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Lock 9 Quiz 3
Diabetes, GI, dimentia
158
Anatomy
Professional
02/20/2013
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Term
1.     Chiropractic is not meant to replace allopathic care, but rather to enhance and restore _____.
 Definition
HOMEOSTASIS
Term
2.     If the passage of food through the GI tract takes less than 16 hours, it means there is a _____.
 Definition
IRRITATED GI TRACT
Term
3.     If the passage of food through the GI tract takes longer than 24 hours, it means there is a _____.
 Definition
SLUGGISH GI TRACT
Term
4.     The sympathetic nervous system between _____ controls the liver, esophagus, stomach, and proximal colon.
 Definition
T5-T9
Term
5.     The sympathetic nervous system between _____ controls the small intestine and proximal colon.
 Definition
T10-L1
Term
6.     The sympathetic nervous system between _____ controls the distal colon and the rectum.
 Definition
L1-L2
Term
7.     The parasympathetic nervous system of _____ controls the palate and pharynx.
 Definition
CN VII
Term
8.     The parasympathetic nervous system of _____ controls the esophagus, stomach and upper intestine.
 Definition
CN X
Term
9.     The parasympathetic nervous system between _____ controls the distal colon and rectum.
 Definition
S2-S4
Term
10.  If a person has multiple GI problems, it is usually caused by _____.
 Definition
EMOTIONAL STRESS
Term
11.  The _____ promotes digestive function by increasing motility in the stomach and intestine, and stimulating secretion of gastric juices, bile, and other digestive enzymes.
 Definition
PARASYMPATHETIC NERVOUS SYSTEM
Term
12.  The _____ is opposite in effect to the PNS and inhibits digestive functions. It inhibits motility and GI secretions, vasoconstriction, constriction of pyloric and anal sphincters, and relaxation of the gallbladder.
 Definition
SYMPATHETIC NERVOUS SYSTEM
Term
13.  _____ is one of the most common problems in the elderly. It is due to transient relaxation of the lower esophageal sphincter, dysfunction of peristalsis, and decreased mucosal resistance.
 Definition
GERD
Term
14.  If people have gastric problems, they should be adjusted from _____.
 Definition
A-P
Term
15.  The cardiac sphincter of the stomach opens when the stomach is too _____.
 Definition
ALKALINE
Term
16.  Many people with GERD must take an _____ supplement to make the stomach more acidic.
 Definition
HCL
Term
17.  2 signs and symptoms of a patient with GERD.
 Definition
1) HEARTBURN, 2) REGURGURGITATION OF ACID/BILE
Term
18.  An exam finding of a patient with GERD will be a _____.
 Definition
TENDER EPIGASTRIC REGION
Term
19.  2 imaging studies of a patient with GERD.
 Definition
1) BARIUM SWALLOW, 2) GASTROSCOPY
Term
20.  Where should you adjust if a patient has GERD?
 Definition
UPPER CERVICALS AND MID-THORACIC
Term
21.  6 life-style modifications of a patient with GERD.
 Definition
1) LOSE WEIGHT, 2) DON’T EAT LATE, 3) DECREASE STRESS, 4) STOP SMOKING, 5) REDUCE ALCOHOL, 6) ELEVATE HEAD OF BED
Term
22.  If a patient has acute GERD, they should be supplemented with _____.
 Definition
GEORGE’S ALOE 2-3X DAILY
Term
23.  If a patient has chronic GERD, they should be supplemented with _____.
 Definition
50MG OF B-6, AND HCL WITH MEALS
Term
24.  Everybody who has crohn’s disease will have taken _____ right before it started, and they did not supplement probiotics.
 Definition
ANTIBIOTICS
Term
25.  3 s/s of lower GI tract problems.
 Definition
1) ABDOMINAL CRAMPING, 2) CONSTIPATION/DIARRHEA, 3) FLATUS
Term
26.  3 labs you should run for a patient with lower GI tract disorders.
 Definition
1) CBC, 2) STOOL SAMPLE, 3) FOOD ALLERGY
Term
27.  If old patients are anemic, the doctor should exam the _____ and _____.
 Definition
KIDNEYS AND COLON
Term
28.  You should adjust _____ and_____ if a patient has a lower GI tract problem.
 Definition
L1-L2; S2-S4
Term
29.  What type of passive care should you do if a patient has lower GI tract problems.
 Definition
DIATHERMY
Term
30.  3 lifestyle modifications of a patient with lower GI disorders.
