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CAM-CIH (alternative medicine) -- HPDP Questions and Answers 100% Solved
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CAM-CIH (alternative medicine) -- HPDP
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CAM-CIH (alternative medicine) -- HPDPCAM aka CIH (integrative medicine) - answer Alternative medicine
Who uses CAM more often? - answer Women
30-69 y/o
Higher levels of education
(not poor)
(live in the West)
(Quit smoking) -- support groups, acupuncture etc.
Five Categories - answer Biological-Based
Mind-Body
Manual
What is alternative medicine usually used for? - answerback (MC)
Neck
Joint pain
Why should we study CAM? - answer Speak knowledgeably to pts about alternative
medicine
Why don't pts older than 50 y/o disclose that they take alternative medication? -
answerBecause they think physicians will think they are crazy
Why is it dangerous for pts not to disclose that they are taking alt meds? - answerAlt
meds can interact with conventional meds
Cupping & Coining - answerTCM -- Traditional Chinese Medicine
i.e. = Too much heat when you are sick, you can release the heat
Herbal medicines - answerFDA doesn't oversee these
What is the criteria that the FDA uses to hold manufactures accountable for the
medication? - answerIdentity
Purity
Strength
Composition
Physical exam in China - answerPulse (35 different classifications)
, Tongue (can tell if pt is pregnant -- increased blood volume)
St. John's Wort - answerMild-moderate depression
Class = A
S/E of St. John's Wort - answerMild HA
photosensitivity
GI Upset
Restlessness
What does St. John's Wort do? - answerInduces CYP450 pathway
**Warfarin, cyclosporine, statins indinavir (HIV anti-viral)
Garlic - answerHTN
Hyperlipidemia
Athersclerosis
Lowered BP (Class =B)
S/E of Garlic - answerGI upset
Neasea
Flatulence
Gingko - answerIncrease cognitive function (Class C)
Intermittnet claudication (Class = B)
Schizophrenia/Dementia (Class =C)
S/E of Gingko - answerIncreased bleeding
**Pre-op = stop gingko
Echinacea - answerURIs (Tx = Class B) (Prevention = Class C)
Anti-inflammatory
Free radical-scavenging
Antiviral activity
S/E of Echinacea - answerAllergic rxn
Rash
Contraindication of Echinacea - answerPregnancy
Autoimmune d/o
Butterbur - answerAntispasmodic
anti-inflammatory effect
Migraine
allergic rhinitis
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