Common Glandular Dysfunctions Flashcards

1
Q

What mineral is essential for alpha tocopherol?

A

Selenium

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2
Q

Describe the lingual ascorbic acid test.

A

The test is performed by dropping a blue summation onto the tongue and waiting to see how long it takes for the color to dissipate. Greater than 30 seconds is an indicator of ascorbic acid deficiency, although a deficiency you sometime seen between 10 to 20 seconds.

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3
Q

Taking a lot of vitamin C can increase your need for what vitamin?

A

Vitamin A

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4
Q

True/false we are more often concerned with the frequency with which the patient takes a supplement rather then the absolute amount of the substance ingested.

A

True

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5
Q

P factors are known as what?

A

Anti-capillary fragility factors or bioflavonoids

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6
Q

What copper carrying enzyme is found in vitamin C?

A

Tyrosinase

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7
Q

What four major chemical groups make up vitamin E?

A

Tocopherols, phospholipids, Vitamin F group, and steroid hormone precursors

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8
Q

Name the three groups of glandular preparations.

A

Aqueous tissues, raw glandular material, protomorphogens

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9
Q

Deficiency of which hormone can cause excessive sweating?

A

Aldosterone

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10
Q

How long should a pupil constrict normally when a light is shined into it?

A

At least 30 seconds

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11
Q

T/F A minor flutter or twitch of the pupil, known as hippus, is normal when a light is shined into it.

A

True

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12
Q

In the stressed patient, which does the body dump into the urine, sodium or potassium?

A

Sodium (increasing intracellular levels of potassium and decreasing extracellular levels of sodium, which can cause non-pitting edema in legs)

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13
Q

T/F A Koenisburg test can be performed on urine at any time of the day.

A

False, it should be a first morning urine

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14
Q

Which 2 reagents are used in a Koenisburg test?

A

10% potassium chromate and 0.74% silver nitrate

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15
Q

How is the Koenisburg test performed?

A

10 drops urine, 1 drop 10% potassium chromate (mix until yellowish), titrate drop by drop with 0.74% silver nitrate and observe for color change from red-orange to brick red. Normal is 17-25 drops. Too high or low could be hypoadrenia or high dietary salt intake

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16
Q

Is epinephrine a vasoconstrictor or vasodilator?

A

Vasoconstrictor peripherally

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17
Q

How does cortisol affect epinephrine?

A

Cortisol sensitizes the tissues to epinephrine

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18
Q

How much louder should the first heart sound be normally?

A

3 times louder

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19
Q

What would you expect in a hypoadrenic patient?

A

The second sound will be as loud, or louder, than the first sound over the pulmonary valve due to pulmonary hypertension

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20
Q

What does a loud second heart sound over the tricuspid valve indicate?

A

Liver congestion

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21
Q

How do corticosteroids cause hypoadrenia?

A

They create a negative feedback loop with the pituitary and cause low output of ACTH

22
Q

Hyperpigmentation will be seen in what?

A

Hypoadrenia

POMC: pro-opiomelanocortin

23
Q

What are the three basic diagnostic factors in hypoadrenia?

A

Ragland’s sign, paradoxical pupillary response, loud second heart sound over the pulmonic valve.

24
Q

What is Rogoff’s sign?

A

Tenderness over the junction of the 12th rib and 12th vertebra

25
Q

What is vitamin G?

A

Riboflavin and Niacin

26
Q

How often should you tell the patient to hold the NV points on the forehead for emotional recall technique?

A

Do it in the office until they no longer weaken then tell them to hold the points once per day before going to sleep or when confronted with excessive emotional stress.

27
Q

T/F Glucocorticoids stimulate the immune system.

A

False

28
Q

What does it mean when a sartorius strengthens to the NL point of thymus?

A

The thymus is holding back improvement of the adrenals.

29
Q

What is the single most important factor in treating all types of infections?

A

Improving elimination

30
Q

What 3 muscles could be associated with a thyroid problem?

A

Teres minor, pec major sternal, SCM.

31
Q

What should you check if a patient has a metallic taste in his mouth?

A

A strong teres minor (but could also be weak) and a weak pec major sternal that is negated by the need for iodine.

32
Q

What is needed in excessively thin mucus secretions?

A

Better biliary function, give bile salts.

33
Q

What 3 things can be given for hyperthyroid?

A

Iodine (in high doses will suppress the thyroid), thymus tissue, and vitamin A.

34
Q

Which vitamin should be given with manganese because it increases the body’s need for this vitamin?

A

Vitamin B12

35
Q

What metal when taken in excess can cause a manganese deficiency?

A

Zinc

36
Q

On what days of the female cycle would you expect a drop in basal temperature in a person with a slightly underactive thyroid?

A

The day before her period and the first 2-3 days after period.

37
Q

What would you expect to see in the basal temperature of a patient with a normal functioning thyroid and low progesterone?

A

An elevation of the basal temperature a few days prior to the onset of the period and normalization several days later.

38
Q

At what half of the female cycle can you best detect an estrogen excess?

A

Second half because they should be progesterone dominant at that point but won’t be if they are estrogen dominant.

39
Q

What would you expect to see with the basal temperature with an estrogen excess?

A

A drop by as much as 1 degree during the second half of the cycle.

40
Q

Brilliant, blinding flashes of light across the visual field can indicate a need for what?

A

Bile salts

41
Q

A metallic taste in the mouth can indicate a need for what?

A

Iodine

42
Q

A bitter taste in the mouth can indicate a need for what?

A

Bile salts

43
Q

Name the vitamin B related muscles.

A

PMC, tib ant, peroneal muscles

44
Q

Burning symptoms anywhere in the body are often symptoms of what?

A

Colon floral imbalance

45
Q

Burning feet may mean what?

A

B1 deficiency or diabetic neuropathy

46
Q

What should the rectal pH be?

A

Slightly acidic

47
Q

If the rectal pH is normal or alkaline, what should be indicated?

A

HCl, lactic acid yeast, or acidophilus (probiotics)

48
Q

What is the use of lactic acid yeast?

A

To convert carbohydrates into lactic acid

49
Q

At what point of the female cycle are B vitamins most important and why?

A

The second half because they are used via the liver for breakdown of estrogen and the second half of the cycle should be progesterone dominance.

50
Q

What is the major function of the liver?

A

To detoxify the colon.