 Definition
1) DIET, 2) AVOID FOODS, 3) INCREASE WATER
Term
31.  Acute lower GI problems should be treated with _____.
 Definition
ALOE
Term
32.  Chronic lower GI problems should be treated with _____.
 Definition
PROBIOTICS
Term
33.  _____ is a big cause of GI problems.
 Definition
DAIRY
Term
34.  3 s/s of gallbladder of gallbladder dysfunction.
 Definition
1) RUQ PAIN, 2) FEVER, 3) NAUSEA/VOMITING
Term
35.  What is the best diagnostic imaging of the gallbladder.
 Definition
ULTRASOUND
Term
36.  2 labs you should run on a patient with gallbladder dysfunction.
 Definition
CBC AND LIVER ENZYMES
Term
37.  Where should you adjust if a patient has gallbladder dysfunction?
 Definition
A-P ADJUSTMENTS OF T4-T8
Term
38.  What type of passive care should you perform on a patient with gallbladder dysfunction?
 Definition
DIATHERMY
Term
39.  If a person has gallbladder dysfunction, they should avoid _____ in their diet.
 Definition
FATS
Term
40.  A person with gallbladder dysfunction should supplement _____.
 Definition
BILE EXTRACT AND ENZYMES
Term
41.  A person should perform a _____ when their gall bladder attach is in remission.
 Definition
GALLBLADDER FLUSH
Term
42.  4 steps of a gallbladder flush.
 Definition
1) LIGHT DINNER, 2) 6 OZ OLIVE OIL, 3) 8 OZ COKE, 4) 1 TABLESPOON EPSON SALTS
Term
43.  When a person performs a gallbladder flush, they will have _____.
 Definition
YELLOW LUMPS IN GREEN STOOL
Term
44.  _____ is a syndrome defined by progressive decline in multiple areas of cognitive functioning sufficient to interfere with social and occupational functioning.
 Definition
DEMENTIA
Term
45.  Is dementia a consequence of normal aging?
 Definition
NO!!!!!
Term
46.  Dementia is the _____ leading cause of death in the US.
 Definition
4th
Term
47.  The average yearly cost per dementia patient is _____.
 Definition
$200,000
Term
48.  There is a _____% prevalence of dementia at age 65.
 Definition
10.00000%
Term
49.  There is a _____% prevalence of dementia at 85.
 Definition
50.00000%
Term
50.  Dementia is defined as multiple cognitive deficits manifested as memory impairment plus one of these 4 signs.
 Definition
1) APHASIA, 2) APRAXIA, 3) AGNOSIA, 4) DISTURBANCE IN EXECUTIVE FUNCTIONS
Term
51.  _____ are language disturbances.
 Definition
APHASIA
Term
52.  _____ is the inability to carry out motor activities.
 Definition
APRAXIA
Term
53.  _____ is the inability to recognize or identify.
 Definition
AGNOSIA
Term
54.  What is the most common cause of dementia?
 Definition
ALZHEIMERS DISEASE
Term
55.  8 causes of dementia.
 Definition
1) ALZHEIMERS, 2) VASCULAR CAUSES, 3) HIV, 4) PARKINSON’S, 5) HEAD TRAUMA, 6) HUNTINGTON’S, 7) MEDICATIONS, 8) DRUGS
Term
56.  _____ is a cause of dementia due to primary cortical degeneration.
 Definition
ALZHEIMER’S DISEASE
Term
57.  _____ is a cause of dementia due to primary subcortical degeneration.
 Definition
PARKINSON’S DISEASE
Term
58.  These 2 causes of dementia are caused by cerebrovascular disease.
 Definition
1) CVA, 2) LACUNAR INFARCTS
Term
59.  3 structural or traumatic causes of dementia.
 Definition
1) BRAIN TUMOR, 2) HEAD INJURY, 3) POST SURGERY
Term
60.  These 4 nutritional deficiencies can cause dementia.
 Definition
1) B-12, 2) FOLATE, 3) NIACIN, 4) THIAMINE
Term
61.  2 neurological and metabolic causes of dementia.
