Asthma effects which system within the body?

A. Digestive

B. Pulmonary

C. Circulatory

D. Renal

Among adults, asthma is more prevalent in ______. Among children, _____ are more commonly affected.

A. Females, females

B. Females, males

C. Males, males

D. Males, females

Which medication brought the most relief of the patient's allergic asthma?

A. ProAir

B. Xyzal

C. Xolair

D. Atarax

Death due to asthma is _____.

A. common in the young.

B. rare, but on the rise.

C. seen more often in the elderly.

D. Both A and C are correct.

E. Both B and C are correct.

Which stage of breast cancer is described by the cancer cells spreading to other organs or tissue of the body?

A. Stage 0

B. Stage I

C. Stage III

D. Stage IV

What was the major symptome experienced by the patient that led to a biopsy and early detection of breast tumor?

A. Palpable Mass

B. Lymphedema

C. Breast Enlargement

D. Bone Pain

What is the chance of a woman dying from breast cancer?

A. 1 in 7

B. 1 in 15

C. 1 in 35

D. 1 in 100

Consuming alcohol would increase one's risk factor in which category?

A. Things you cannot change

B. Lifestyle

C. Uncertain/Unproven

D. None of the above

What is the result of a lumpectomy procedure?

A. Removal of the sentinel lymph node.

B. Removal of tumor & a small amount of normal tissue  around tumor.

C. Removal of the entire breast.

D. Removal of the tumor by placing a radioactive substance into the tumor.

What medication did the patient take to prevent nausea associated with chemotherapy treatment?

A. Cytoxan

B. Adriamycin

C. Zofran

D. Arimidex

How many radiation treatments did T.T. have?

A. 21

B. 50

C. 34

D. 47

Why did T.T. choose to take Arimidex over Tamoxifen for 5 years?

A. Tamoxifen can cause breast cancer.

B. Tamoxifen can cause blood clots.

C. Arimidex can cause blood clots.

D. Tamoxifen can cause bones to become brittle.

What are the chances of an American woman developing breast cancer sometime in her life?

A. 1/2

B. 1/4

C. 1/8

D. 1/16

Which of hte following clinical diagnosis is invasive?

A. Breast self exam

B. Clinical breast exam

C. Mammogram

D. Biopsy

Patient's chemotherapy regimen is known as:

A. A/C

B. A/P/O

C. V/B/M

D. I/C/E

TT's anti-estrogen drug was a:

A. SSRI

B. SERM

C. AI

D. NSAID

What medication did T.T. take for 5 years that can cause brittle bones?

A. Zofran

B. Arimidex

C. Vitamins

D. Metformin

What year were the surgery and Chemo/Radiation treatments?

A. 1956

B. 2003

C. 2008

D. 1993

The most common type of breast cancer is?

A. Paget's disease

B. Squamous cell carcinoma

C. Ductal carcinoma

D. Lobular carcinoma

Men are less likely than women to be diagnosed with advanced stage breast cancer.

A. True

B. False

Which of these is a risk factor that can be controlled?

A. Family history

B. Age

C. Hormone replacement therapy

D. Exposure to diethylstilbesterol

Which diagnostic test is a type of x-ray used to detect changes and abnormalities in breast tissue often starting at age 40?

A. Ultrasound

B. MRI

C. Biopsy

D. Mammogram

Which chemotherapy agent is sometimes referred to as the red devil?

A. Neulasta

B. Cytoxan

C. Adriamycin

D. Arimidex

Which of the following symptoms did the patient NOT exhibit?

A. Radiating pain down left arm

B. High blood sugar

C. Erratic EKG

D. Blocked arteries

What is not one of the symptoms of coronary heart disease?

A. Shortness of breath

B. Heart Pain

C. Insomnia

D. Swelling of feet

What is NOT a risk factor for develping atherosclerotic heart disease?

A. Smoking

B. Hypertension

C. Low blood sugar levels

D. Diabetes

•               Which of the following lab values would you expect to be elevated in a blood test for a patient with arteriosclerosis?

a)                           Triglycerides

b)                           Low density lipoproteins

c)                           High density lipoproteins

d)                           All of the above

e)                           A & B only

•               In order to diagnose myocardial infarctions, laboratory testing must include:

a)                           Troponin I

b)                           Creatine Kinase

c)                           LDH

d)                           ESR

e)                           All of the above

•               Which of the following is not a component of the triad that suggests the rupture of the abdominal aortic aneurysm?

a)                           Shock

b)                           Pulsatile Mass

c)                           Ureteral Obstruction

d)           Abdominal Pain

•               Which of the following is NOT a risk factor of AAA?

a)                           Hypertension

b)                           Smoking

c)                           Drinking

d)           Chronic Obstructive Pulmonary Disease

FALSE. The two approaches to surgically fix aneurysms are the traditional (open) repair and endovascular stent grafting.

