IRATs Flashcards
80-90% of americans have a sleep disorder. T/F
False (50-70 million)
Men sleep longer than women. T/F
False
Short sleepers are able to operate on only ___ hours of sleep epr day without suffering any adverse effects
4-6
For most human adults the body core temp is
37C
We consider an adult patient to have a fever if their temp is
100.4F
A temp of ___ is considered a high grade fever
Greater than 104F
Your pt presents with abdominal rash, strawberry tongue, and fever. You should suspect
Scarlet fever
Malaria is a ___ infections
Parasitic
According to Souza, it is rarely necessary to control fever unless it reaches 103-104F. T/F
True
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
False (indicators of viral)
According to Souza, the treatment for scarlet fever is
Penicillin
According to Souza, wOTF is regarded as good sleep hygiene
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
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
True
A condition in which a patient drops into REM sleep without warning is known as
Narcolepsy
Narcolepsy has a tendency to develop rather late in life. T/F
False
Between ages 15 and 25 and as early as age 2
In the treatment of RLS, souza suggests the following treatment
65 mg of elemental iron given one to three times a day PRN
As a single indicator, neck circumference of 50 cm or more is associated with an increased risk of obstructive sleep apnea. T/F
True
REM sleep accounts for 80% of total sleep. T/F
False (NREM)
Rheumatic fever may ultimately affect the
Mitral valve
Women have a rise in temp of ___ at ovulation
0.5F-0.75F
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
20.1 million
As a PCP, you are aware that ___ of patients with diabetes also have hypertension
67%
There is an ethnic distinction in that the Japanese have a much higher proportion of individuals with type 1 diabetes (20%). T/F
False
WOTF is a medication commonly used in the treatment of type 2 diabetes
Metformin
With the type 2 diabetes patient, the relationship associated with a fat distribution in the buttock and hip are. T/F
False
In the US the cost of diabetes and its complications is estimated to be more than $245 billion. T/F
True
According to Souza, nutritional recommendations for diabetic neuropathy include Vitamins B12, Biotin, and Inositol. T/F
True
Coffee consumption up to 6 cups per day, has been shown in several studies and reviews to have an inverse effect on diabetes. T/F
True
As a chiro and PCP, your primary responsibility in the treatment of a type 2 diabetic patient is to be sure the patient is adhering to taking their medication as prescribed. T/F
False
Type 1 diabetes should be managed by the
Medical doctor
As a PCP, you should check for gestational diabetes in pregnant patients between weeks ____ using a one-hour tolerance test.
24-28
WOTF types of diabetic neuropathy involves a large nerve such as the femoral or median nerve involving deep pain with weakness and atrophy of muscles in area
Diabetic amyotrophy
One of the first signs of type 2 diabetes in women is pruritis. T/F
True
In teh tx of peripheral neuropathy, a therapy that would stimulate the release of nitric oxide causing vasodilation of small blood vessels increasing circulation and improving symptosm would be
Cold laser therapy
WOTF is NOT a risk facotr of type 2 diabetes
Low cholesterol levels
According to Souza, for individuals born int he US in the year 2000, the lifetime probability of being diagnosed with diabetes for males was ___ and for females was ___
33%
39%
Type 2 diabetes may affect as many as ___ of the US population aged 65-74
20%
According to teh American diabetes association, a fasting glucose level of ___ or higher is considered diagnostic
126 mg/dl
As a PCP you should inform your known diabetic patient that an average hemoglobin A1C of ___ is considered adequate control of glucose
6-7$
In the US, the lifetime probability of being diagnosed with type 2 diabetes for african-americans and hispanics is 74%. T/F
False
WOTF is NOT a common geriatric presentation
Panner’s disease
In teh geriatric population, death from complications of hip fx is
15%
The geriatric makeup ___ of most DC practices
12-15%
Studies indicate that exercise may __ the frequency or intensity of pain with dysmenorrhea
Decrease
Menses more frequent than every 20 days
Polymenorrhea
Bleeding between periods
Menorragia
Menses less often than every 42 days
Oligomenorrhea
Bleeding lasting longer than 8 days
Metorrhagia
According to Souza, the goal of chiro tx in the geriatric population is
Prevent or delay functional decline and restore or maintain function to allow as much independent living as possible
Bone loss in early menopause is ___ per year
1-5%
The most common cause of hearing loss in the geriatric population is
Presbycusis
WOTF is more likely in a 65 yo patient
Intermittent neurogenic claudication
According to Souza, an appropriate in-office breast exam can detect, at minimum, ___ of asymptomatic cancers
50%
What percentages of patients over 70 have a hearing deficit
60%
Normal resting resp rate of geriatric is
12-20
Ovarian cancer is the ___ gynecologic cancer
2nd most common
According to Souza, studies indicate that spinal manipulation may have a benefit in treating the symptoms of dysmenorrhea. T/F
True
WOTF is NOT presented by Souza as strategy for the evaluation of the geriatric pt
Consider typical cervical subluxation patterns
Martha Barlett brings dad, on memantine
Moderate to severe alzheimer’s
In teh geriatric population, men fall more than women. T/F
False
Vitamin C is shown to reduce menopause hot flash symptoms. T/F
False
Premarin is a medicine used for post menopause. T/F
True
Increase peristalsis in the geriatric pt leads to hiatal hernia and acid reflux. T/F
False
When you are older you produce ___ stomach acid
Decrease
According to Souza, Niacin has NOT been proven to alleviate menstrual cramping. T/F
False
Amenorrhea is normal during the beginning of lactation. T/F
True
A combination of B6 and magnesium can help menstrual cramps. T/F
True
2000 IU vitamin E recommended max daily value has side effects skin rash and diarrhea. T/F
False
Valerian shouldn’t be taken when pregnant or with any other anxiety medication. T/F
True
There is an ethnic distinction in that latinos have a much higher proportion of individuals with type 1 diabetes (20%). T/F
False - scandinavians
The suffix terol is common ending for
Anti-asthma
40-50% of population is allergic to penicillin. T/F
False (7-10%)
Bone loss in early menopause is __ per year
1-5%
One-side effect of tetracycline is severe tooth discoloration. T/F
True
WOTF is NOT a common side effect of opiates
Causes diarrhea
WOTF is a medication commonly used in tx of type 2 diabetes
Metformin
The suffix prazole is common ending for
Proton pump inhibitor
NSAIDs are schedule III drugs. T/F
True
The word antibiotic comes from the greek language and literally means against life. T/F
True
Azithromycin is commonly prescribed
Antibiotic
The standard against which all other narcotics are measured is
Morphine
The suffix gliptin is common ending for
Anti-diabetic
Sildenafil is commonly prescribed for
Erectile dysfunction
Which drug subject to much abuse
Soma
Which drug sometimes used to control hiccups
Lioresal
Which drug should not be taken more than 2-3 weeks
Flexeril - acts as an antidepressant
Which drug used in tx of MS
Lioresal