 Definition
1) HUNTINGTON’S, 2) MS
Term
62.  4 inflammatory causes of dementia.
 Definition
1) COLLAGEN VASCULAR DISEASE, 2) SJORGREN SYNDROME, 3) SLE, 4) VASCULITIDES
Term
63.  The pathologic hallmarks of Alzheimers are _____ and _____, which essentially represent an imbalance between neuronal injury and repair. These pathological changes are accompanied by losses of synaptic connections, neurons and neurotransmitters.
 Definition
SENILE PLAQUES AND NEUROFIBRILLARY TANGLES
Term
64.  The primary components of neurofibrillary tangles are filaments of abnormally phosphorylated _____.
 Definition
TAU PROTEINS
Term
65.  Senile plaques are composed of abnormally processed _____, _____, and _____.
 Definition
BETA-AMYLOID PROTEIN, DEGENERATING NEURONS, AND SURROUNDING INFLAMMATORY CELLS
Term
66.  There is an increased concentration of _____ in amyloid plaques.
 Definition
ALUMINUM
Term
67.  8 s/s of early dementia.
 Definition
1) REDUCTION IN PRODUCTIVE AND SPONTANEOUS ACTIVITES, 2) IMPAIRMENT IN COGNITION, 3) INABILITY TO COPE WITH COMPLEX OR NEW TASKS, 4) REDUCED VERBAL OUTPUT, 5) RETENTION OF WELL LEARNED BEHAVIOR, 6) MISPLACED ITEMS, 7) FINANCIAL PROBLEMS, 8) DECREASED INITIATIVE AND DEPRESSION
Term
68.  6 s/s of moderate dementia.
 Definition
1) REDUCTION OF COGNITIVE FUNCTION, 2) MORE DEPENDENT IN ACTIVITES, 3) LONG-TERM MEMORY ALTERED, 4) FURTHER DECLINE IN VERBAL OUTPUT, 5) BEHAVIOR CHANGES, 6) INDEPENDENT LIVING IS DANGEROUS
Term
69.  6 s/s of advanced dementia.
 Definition
1) REMNANTS OF MEMORY REMAIN, 2) COMMUNICATION IS LIMITED TO REPEATED WORDS, 3) EVENTUAL MUTISM, 4) BLADDER AND BOWEL INCONTINENCE, 5) COMPLETE ASSISTANCE WITH ADL’S, 6) EVENTUAL DEATH
Term
70.  5 evaluation procedures when dealing with an Alzheimer’s patient.
 Definition
1) HISTORY FROM PATIENT AND RELIABLE SOURCE, 2) PHYSICAL EXAM, 3) COMPLETE PHYSICAL AND NEUROLOGICAL EXAM, 4) MENTAL STATUS EXAM, 5) SHORT BLESSED EVALUATION
Term
71.  _____ is an 8-10 questionnaire to tell how a patient is tracking.
 Definition
SHORT BLESSED EVALUATION
Term
72.  A chiropractor must be aware that a variety of different _____ can cause cognitive dysfunction. MEDICATIONS
 Definition
MEDICATIONS
Term
73.  12 lab tests in a dementia workup.
 Definition
1) CBC, 2) ELECTROLYTES, 3) GLUCOSE, 4) RENAL FUNCTION, 5) CALCIUM, 6) THYROID FUNCTION, 7) ESR, 8) VITAMIN B12, 9) FOLATE, 10) RPR/FTA/VDRL, 11) URINALYSIS, 12) LIPID PROFILE
Term
74.  2 diagnostic studies in a patient with dementia.
 Definition
1) BRAIN MRI, 2) CAROTID ULTRASOUND
Term
75.  6 management strategies of a patient with dementia.
