours of sleep epr day without suffering any adverse effects

A

4-6

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4
Q

For most human adults the body core temp is

A

37C

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5
Q

We consider an adult patient to have a fever if their temp is

A

100.4F

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6
Q

A temp of ___ is considered a high grade fever

A

Greater than 104F

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7
Q

Your pt presents with abdominal rash, strawberry tongue, and fever. You should suspect

A

Scarlet fever

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8
Q

Malaria is a ___ infections

A

Parasitic

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9
Q

According to Souza, it is rarely necessary to control fever unless it reaches 103-104F. T/F

A

True

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10
Q

According to Souza, indicators of a bacterial infection in an adult are low-grade fever and associated general aches and pains, a headache, malaise or fatigue. T/F

A

False (indicators of viral)

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11
Q

According to Souza, the treatment for scarlet fever is

A

Penicillin

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12
Q

According to Souza, wOTF is regarded as good sleep hygiene

A

If you are unable to sleep after 30 minutes, get up and have a light snack or listen to soothing music, then return to bed

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13
Q

Research has shown that the use of the nasal continuous positive airway pressure (CPAP) has improved hypertension and reduced depresison in patients with obstructive sleep apnea. T/F

A

True

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14
Q

A condition in which a patient drops into REM sleep without warning is known as

A

Narcolepsy

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15
Q

Narcolepsy has a tendency to develop rather late in life. T/F

A

False

Between ages 15 and 25 and as early as age 2

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16
Q

In the treatment of RLS, souza suggests the following treatment

A

65 mg of elemental iron given one to three times a day PRN

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17
Q

As a single indicator, neck circumference of 50 cm or more is associated with an increased risk of obstructive sleep apnea. T/F

A

True

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18
Q

REM sleep accounts for 80% of total sleep. T/F

A

False (NREM)

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19
Q

Rheumatic fever may ultimately affect the

A

Mitral valve

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20
Q

Women have a rise in temp of ___ at ovulation

A

0.5F-0.75F

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21
Q

As a PCP, you are urged to evaluate your patients for prediabetes and manage them prior to the development of diabetes and it is associated health consequences. Estimates are that at least prople in the US from age 40-74 have prediabetes

A

20.1 million

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22
Q

As a PCP, you are aware that ___ of patients with diabetes also have hypertension

A

67%

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23
Q

There is an ethnic distinction in that the Japanese have a much higher proportion of individuals with type 1 diabetes (20%). T/F

A

False

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24
Q

WOTF is a medication commonly used in the treatment of type 2 diabetes

A

Metformin

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25
Q

With the type 2 diabetes patient, the relationship associated with a fat distribution in the buttock and hip are. T/F

A

False

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26
Q

In the US the cost of diabetes and its complications is estimated to be more than $245 billion. T/F

A

True

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27
Q

According to Souza, nutritional recommendations for diabetic neuropathy include Vitamins B12, Biotin, and Inositol. T/F

A

True

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28
Q

Coffee consumption up to 6 cups per day, has been shown in several studies and reviews to have an inverse effect on diabetes. T/F

A

True

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29
Q

As a chiro and PCP, your primary responsibility in the treatment of a type 2 diabetic patient is to be sure the patient is adhering to taking their medication as prescribed. T/F

A

False

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30
Q

Type 1 diabetes should be managed by the

A

Medical doctor

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31
Q

As a PCP, you should check for gestational diabetes in pregnant patients between weeks ____ using a one-hour tolerance test.

A

24-28

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32
Q

WOTF types of diabetic neuropathy involves a large nerve such as the femoral or median nerve involving deep pain with weakness and atrophy of muscles in area

A

Diabetic amyotrophy

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33
Q

One of the first signs of type 2 diabetes in women is pruritis. T/F

A

True

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34
Q

In teh tx of peripheral neuropathy, a therapy that would stimulate the release of nitric oxide causing vasodilation of small blood vessels increasing circulation and improving symptosm would be

A

Cold laser therapy

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35
Q

WOTF is NOT a risk facotr of type 2 diabetes

A

Low cholesterol levels

36
Q

According to Souza, for individuals born int he US in the year 2000, the lifetime probability of being diagnosed with diabetes for males was ___ and for females was ___

A

33%

39%

37
Q

Type 2 diabetes may affect as many as ___ of the US population aged 65-74

A

20%

38
Q

According to teh American diabetes association, a fasting glucose level of ___ or higher is considered diagnostic

