Random Questions Flashcards
Your patient is concerned about her risk of developing type 2 diabetes. She is thinking about decreasing her red meat intake. Which of the following food substitutions would offer the most benefit?
A. Whole grain > Low-fat dairy > Nuts > Poultry/Fish
B. Nuts > Whole grain > Low-fat dairy > Poultry/Fish
C. Low-fat dairy > Whole grain > Nuts > Poultry/Fish
D. Whole grain > Nuts > Low-fat dairy > Poultry/Fish
Correct answer = D (Red meat consumption and risk of type 2 diabetes, Pan, et al (2011) p1093)
In regards to Blue Zones, which of the following statements are correct?
- Knowing your sense of purpose is worth up to 7 years of extra life expectancy.
- They live in environments that constantly nudge them into moving without thinking about it.
- Non-drinkers outlive moderate alcohol drinkers..
- Beans, including fava, black, soy, and lentils, are the cornerstone of most centenarian diets.
- Successful centenarians in the Blue Zones put their friends first.
A. Only 1 and 2 are correct.
B. Only 1, 2 and 4 are correct.
C. Only 1, 2, 3 and 4 are correct.
D. All of the above are correct.
Correct answer = B (Blue Zones: Lessons From the World’s Longest Lived, Buettner & Skemp (2016) p318-319)
Which of the following two Qs are a part of the 2 question screen for depression?
Over the past 2 weeks, how often have you been bothered by the following problems?
1. Feeling down, depressed or hopeless
2. Poor appetite or overeating
3. Feeling tired or having little energy
4. Feeling bad about yourself
5. Little pleasure or interest in doing things
6. Trouble falling asleep, staying asleep or sleeping too much
A. 1 and 3
B. 1 and 4
C. 1 and 5
D. 2 and 6
Correct answer = C (LMBRM p234)
The rest of the questions are from the Patient Health Questionnaire-9 for depression
Which of the following is not true of the DSM-V diagnostic criteria for generalised anxiety disorder?
A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance).
B. The individual finds it difficult to control the worry.
C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 3 months): 1. Restlessness, feeling keyed up or on edge. 2. Being easily fatigued. 3. Difficulty concentrating or mind going blank. 4. Irritability. 5. Muscle tension. 6. Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep).
D. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Correct answer = C
The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months): Note: Only one item required in children. 1. Restlessness, feeling keyed up or on edge. 2. Being easily fatigued. 3. Difficulty concentrating or mind going blank. 4. Irritability. 5. Muscle tension. 6. Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep).
Lifestyle medicine involves the use of evidence-based lifestyle therapeutic approaches. This includes all of the following except: A. Whole food, plant-based diet B. Regular physical activity C. Adequate sleep D. Meditation and yoga
Correct answer = D (The What and Why for Lifestyle Medicine and ITLC lecture/slides)
Other approaches include stress management, form and maintain relationships, manage risk substance use
Which of the following is not one of the constructs of the health belief model? A. Motivation B. Cues to action C. Perceived barriers D. Perceived susceptibility
Correct answer = A (LMBRM p 39) Motivation is a part of Theory of Planned Behaviour Six key constructs of the health belief model: Perceived susceptibility Perceived severity Perceived benefits Perceived barriers Cues to action Self-efficacy
Regarding the energy density of nutrients, which of the following is incorrect? A. Carb = 4 kcal/g B. Protein = 4 kcal/g C. Fat = 7 kcal/g D. Alcohol = 7 kcal/g
Correct answer = C Water 0 kcal/g Fibre 1.5-2.5 kcal/g Carbohydrate 4 kcal/g Protein 4 kcal/g Alcohol 7 kcal/g Fat 9 kcal/g
Insulin resistance increases the risk of developing all of the following, except: A. Cardiovascular disease B. Osteoporosis C. Alzheimer’s disease D. Hypertension
Correct answer = B (Slide 18 Chronic Diseases, Insulin Resistance, Epigenetics, Sleep, and Labs lecture/slides)
Which of the following has the strongest impact on gene expression via changes in the epigenome? A. Diet/nutrition B. Physical activity C. Adequate sleep D. Stress reduction
Correct answer = A (Slide 20 Chronic Diseases, Insulin Resistance, Epigenetics, Sleep, and Labs lecture/slides)
Asymptomatic
No known CV, metabolic or renal disease
Regular exercise
Medical clearance?
No
Asymptomatic
No known CV, metabolic or renal disease
No regular exercise
Medical clearance?
No
Asymptomatic
Known CV, metabolic or renal disease
Regular exercise
Medical clearance?
No for moderate intensity exercise
Asymptomatic
Known CV, metabolic or renal disease
No regular exercise
Medical clearance?
Yes
Symptomatic
Regardless of known disease status
Regular exercise
Medical clearance?
Discontinue exercise and seek medical clearance
Symptomatic
Regardless of known disease status
No regular exercise
Medical clearance?
Yes