 Definition
1) ESTABLISH A SPECIFIC DIAGNOSIS, 2) EMPOWER THE PATIENT AND CAREGIVER WITH INFO, 3) PARTICIPATION IN CAREFIVER SUPPORT GROUPS, 4) LIVING ARRANGEMENTS, 5) RELIEF FOR CAREGIVER, 6) AFFRESS SAFETY ISSUES
Term
76.  How often should an alzheimers care-giver get relief?
 Definition
ATLEAST 1 MORNING OR AFTERNOON A WEEK
Term
77.  Most people with alzheimers die between _____ years.
 Definition
6-8 YEARS
Term
78.  Patients with Alzheimer’s should avoid _____ at all cost!!!
 Definition
SURGERY
Term
79.  5 nutritional supplements a patient with alzheimer’s should receive.
 Definition
1) ANTIOXIDANTS, 2) ANTI-INFLAMMATORY, 3) ESTROGEN, 4) GINKO BILOBA, 5) ERGOLOID MESYLATES
Term
80.  10 treatment strategies for a patient with dementia.
 Definition
1) TREAT LIKE A KID, 2) GRADED ASSISTANCE, 3) LOW LEVEL LIGHTING, 4) MUSIC THERAPY, 5) WALKING/LIGHT FORMS OF EXERCISE, 6) PET THERAPY, 7) COGNITIVE REMEDIATION, 8) MULTIMODALITY GROUP TRAINING, 9) MASSAGE, 10) PHARMACOLOGY TO STABILIZE FUNCTION AND DELAY PROGRESSION
Term
81.  _____ diabetes requires total insulin replacement in order to live, because the body does not make adequate amounts.
 Definition
TYPE 1 DIABETES
Term
82.  _____ diabetes is related to insulin resistance (lack of the ability of the body to respond to insulin appropriately) and is often accompanied by obesity and high cholesterol.
 Definition
TYPE 2 DIABETES
Term
83.  _____ diabetes occurs during pregnancy.
 Definition
GESTATIONAL DIABETES
Term
84.  Diabetes affects 1-15 in US, and type 2 diabetes accounts for _____% of all cases.
 Definition
90.00000%
Term
85.  Type 1 diabetes can usually be distinguished from type 2 by its early _____, and dependency on _____.
 Definition
ONSET; INSULIN THERAPY
Term
86.  _____ is a chroninc, life-long disease that results when the body’s insulin does not work well.
 Definition
TYPE 2 DIABETES
Term
87.  _____ is a hormone released by the pancreas in response to increased levels of blood sugar. It is necessary for glucose to move from the blood to the inside of the cells.
 Definition
INSULIN
Term
88.  Type 2 diabetes usually occurs gradually, and most people are _____ at the time of diagnosis.
 Definition
OVERWEIGHT
Term
89.  Type 2 diabetes is especially prevalent in the _____.
 Definition
ELDERLY
Term
90.  Unless glucose gets into the cells, the body cannot use it for _____, and then excess glucose remains in the blood and is removed by the kidneys.
 Definition
ENERGY
Term
91.  A main component of type 2 diabetes is _____.
 Definition
INSULIN RESISTANCE
Term
92.  In type 2 diabetes, the insulin produced by the pancreas cannot connect with fat and muscle cells to let glucose inside and produce energy. The result is _____ in the blood.
 Definition
HYPERGLYCEMIA
Term
93.  The hyperglycemia caused by type 2 diabetes causes a defect which stimulates the _____.
 Definition
PANCREAS TO PRODUCE MORE INSULIN
Term
94.  When the pancreas secretes more and more insulin, the cells sense the increased supply of insulin and become even more _____. The adverse reactions create a viscous cycle of high glucose levels and high insulin levels.
 Definition
RESISTANT
Term
95.  11 risk factors for type 2 diabetes.
 Definition
1) GENETICS, 2) FAMILY HISTORY, 3) LOW ACTIVITY LEVEL, 4) POOR DIET, 5) OBESITY, 6) BEING NIGGER, 7) AGE GREATER THAN 45, 8) PREVOUS IMPAIRMENT OF GLUCOSE TOLERANCE, 9) HIGH BLOOD PRESSURE, 10) HDL CHOLESTEROL LESS THAN 35, OR TRIGLYCERIDE LEVEL GREATER THAN 250, 11) HISTORY OF GESTATIONAL DIABETES
Term
96.  Patients with type 2 diabetes often have no symptoms at all, if they do have symptoms they may include these 7 things.
