SM_247a: Integrative Medicine

Question 1

Describe guiding principles of integrative medicine

Answer 1

Guiding principles of integrative medicine

• Involving the patient in his/her own health
• Compassion and caring are very important
• Willingness to entertain non-conventional approaches
• Importance of scientific evaluation of all treatments (conventional and alternative)
• Need to address all aspects of a patient’s life: physical, social, spiritual, emotional, environmental, community

Question 2

Describe use of complementary and alternative medicine in the United States

Answer 2

Complementary and alternative medicine in United States

• 36% of adults: women > men, higher education levels, hospitalized within the last year, former smokers, painful conditions, gastrointestinal disorders, and sleep problems

Question 3

Best way to administer a botanical is ____

Answer 3

Best way to administer a botanical is unknown

(also inconsistent quality)

Question 4

Alternative medicine alone is ____

Answer 4

Alternative medicine alone is ineffective and potentially harmful

Question 5

Describe knee ostoearthritis integrative medicine treatment

Answer 5

Knee ostoearthritis integrative medicine treatment

• Motivational patient interviewing
• Nutrition and weight loss
• Exercise / movement
• Patient education
• Quitting bad habits?
• Thermal therapy (ice or heat)
• Medications and supplements
• Mind-body approaches
• Orthotic devices
• Injections
• Surgeries
• Alternative therapies
• Environment

Question 6

____ should but not ____ should avoided to prevent/decrease OA

Answer 6

Red meat but not fruits should not to prevent/decrease OA

Question 7

____ diet is helpful for OA

Answer 7

Mediterranean diet is helpful for OA

Question 8

Obesity worsens knee OA by _____ and _____

Answer 8

Obesity worsens knee OA by increasing adiposity, which spurs low grade inflammation due to increase pro-inflammatory cytokines and adipokines, and leading to abnormal joint loading, which alters cellular mechanotransduction

Question 9

Running is ____ than walking for preventing knee OA

Answer 9

Running is better than walking for preventing knee OA

Question 10

Patient self management is _____ for knee OA

Answer 10

Patient self management is helpful for knee OA

Question 11

Quitting smoking or tobacco ____ OA symptoms

Answer 11

Quitting smoking or tobacco does NOT reduce OA symptoms

Question 12

____ is beneficial for knee OA, while ____ packs are not

Answer 12

Ice is beneficial for knee OA, while hot packs are not

Question 13

Medication for knee OA with greatest risk of side effects is ____ > ____ > ____

Answer 13

Medication for knee OA with greatest risk of side effects is acetaminophen > celecoxib > glucosamine and chondroitin

Question 14

____ deficiency is associated with knee OA progression

Answer 14

Vitamin D deficiency is associated with knee OA progression

Question 15

____ or ____ supplementation is effective for knee OA

Answer 15

Curcumin / turmeric and avocado soybean unsaponifiables supplementation is effective for knee OA

(S-adenosylmethionine is unclear)

Question 16

Steroids have ___ cartilage volume loss and ___ adverse events compared to saline for knee OA treatment

Answer 16

Steroids have greater cartilage volume loss and more adverse events compared to saline for knee OA treatment

(PRP injections help, orthotic devices help, canes uncertain)

Question 17

____ is an alternative treatment to knee replacement surgery for knee OA

Answer 17

Tai Chi is an alternative treatment to knee replacement surgery for knee OA

(homeopathy, energy medicine, chiropractic, and acupuncture are not)

Question 18

____ reduces postoperative nausea after knee OA surgery

Answer 18

PC6 acupressure reduces postoperative nausea after knee OA surgery

Question 19

Describe the effectiveness of various integrative medicine interventions

Answer 19

Effectiveness of various integrative medicine interventions