1)   What percentage of the patient’s artery was blocked when he was admitted to the hospital on October 13, 1992?

a.    83%

b.    99%

c.    92%

d.   None of the above

1)   Which of the following is NOT a diagnostic test for CAD?

a.    Echocardiogram

b.    Chest X-Ray

c.    Electroencephalogram

d.   Coronary angiogram

1)   What is the main cause of acute coronary disease?

a.    Diabetes

b.    Pulmonary embolism

c.    Thrombosis

d.   All of the Above

1)   Which of the following is NOT commonly seen in patients with AHD?

a.    Elevated triglycerides

b.    Elevated LDL

c.    Elevated total cholesterol

d.   Elevated HDL

1)   Which of the following are non-pharmalogical treatments for Coronary artery disease?

a.    Exercise

b.    Low fat diet with appropriate fiber dose

c.    Angioplasty and/or placing a stent

d.   DC countershock

e.    All of the above

1)    What cholesterol lowering agent is the major drug choice for heart disease?

a.    Statins

b.    Fibrates

c.    Niacin

d.   Bile acid sequestrants

The patient mentioned several complications that he experienced so far possibly from Type 1 Diabetes except:

          A. Hypertension

          B. Diabetic Retinopathy

          C. Hyperglycemia and Hypoglycemia

          D. Diabetic Dermopathy

True or False?       

          It is more common for women to have Type I diabetes than men.

Which group of people have the lowest incidence of being affected by diabetes type 2?

A.       Pima Indians

B.       African-Americans

C.      Caucasians

D.      Asians

Which of the following is ONLY a sign/symptom of Type 2 Diabetes?

          A. Fatigue

          B. Polyuria

          C. Weight loss

          D. All of the above occur in both

Which of the following statements is true?

A.       Polyphagia occurs when elevated blood glucose level causes increasing sensation of thirst.

B.       Type I diabetes mellitus is a result of reduction of functional insulin receptors to secrete adequate amount of insulin.

C.      Insulin is secreted by β cells of pancreatic islets.

D.      Type II diabetes mellitus develops as a result of autoimmune destruction of pancreatic islets

Which of the following is the least accurate form of diabetes testing?

A. Random blood glucose level test

B. Ketone testing

C. Urine sugar test

D. Oral glucose tolerance test

How often should diabetics get their eyes checked?

A. Every  6 months

B. Every year

C. Every 3 years

D. Every 5 years

True or False?

          Insulin in combination with other oral medications are used more commonly in the           treatment of Type 1 Diabetes than Type 2 Diabetes.

1.What organ is insulin secreted from?

A. Kidney

B. Liver

C. Pancreas

D. Small Intestine

2. Possible complications that can arise from diabetes mellitus Type 1 are:

A. Microvascular disease

B. Macrovascular disease

C. Foot problems

D. Hyperlipidemia

E. All of the above

4. Which type of diabetes leads to an inability of the body to respond to insulin?

a. Type I

b. Type II

c. Type III

d. Type IV

5. The incidence rate for TYPE 2 DIABETES is:

A. 1/100,000

B. 50/300,000

C. 300/100,000

D. None of the above

6. Which of these has not been cited as a risk factor for Type 2 Diabetes Mellitus?

A) Hypertension

B) Delivery of a premature baby

C) Viruses

D) Alcohol use

7. What is the minimum required fasting plasma glucose value for the diagnosis of diabetes?

A. 120 mg/dL

B. 80 mg/dL

C. 126 mg/dL

D. 180 mg/dL

9. What is the starter medication typically prescribed for Type 2 Diabetes?

a. Lovastatin

b. Ortho-Cyclen

c. Ritalin

d. Metformin

e. Avelox

Which neurotransmitter is believed to be a major contributor to ADHD?

(A) GABA

(B) Dopamine

(C) Nordopamine

Which of the following are not one of the nonpharmacological interventions (for ADHD)?

(A) Behavior therapy

(B) Token system

(C) Anger training

(D) Diet change

(E) All of the above

1.   The exact cause of Tourette’s syndrome is known.

a.    True

b.    False

1.   In what age range do the symptoms of Tourette’s syndrome usually appear?

a.    0-1 year

b.    2-15 years

c.    16-25 years

d.   26+ years

1.   Of the following statements, choose the one that is FALSE about Tourette’s syndrome.

a.    Signs and symptoms can be classified as motor or vocal.

b.    Tourette’s has a higher frequency in females than males.

c.    Blinking, sniffing, and twitching are motor tics.

d.   Vocal tics include: grunts, barking, and clearing of the throat.

1.   True or False?

Symptoms of Fetal Alcohol Syndrome include facial deformities, learning disabilities and rash.