 Definition
1) POLYDIPSIA, 2) POLYPHAGIA, 3) POLYURIA, 4) FATIGUE, 5) BLURRED VISION, 6) SLOW HEALING INFECTIONS, 7) ERECTILE DYSFUNCTION
Term
97.  In established type 2 diabetes patients, fasting insulin levels may be normal and the glucose-stimulated insulin secretion is still _____.
 Definition
DECREASED
Term
98.  In established diabetes, the decreased insulin levels reduced insulin-mediated glucose uptake and fail to restrain _____.
 Definition
HEPATIC GLUCOSE PRODUCTION
Term
99.  The prevalence of type 2 diabetes increased with _____.
 Definition
AGE
Term
100.                 Hyperglycemia increases the risk of macrovascular disease by _____x.
 Definition
5X
Term
101.                 Macrovascular disease may lead to these 6 things.
 Definition
1) STROKE, 2) CAD, 3) CLAUDICATION, 4) SKIN BREAKDOWN, 5) INFECTIONS, 6) AMPUTATION
Term
102.                 _____ of a lower limb for severe peripheral vascular disease or gangrene remains common.
 Definition
AMPUTATION
Term
103.                 2 microvascular complications that can be caused by type 2 diabetes.
 Definition
1) RETINOPATHY, 2) NEUROPATHY
Term
104.                 Most microvascular complications can be prevented, delayed, or even reversed by tight _____.
 Definition
GLYCEMIC CONTROL
Term
105.                 The initial retinal changes as seen on the opthamoscopic examination of a diabetic does not significantly alter vision. Rather a progression to _____ or _____ can cause blindness.
 Definition
MACULAR EDEMA OR PROLIFERATIVE RETINOPATHY WITH RETINAL DETATCHMENT
Term
106.                 Eventually _____% of all diabetic patients eventually develop some degree of retinopathy, beginning at least 7 years before the diagnosis of type 2 diabetes is made.
 Definition
85.00000%
Term
107.                 Diabetic neuropathy may cause an increase in glomerular filtration rate due to hyperglycemia. Both _____ and _____ accelerate the progression to end-stage renal disease.
 Definition
HYPERGLYCEMIA AND HYPERTENSION
Term
108.                 Diabetic neuropathy is usually asymptomatic until end-stage _____ develops.
 Definition
RENAL DISEASE
Term
109.                 _____ commonly occurs as a distal, symmetric, predominantly sensory polyneuropathy. It usually causes sensory deficits which begin with and are usually most marked by a stocking-glove distribution.
 Definition
DIABETIC NEUROPATHY
Term
110.                 8 diabetic related causes of neuropathy.
 Definition
1) HIGH BLOOD GLUCOSE, 2) LONG DURATION OF DIABETES, 3) LOW LEVELS OF INSULIN, 4) ABNORMAL BLOOD FAT LEVELS, 5) NEUROVASCULAR FACTORS, 6) AUTOIMMUNE FACTORS, 7) MECHANICAL INJURY TO NERVES, 8) SMOKING AND ALCOHOL USE
Term
111.                 4 different types of diabetic neuropathies.
 Definition
1) PERIPHERAL, 2) AUTONOMIC, 3) PROXIMAL, 4) FOCAL
Term
112.                 _____ neuropathy causes either pain or loss of felling in the toes, feet, lets, hands, and arms.
 Definition
PERIPHERAL NEUROPATHY
Term
113.                 _____ neuropathy causes changes in digestion, bowel and bladder function, sexual response, and perspiration. It can also affect the nerves that serve the heart and control BP and it can also cause hypoglycemia.
 Definition
AUTONOMIC NEUROPATHY
Term
114.                 _____ neuropathy causes pain in the thighs, hips, or buttocks and leads to weakness in the legs. It results in the sudden weakness of one nerve, or a group of nerves, causing muscle weakness or pain.
 Definition
PROXIMAL NEUROPATHY
Term
115.                 Which nerves are affected by proximal neuropathies?
 Definition
ANY NERVE MAY BE AFFECTED
Term
116.                 _____ may cause numbness, tingling, and paresthesias in the extremities and less often debilitating, severe, deep-seated pain and hyperesthesias.
 Definition
DIABETIC POLYNEUROPATHIES
Term
117.                 _____ are usually decreased or absent in a patient with diabetic polyneuropathies.
