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MSK/Derm > SM 247: Integrative Medicine > Flashcards

SM 247: Integrative Medicine Flashcards

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Dermatology Board Prep flashcards
1
Q

What is traditional medicine?

A

Indigenous to cultures

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2
Q

What is conventional medicine?

A

Mainstream: MD and DO

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3
Q

What is alternative medicine?

A

Medicine that replaces mainstream practices - ie anti vaccination

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4
Q

What is complementary medicine?

A

Using conventional and alternative medicine

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5
Q

What is functional medicine?

A

Optimize body function

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6
Q

What is integrative medicine?

A

Licensed conventionally traiend providers with additional training that cobines EBM and alternative medicine therapies

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7
Q

What are the guiding principles of integrative medicine?

A

Involving the patient in his/her health, compassion and caring, entertain non-conventional approaches, evaluate all treatments and consider all aspects of health

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8
Q

How should effectiveness be weighed against harm?

A

Greater the risk of harm of a treatment, need greater evidence that treatment will be beneficial

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9
Q

What patient characteristics seek CAM?

A

Women, higher education, hospitalized and painful conditions

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10
Q

Why do most people use alternative treatments?

A

Not conspiracy theorists, most people combine with traditional medicine and think normal medicine is too expensive

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11
Q

What is the approach of homeopathy?

A

Like cures like: small microdoses of things are very effective in treating dissease

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12
Q

What are the challenges of giving botanicals?

A

Many ways to administer: infusion, powder, ointment, syrup, extract, etc.

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13
Q

What are the regulatory issues with botanicals?

A

Inconsistent quality due to poor regulation, potential for contamination with heavy metals/placebos, can be expensive and effective dose is unknown

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14
Q

What’s better: healthy food or a supplement?

A

Healthy food

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15
Q

Do environments and space matter in health?

A

Yes, may improve recovery after surgery

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16
Q

What are the outcomes of patients who use just alternative medicine?

A

Worse than normal medicine

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17
Q

What should be considered in an integrative medicine approach to knee osteoarthritis?

A

Motivational patient interviewing, nutrition/weight loss, exercise/movement

18
Q

What should a person with knee osteoarthritis eat to improve/prevent symptoms?

A

Mediterranean diet

19
Q

What foods are in the Mediterranean diet?

A

Vegetables > Fruits, whole grains, fish, dairy

20
Q

Should you avoid red meat to prevent OA?

A

Yes

21
Q

Should you avoid fruit to prevent OA?

A

No - avoid red meat instead

22
Q

Does losing weight help OA symptoms?

A

Yes

23
Q

How does obesity worsen OA?

A

Obesity leads to abnormal joint leading and mechanotransduction, as well as increased adiposity and low grade inflammation

24
Q

Does exercise help treat OA?

A

Yes

25
Q

Does running cause OA?

A

No

26
Q

Which is better for treating OA, running or walking?

A

Running

27
Q

Do mind-body approaches to OA improve outcomes?

A

Yes

28
Q

Will quitting smoking improve OA?

A

Surprisingly No, smoking may actually protect against OA

29
Q

Will quitting drinking improve OA?

A

No clear benefit

30
Q

Do Ice or Heat help with OA?

A

Ice does, but not Heat

31
Q

Do supplements improve OA symptoms beyond a placebo?

A

Yes: glucosamine and chondroitin

32
Q

Which supplement has the greatest risk of diarrhea/nausea/stomach ache in OA?

A

Glucosamine/chondroitin

33
Q

How does Curcumin improve outcomes in OA?

A

Curcumin improves VAS (Visual Analogue Scale) pain scores as well as dependence on Celecoxib in OA

34
Q

Do Avocado Soybean Unsaponfiables help with OA?

A

Surprisingly, yes: NNT = 6 compared to placebo

35
Q

Deficiency in which Vitamin is associated with OA progression?

A

Vitamin D

36
Q

Can CBD improve OA outcomes?

A

Yes, decreased pain and increased activity verified by radiographs

37
Q

Do steroid injections help with OA?

A

Nope

38
Q

What is the safe alternative treatment for Knee OA?

A

Tai Chi

39
Q

Does total knee replacement help knee OA?

A

Yup

40
Q

Does platelet rich plasma help with OA?

A

Yup

41
Q

Does PC6 accupuncture help with OA?

A

Nope, but it does help with Nausea

42
Q

Does Acetaminophen help with OA?

A

Nope, but NSAIDS do

MSK/Derm (46 decks)

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