CME questions: complementary and alternative medicine.Frenkel et al, "An Approach to Communicating with Patients About the Use of Nutritional Supplements in Cancer Care" 1. 20-50% of cancer patients take nutritional supplements. True False 2. Patients tend to report their use of supplements or other CAM therapies to healthcare providers. True False 3. Patients value physicians who appreciate them as empowered participants in making their own health care choices. True False 4. Studies reveal an inverse association between serum lycopene lycopene /ly·co·pene/ (li´ko-pen) the red carotenoid pigment of tomatoes and various berries and fruits. ly·co·pene n. levels and the incidence of prostate cancer. True False 5. Arguing with the patient that they should not try an unproven therapy which they are convinced is of positive value, is likely to help the therapeutic relationship. True False Islam and Carter, "Use of Echinacea echinacea (ĕk'ənā`shēə), popular herbal remedy, or botanical, believed to benefit the immune system. It is used especially to alleviate common colds and the flu, but several controlled studies using it as a cold medicine have in Upper Respiratory Tract Infection upper respiratory tract infection URI Infectious disease A nonspecific term used to describe acute infections involving the nose, paranasal sinuses, pharynx, and larynx, the prototypic URI is the common cold; flu/influenza is a systemic illness involving the URT " 6. Echinacea products are standardized to contain all the active constituents needed to treat a cold. a. True b. False 7. Which type of Echinacea has been shown to be the most effective in treatment of upper respiratory tract infection? a. E angustifolia b. E pallida c. E purpurea 8. Echinacea should be started how many days after the onset of cold symptoms? a. First day b. Second day c. Third day 9. Echinacea's main mode of action is by: a. Viricidal virucidal, viricidal capable of neutralizing or destroying a virus. activity b. Immunostimulation activity c. Anti-inflammatory activity Kemper, "Music as Therapy" 10. Music is used therapeutically for all but ONE of the following: a. Reduce pain postoperatively b. Reduce anxiety preoperatively c. Enhance growth rates in premature infants d. Decrease renal failure in patients with end-stage renal disease End-stage renal disease (ESRD) Total kidney failure; chronic kidney failure is diagnosed as ESRD when kidney function falls to 5-10% of capacity. Mentioned in: Chronic Kidney Failure end-stage renal disease 11. Grunge grunge - /gruhnj/ 1. That which is grungy, or that which makes it so. 2. [Cambridge] Code which is inaccessible due to changes in other parts of the program. The preferred term in North America is dead code. rock music generally affects teenagers by causing: a. Negative psychological and emotional responses b. Improved test scores c. Decreased negative affect d. Increased relaxation and compassion 12. Listening to pleasant music can lead to: a. Increased salivary sal·i·var·y adj. 1. Of, relating to, or producing saliva. 2. Of or relating to a salivary gland. salivary pertaining to the saliva. IgA and decreased serum cortisol cortisol (kôr`tĭsôl') or hydrocortisone, steroid hormone that in humans is the major circulating hormone of the cortex, or outer layer, of the adrenal gland. levels b. Increased salivary IgA and increased serum cortisol levels c. Decreased salivary IgA and decreased serum cortisol levels d. Decreased salivary IgA and increased serum cortisol levels 13. Listening to music while performing medical tasks generally: a. Causes physicians to make more mistakes b. Causes nurses and ancillary staff to make more mistakes c. Significantly slows the performance of critical tasks d. Enhances speed and accuracy, reduces burnout Burnout Depletion of a tax shelter's benefits. In the context of mortgage backed securities it refers to the percentage of the pool that has prepaid their mortgage. , and enhances empathy 14. Side effects of listening to music in clinical settings include: a. High costs b. Higher rate of nosocomial infections c. Higher rate of medical errors d. None of the above Gerik, "Pain Management in Children: Developmental Consideration and Mind-body Therapies" 15. The harm of unrelieved pain is solely in its psychological effects. True False 16. All of the following mind-body therapies have shown effectiveness in the relief of pain in scientific clinical studies except: a. Biofeedback biofeedback, method for learning to increase one's ability to control biological responses, such as blood pressure, muscle tension, and heart rate. Sophisticated instruments are often used to measure physiological responses and make them apparent to the patient, who b. Meditation c. Guided imagery d. Music therapy e. Hypnosis 17. The central nervous system tracts that subserve sub·serve tr.v. sub·served, sub·serv·ing, sub·serves To serve to promote (an end); be useful to. [Latin subserv pain are not myelinated myelinated /my·eli·nat·ed/ (mi´e-li-nat?ed) having a myelin sheath. my·e·li·nat·ed adj. Having a myelin sheath. myelinated having a myelin sheath. until >40 weeks' gestation. True False McKee and Warber, "Integrative Therapies for Menopause" 18. What herb is commonly used for menopausal symptoms and is found in many "menopause formulas" over the counter? a. Echinacea b. Chamomile chamomile or camomile (both: kăm`əmīl', –mēl') [Gr.,=ground apple], name for various related plants of the family Asteraceae (aster family), especially the perennial Anthemis nobilis, c. Black cohosh black cohosh see actaeaspicata. d. Garlic 19. What is the difference between "natural" hormones and "bioidentical" hormones? a. "Natural" hormones are chemically similar to those found in humans and "bioidentical" hormones are chemically identical to those found in animals. b. "Natural" hormones are found in animals and are used without chemical changes for medicinal purposes. "Bioidentical" hormones are chemically identical to those found in humans. c. "Natural" hormones are derived from plant sources and used for medicinal purposes. "Bioidentical" hormones are chemically derived from animal sources. d. "Natural" hormones are found in nature and used after chemical modification for medicinal purposes. "Bioidentical" hormones are chemically identical to those found in animals other than humans. 20. Which mind-body therapies have been shown to be most effective for menopausal symptoms? a. Education about menopause and expected course b. Relaxation c. Breathing exercises d. All of the above 21. Which vitamin may help relieve hot flashes? a. Vitamin D b. Vitamin C c. Vitamin B d. Vitamin E 22. Increasing dietary soy intake may help with which of the following symptoms associated with aging and/or menopause with few risks? a. Osteoporosis b. Cognition c. Hot flashes d. All of the above Answers to CME CME See: Chicago Mercantile Exchange CME See Chicago Mercantile Exchange (CME). Questions: 1. T, 2. F, 3. T, 4. T, 5. F, 6. B, 7. C, 8. A, 9. B, 10. D, 11. A, 12. A, 13. D, 14. D, 15. F, 16. B, 17. F, 18. C, 19. B, 20. D, 21. D, 22. D |
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