 Definition
ANKLE JERKS
Term
118.                 Acute, painful mononeuropathies affecting the 3rd, 4th or 6th CN, as well as other nerves such as the femoral, may spontaneously improve over weeks to months, these occur more often in _____ patients are attributed to nerve infarctions.
 Definition
ELDERLY
Term
119.                 A blunted decrease in heart rate in response to the Valsalva maneuver, and a blunted decrease in heart rate slowing with deep breathing are evidence of _____.
 Definition
AUTONOMIC NEUROPATHY
Term
120.                 _____ diabetic patients may be more at risk for cognitive dysfunction and depression. One study demonstrated that these patients had similar cognitive function as non-diabetic patients, but were twice as likely to exhibit symptoms of depression.
 Definition
ELDERLY
Term
121.                 The first goals of diabetes treatment are to _____ and _____.
 Definition
ELIMINATE SYMPTOMS AND STABILIZE BLOOD GLUCOSE LEVELS
Term
122.                 The long-term goals of diabetes treatment are to prevent _____ and to _____.
 Definition
LONG-TERM COMPLICATIONS; PROLONG LIFE
Term
123.                 What is the primary treatment for type 2 diabetes?
 Definition
DIET AND EXERCISE
Term
124.                 Type 2 diabetics can use _____ to help control their blood sugar levels and provide energy their muscles need.
 Definition
EXERCISE
Term
125.                 A healthy _____ and sufficient _____ may be able to keep blood sugar in the normal non-diabetic range without medication.
 Definition
DIET; EXERCISE
Term
126.                 _____ is important for diabetic patients because it increases insulin sensitivity.
 Definition
WEIGHT MANAGEMENT
Term
127.                 Insulin sensitivity _____ when obese patients are in a negative caloric balance which occurs within weeks of starting a weight loss diet.
 Definition
INCREASES
Term
128.                 Diet management in insulin treated diabetics aims to restrict variations in the timing, size, or composition of meals, which could make the prescribed insulin regimen inappropriate and result in _____, or marked _____.
 Definition
HYPOGLYCEMIA; POSTPRANDIAL HYPERGLYCEMIA
Term
129.                 Exercise management is beneficial, especially in obese patients to do these 2 things.
 Definition
1) BURN CALORIES, 2) INCREASE INSULIN SENSITIVITY
Term
130.                 People with diabetic neuropathies need to inspect their _____ daily for any injuries. Untreated injuries increase the risk of infection and amputation.
 Definition
FEET
Term
131.                 _____ significantly increases the risk of foot problems and amputation.
 Definition
SMOKING
Term
132.                 Over secretion of _____by the pancreas results in low levels or sudden shifts in the blood glucose levels causing hypoglycemia.
 Definition
INSULIN
Term
133.                 16 symptoms of hypoglycemia.
 Definition
1) FATIGUE, 2) DIZZINESS, 3) HEADACHES, 4) IRRATABILITY IF MEALS ARE MISSED, 5) DEPRESSION, 6) ANXIETY, 7) CRAVINGS FOR SWEETS, 7) CONFUSION, 8) NIGHT SWEATS, 9) WEAKNESS IN LEGS, 10) SWOLLEN FEET, 11) TIGHTNESS IN CHEST, 12) HUNGER, 13) PAIN SYSTEMICALLY IN BODY, 14) MENTAL DISTURBANCES, 15) NERVOUS HABITS, 16) INSOMNIA
Term
134.                 The cause of reactive hypoglycemia is unknown, but these 4 factors are believed to contribute to the cause.
 Definition
1) HEREDITY, 2) STRESS, 3) ADRENAL INSUFFICIENCY, 4) POOR DIETARY HABITS
Term
135.                 These 3 things in the diet may cause hypoglycemia.
 Definition
1) REFINED CARBS, 2) FATS, 3) CAFFEINE
Term
136.                 3 diagnostic procedures for hypoglycemia.
 Definition
1) QUESTIONNAIRE, 2) RAGLAND SIGN, 3) 5 HOUR GLUCOSE TOLERANCE TEST
Term
137.                 _____ is an abnormal drop in the systolic BP when a patient rises from a supine to a standing position.
