Rheumatic Disease

Question 1

aspirin depletes

Answer 1

folate
iron
vitaminC

Question 2

salicylate depletes

Answer 2

folate

Question 3

NSAIDs decrease

Answer 3

iron

folate

Question 4

sulfasalazine decreases

Answer 4

folate

Question 5

methotrexate decreases

Answer 5

folate

Question 6

corticosteroids decrease

Answer 6

calcium
vitamin D
potassium
zinc
vitamin C
magnesium
folate
selenium

Question 7

tetracycline depletes

Answer 7

calcium
magnesium
iron

Question 8

colchicine depletes

Answer 8

B12
sodium
potassium

Question 9

D-penicillamine depletes

Answer 9

B6
magnesium
zinc
copper

Question 10

diets to decrease inflammation

Answer 10

medeterranean diet
nordic diet
MIND diet

Question 11

MIND diet (can eat)

Answer 11

green leafy veggies (6 servings a week)
other veggies (1 per day)
nuts (5/week)
berries (2+/week)
whole grains (>3/week)
fish (1/week)
poultry (2/week)
olive oil (use as main cooking oil)
wine (1/day)

Question 12

MIND diet (avoid eating)

Answer 12

red meat (<4/week)
butter and margarine (<1tbsp/day)
cheese (<1/week)
pasteries and sweets (<5/week)
fried or fast food (<1/week)

Question 13

what do you generally want to decrease to avoid inflammation

Answer 13

added sugars
processed grains
refined oils
trans fats

Question 14

osteoarthritis nutritional therapy

Answer 14

anti-inflammatory diet
moderate exercise for weight loss
vitamin D
SAMe, capsaicin gel, articulin F
glucosamine sulfate, chondroitin sulfate

Question 15

RA nutritional concerns

Answer 15

often have very low vitamin D
increased metabolic rate secondary to inflammation
often have taste alterations
identify possible food allergies with elimination diet
fasting has been historically used to decrease inflamation

Question 16

protein for RA

Answer 16

1.5-2.0g/kg/d for highly inflammed or malnourished

Question 17

fat for RA

Answer 17

<30% of energy

more omega 3s, flax, olive oil

Question 18

micronutrients for RA

Answer 18

vitamin E (nuts and seeds)
methotrexate decreases folate
encourage adequate intake of folate, B6, B12
vitamin D and calcium supplements may be considered
probiotics

Question 19

herbals for RA

Answer 19

evening primrose, black currant or boage oils

NO thunder god vine

Question 20

people with gout should decrease

Answer 20

red meat
seafood
alcohol (beer)
fructose (fruit)
other high purine foods

Question 21

people with gout should increase

Answer 21

low fat dairy
supplemental vitamin C
coffee
tart cherry juice

Question 22

what should you do during a gout attack

Answer 22

drink 8-16cups of fluid (half water)
avoid alcohol
limit animal foods
get moderate protein from dairy, tofu, eggs and nut butters

Question 23

foods high in purines

Answer 23

anchovies
gravy
broth
organ meats
mackerel
herring
bouillon
yeast
scallops
meat
fish
poultry
shellfish