IRATs

Question 1

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

Answer 1

False (50-70 million)

Question 2

Men sleep longer than women. T/F

Answer 2

False

Question 3

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

Answer 3

4-6

Question 4

For most human adults the body core temp is

Answer 4

37C

Question 5

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

Answer 5

100.4F

Question 6

A temp of ___ is considered a high grade fever

Answer 6

Greater than 104F

Question 7

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

Answer 7

Scarlet fever

Question 8

Malaria is a ___ infections

Answer 8

Parasitic

Question 9

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

Answer 9

True

Question 10

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

Answer 10

False (indicators of viral)

Question 11

According to Souza, the treatment for scarlet fever is

Answer 11

Penicillin

Question 12

According to Souza, wOTF is regarded as good sleep hygiene

Answer 12

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

Question 13

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

Answer 13

True

Question 14

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

Answer 14

Narcolepsy

Question 15

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

Answer 15

False

Between ages 15 and 25 and as early as age 2

Question 16

In the treatment of RLS, souza suggests the following treatment

Answer 16

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

Question 17

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

Answer 17

True

Question 18

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

Answer 18

False (NREM)

Question 19

Rheumatic fever may ultimately affect the

Answer 19

Mitral valve

Question 20

Women have a rise in temp of ___ at ovulation

Answer 20

0.5F-0.75F

Question 21

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

Answer 21

20.1 million

Question 22

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

Answer 22

67%

Question 23

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

Answer 23

False

Question 24

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

Answer 24

Metformin

Question 25

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

Answer 25

False

Question 26

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

Answer 26

True

Question 27

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

Answer 27

True

Question 28

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

Answer 28

True

Question 29

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

Answer 29

False

Question 30

Type 1 diabetes should be managed by the

Answer 30

Medical doctor

Question 31

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

Answer 31

24-28

Question 32

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

Answer 32

Diabetic amyotrophy

Question 33

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

Answer 33

True

Question 34

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

Answer 34

Cold laser therapy

Question 35

WOTF is NOT a risk facotr of type 2 diabetes

Answer 35

Low cholesterol levels

Question 36

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 ___

Answer 36

33% | 39%

Question 37

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

Answer 37

20%

Question 38

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

Answer 38

126 mg/dl

Question 39

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

Answer 39

6-7$

Question 40

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

Answer 40

False

Question 41

WOTF is NOT a common geriatric presentation

Answer 41

Panner’s disease

Question 42

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

Answer 42

15%

Question 43

The geriatric makeup ___ of most DC practices

Answer 43

12-15%

Question 44

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

Answer 44

Decrease

Question 45

Menses more frequent than every 20 days

Answer 45

Polymenorrhea

Question 46

Bleeding between periods

Answer 46

Menorragia

Question 47

Menses less often than every 42 days

Answer 47

Oligomenorrhea

Question 48

Bleeding lasting longer than 8 days

Answer 48

Metorrhagia

Question 49

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

Answer 49

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

Question 50

Bone loss in early menopause is ___ per year

Answer 50

1-5%

Question 51

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

Answer 51

Presbycusis

Question 52

WOTF is more likely in a 65 yo patient

Answer 52

Intermittent neurogenic claudication

Question 53

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

Answer 53

50%

Question 54

What percentages of patients over 70 have a hearing deficit

Answer 54

60%

Question 55

Normal resting resp rate of geriatric is

Answer 55

12-20

Question 56

Ovarian cancer is the ___ gynecologic cancer

Answer 56

2nd most common

Question 57

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

Answer 57

True

Question 58

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

Answer 58

Consider typical cervical subluxation patterns

Question 59

Martha Barlett brings dad, on memantine

Answer 59

Moderate to severe alzheimer’s

Question 60

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

Answer 60

False

Question 61

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

Answer 61

False

Question 62

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

Answer 62

True

Question 63

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

Answer 63

False

Question 64

When you are older you produce ___ stomach acid

Answer 64

Decrease

Question 65

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

Answer 65

False

Question 66

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

Answer 66

True

Question 67

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

Answer 67

True

Question 68

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

Answer 68

False

Question 69

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

Answer 69

True

Question 70

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

Answer 70

False - scandinavians

Question 71

The suffix terol is common ending for

Answer 71

Anti-asthma

Question 72

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

Answer 72

False (7-10%)

Question 73

Bone loss in early menopause is __ per year

Answer 73

1-5%

Question 74

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

Answer 74

True

Question 75

WOTF is NOT a common side effect of opiates

Answer 75

Causes diarrhea

Question 76

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

Answer 76

Metformin

Question 77

The suffix prazole is common ending for

Answer 77

Proton pump inhibitor

Question 78

NSAIDs are schedule III drugs. T/F

Answer 78

True

Question 79

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

Answer 79

True

Question 80

Azithromycin is commonly prescribed

Answer 80

Antibiotic

Question 81

The standard against which all other narcotics are measured is

Answer 81

Morphine

Question 82

The suffix gliptin is common ending for

Answer 82

Anti-diabetic

Question 83

Sildenafil is commonly prescribed for

Answer 83

Erectile dysfunction

Question 84

Which drug subject to much abuse

Answer 84

Soma

Question 85

Which drug sometimes used to control hiccups

Answer 85

Lioresal

Question 86

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

Answer 86

Flexeril - acts as an antidepressant

Question 87

Which drug used in tx of MS

Answer 87

Lioresal