 Definition
RAGLAND SIGN
Term
138.                 If there is a rise of approximately _____mmHg during ragland’s sign, then the test is normal.
 Definition
8MM HG
Term
139.                 A drop in BP during ragland sign is a positive finding for _____.
 Definition
ADRENAL INSUFFICIENCY
Term
140.                 This is the confirmatory test for hypoglycemia.
 Definition
5 HOUR GLUCOSE TOLERANCE TEST
Term
141.                 You should adjust these 3 places for a patient with hypoglycemia.
 Definition
1) C5, 2) T5-T8, 3) T9-T11
Term
142.                 A person with hypoglycemia must _____ in their passive care routine.
 Definition
EXERCISE
Term
143.                 3 lifestyle modifications of a patient with hypoglycemia.
 Definition
1) NEVER SKIP MEALS, 2) HIGH PROTEIN DIET, 3) AVOID REFINED CARBS
Term
144.                 7 nutritional supports for hypoglycemia.
 Definition
1) CHROMIUM, 2) B-COMPLEX, 3) ADRENAL SUPPORT, 4) SNACKS BETWEEN MEALS, 5) VITAMIN C, 6) PANTOTHENIC ACID, 7) ZINC
Term
145.                 Syndrome X is a confluence of these 3 diseases.
 Definition
1) HYPERTENSION, 2) DIABETES, 3) OBESITY
Term
146.                 Syndrome x is caused by a lifestyle that consists of these 3 things.
 Definition
1) HIGH INTAKE OF REFINED CARBS, 2) HIGH FAT INTAKE, 3) LACK OF EXERCISE
Term
147.                 7 treatment protocols of syndrome X.
 Definition
1) LOWER CALORIC INTAKE, 2) AVOID SATURATED FATS, 3) LOWER SODIUM INTAKE, 4) AVOID REFINED SUGAR, 5) INCREASE WATER SOLUBLE FIBER, 6) INCREASE FRUITS AND VEGGIES, 7) INCREASE OMEGA 3’S
Term
148.                 8 predisposing risk factors for type 2 diabetes.
 Definition
1) MINORITY ETHNICITY, 2) OLDER AGE, 3) OBESITY, 4) HIGH WAIST TO HIP RATIO, 5) LOW BIRTH WEIGHT, 6) FAMILY HISTORY OF DIABETES, 7) HISTORY OF GESTATIONAL DIABETES, 8) PHYSICAL INACTIVITY
Term
149.                 7 medications that cause diabetes.
 Definition
1) CORTICOSTEROIDS, 2) B-BLOCKERS, 3) THIAZIDE, 4) DIURETICS, 5) DIAZOXIDE, 6) CYCLOSPORINE, 7) NIACIN
Term
150.                 Tobacco causes a _____x risk factor for macrovascular disease associated with type 2 diabetes.
 Definition
20X
Term
151.                 7 complications of type 2 diabetes.
 Definition
1) ATHEROSCLEROSIS, 2) MACROVASCULAR DISEASE, 3) MICROVASCULAR DISEASE, 4) FOOT ULCERS, 5) DJD, 6) INFECTION, 7) COGNITIVE DYSFUNCTION
Term
152.                 What is the best test for diagnosis diabetes?
 Definition
GLYCOSYLATED HEMOGLOBIN
Term
153.                 3 glycohemoglobin findings that indicates a patient has diabetes.
 Definition
1) CASUAL GLUCOSE >200, 2) FASTING GLUCOSE >126, 3) TWO HOUR PLASMA GLUCOSE >200
Term
154.                 When glucose levels are over _____, it spills into the urine and does damage to the body.
 Definition
175
Term
155.                 You should re-test a patient’s blood glucose at _____ if you are trying to provide care without sending patient to an MD.
 Definition
6-8 WEEKS
Term
156.                 Good glycosylated hemoglobin is below _____%.
 Definition
6.00000%
Term
157.                 Poor control of glycosylated hemoglobin is between _____.
 Definition
9-12%
Term
158.                 Why is it important for a chiropractor to monitor a patient’s diabetes?
 Definition
PATIENTS WILL NOT RESPOND WELL TO CARE IF YOU DO NOT TREAT THE DIABETES
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