A

126 mg/dl

39
Q

As a PCP you should inform your known diabetic patient that an average hemoglobin A1C of ___ is considered adequate control of glucose

A

6-7$

40
Q

In the US, the lifetime probability of being diagnosed with type 2 diabetes for african-americans and hispanics is 74%. T/F

A

False

41
Q

WOTF is NOT a common geriatric presentation

A

Panner’s disease

42
Q

In teh geriatric population, death from complications of hip fx is

A

15%

43
Q

The geriatric makeup ___ of most DC practices

A

12-15%

44
Q

Studies indicate that exercise may __ the frequency or intensity of pain with dysmenorrhea

A

Decrease

45
Q

Menses more frequent than every 20 days

A

Polymenorrhea

46
Q

Bleeding between periods

A

Menorragia

47
Q

Menses less often than every 42 days

A

Oligomenorrhea

48
Q

Bleeding lasting longer than 8 days

A

Metorrhagia

49
Q

According to Souza, the goal of chiro tx in the geriatric population is

A

Prevent or delay functional decline and restore or maintain function to allow as much independent living as possible

50
Q

Bone loss in early menopause is ___ per year

A

1-5%

51
Q

The most common cause of hearing loss in the geriatric population is

A

Presbycusis

52
Q

WOTF is more likely in a 65 yo patient

A

Intermittent neurogenic claudication

53
Q

According to Souza, an appropriate in-office breast exam can detect, at minimum, ___ of asymptomatic cancers

A

50%

54
Q

What percentages of patients over 70 have a hearing deficit

A

60%

55
Q

Normal resting resp rate of geriatric is

A

12-20

56
Q

Ovarian cancer is the ___ gynecologic cancer

A

2nd most common

57
Q

According to Souza, studies indicate that spinal manipulation may have a benefit in treating the symptoms of dysmenorrhea. T/F

A

True

58
Q

WOTF is NOT presented by Souza as strategy for the evaluation of the geriatric pt

A

Consider typical cervical subluxation patterns

59
Q

Martha Barlett brings dad, on memantine

A

Moderate to severe alzheimer’s

60
Q

In teh geriatric population, men fall more than women. T/F

A

False

61
Q

Vitamin C is shown to reduce menopause hot flash symptoms. T/F

A

False

62
Q

Premarin is a medicine used for post menopause. T/F

A

True

63
Q

Increase peristalsis in the geriatric pt leads to hiatal hernia and acid reflux. T/F

A

False

64
Q

When you are older you produce ___ stomach acid

A

Decrease

65
Q

According to Souza, Niacin has NOT been proven to alleviate menstrual cramping. T/F

A

False

66
Q

Amenorrhea is normal during the beginning of lactation. T/F

A

True

67
Q

A combination of B6 and magnesium can help menstrual cramps. T/F

A

True

68
Q

2000 IU vitamin E recommended max daily value has side effects skin rash and diarrhea. T/F

A

False

69
Q

Valerian shouldn’t be taken when pregnant or with any other anxiety medication. T/F

A

True

70
Q

There is an ethnic distinction in that latinos have a much higher proportion of individuals with type 1 diabetes (20%). T/F

A

False - scandinavians

71
Q

The suffix terol is common ending for

A

Anti-asthma

72
Q

40-50% of population is allergic to penicillin. T/F

A

False (7-10%)

73
Q

Bone loss in early menopause is __ per year

A

1-5%

74
Q

One-side effect of tetracycline is severe tooth discoloration. T/F

A

True

75
Q

WOTF is NOT a common side effect of opiates

A

Causes diarrhea

76
Q

WOTF is a medication commonly used in tx of type 2 diabetes

A

Metformin

77
Q

The suffix prazole is common ending for

A

Proton pump inhibitor

78
Q

NSAIDs are schedule III drugs. T/F

A

True

79
Q

The word antibiotic comes from the greek language and literally means against life. T/F

A

True

80
Q

Azithromycin is commonly prescribed

A

Antibiotic

81
Q

The standard against which all other narcotics are measured is

A

Morphine

82
Q

The suffix gliptin is common ending for

A

Anti-diabetic

83
Q

Sildenafil is commonly prescribed for

A

Erectile dysfunction

84
Q

Which drug subject to much abuse

A

Soma

85
Q

Which drug sometimes used to control hiccups

A

Lioresal

86
Q

Which drug should not be taken more than 2-3 weeks

A

Flexeril - acts as an antidepressant

87
Q

Which drug used in tx of MS

A

Lioresal