1.   Which of these specific tests below are used by clinicians to test for FAS?

a.)  Conners Rating Scales

b.)  Vineland Adaptive Behavior Scales

c.)  Children’s Memory Scales

d.)  All of the above

1.   OCD is thought to be related to deficiency of what chemical in the brain?

a.)  Dopamine

b.)  Norepinephrine

c.)  Serotonin

d.)  Melatonin

1.   Which of these is NOT an associated condition with OCD?

a.)  Depression

b.)  Tourette Syndrome

c.)  Fetal Alcohol Syndrome

d.)  Social Phobia

. What does blood pressure equal?

A. cardiac output * peripheral resistance

B. cardiac output * heart rate

C. heart rate * peripheral resistance

D. stroke volume * heart rate

Which of the following is a possible lab test that could be used to diagnosis hypertension?

1. Blood glucose
2. Lipid panel
3. Serum potassium
4. All of the above

Which of the following drug types is/are not used as front-line treatment for hypertension:

A.   A. Thiazide Diuretics

B. B.   ACE Inhibitors

C.   C. Beta Blockers

D. Calcium Channel Activators

What is the risk of developing hypertension after age 55?

1. 95%
2. 80%
3. 90%
4. 60%

What diseases that run in HC’s family are due to uncontrolled hypertension?

1. renal failure
2. breast cancer
3. neurological problems
4. all of the above

What was the only sign/symptom that HC displayed during his bouts of hypertension?

1. Tired feeling
2. Migraines
3. Nose bleeds
4. None of the above

Stage 1 Hypertension has a SBP at 180 mm Hg and a DBP at 120 mm Hg.

A. True

B. False

What blood pressure reading classifies one as hypertensive?

A. 120/80

B. 132/82

C. 115/75

D. 140/90

Which of the following is a cause for secondary hypertension?

A. Kidney Diseases

B. Tumors of adrenal glands

C. Pregnancy

D. All of the above

Prehypertension is a disease category that is always treated with a specific drug therapy.

A. True

B. False

Which of the following is/are criteria to the DASH diet?

A. Limited amount of sodium intake

B.  Rich in potassium and calcium

 C. Limited alcohol consumption

 D. A & C

 E. All of the above

. Which of these is NOT class of antihypertensive drugs?

A. Caclium Channel Blockers

B. Selective Serotonin Reuptake Inhibitors

C. Angiotensive Receptor Blockers

D. Thiazaides

nWhich two medications does HC take for his hypertension?

A. Ramipril & Furosemide

B. Losartan & Diltiazem

C. Maxzide & Lisinopril

D. Amlodipine & Atenolol

The blood pressure numbers considered “high” for most typical adults are higher than those considered “high” for adults with diabetes or chronic kidney disease.

True or False?

Hypertension is always more prevalent in men than in women, no matter what the age.

True or false?

Patients can lower their blood pressure by increasing the amount of saturated fats in their diet.

True or false?

What would not be the best choice for first line therapy to treat Hypertension

a) Thiazide Diuretics

b) Potassium Sparing Diuretics

c) Beta Blockers

d) Loop Diuretics

e) Calcium Channel Blockers

Hypertension, if left untreated, can lead to damage in:

a. Brain

b. Heart

c. Kidneys

d. All of the above

• Diagnosed with:
  • 1,529,560 in total
  • 789,620 men
  • 739,940 women
• Die from:
  • 569,490 total

This is for cancer of all sites

• Diagnosed:
  • 207,090
• Die:
  • 39,840

• Heart disease: 616,067
• Cancer: 562,875
• Stroke (cerebrovascular diseases): 135,952
• Chronic lower respiratory diseases: 127,924
• Accidents (unintentional injuriese): 123,706
• Alzheimer's disease: 74,632
• Diabetes: 71,382

Deaths and Mortality Chart for US from CDC:

• # of deaths
• Death rate
• LIfe expectancy
• Infant mortality rate

• # of deaths: 2,423,712
• Death rate: 803.6 deaths per 100,000 population
• Life expectancy: 77.9 years
• Infant Mortality rate: 6.75 deaths per 1,000 live births

• Total: 23.6 million people - 7.8% of the population - have diabetes.
• Diagnosed: 17.9 million people
• Undiagnosed: 5.7 million people

Having high blood pressure puts you at risk for heart disease and stroke, the first and third leading causes of death in the US.

High blood pressure was listed as a primary or contributing cause of death for 326,000 Americans in 2006.

Know how to get the number needed to treat (NNT) from percentage surviving with drug therapy versus those surviving on placebo therapy. i.e:  in a random control trial 90% of the people in the treatment group lived versus 60% of the patients in the placebo control group.

What is the Actual Risk Reduction and the NNT?

• 100% - 90% = 10% death rate with treatment drug therapy
• 100% - 60% = 40% death rate with the placebo therapy
• Actual Risk Reduction(ARR) = 40% - 10% = 30%
• NNT = reciprocal of ARR = 100%/30% = 3.33 NNT