Final

Question 1

Migraines

Lateraling?
Character
Patient Appearance
Duration
Associated symptoms

Answer 1

Unilateral, children bilateral 
Gradual onset, worse with activity
Likes dark places
4-72 hours
Nausea,vomit,photophobia

Question 2

Tension headache

Lateraling
Character
Appearance 
Duration
Associated

Answer 2

Bilateral
Pressure/tightness waxing/waning

Stays active

30min -7 days
No associated symptoms

Question 3

Cluster

Lateraling
Characteristics
Appearance
Duration
Associated symptoms

Answer 3

Unilateral around eye/temple
Quick crescendo, excruciating
Stays active
15min-3 hours
Eyes, nose, facial deficits/symptoms

Question 4

Occipital neuralgia

Answer 4

Unilateral generally
Starts in back where neck meets skull
Trauma/pinching nerves/tumors

Massage, NSAID, muscle relaxants

Question 5

Dix-Halpike

Answer 5

Maneuver to test BPPV

Turn head 45, lay down for 30 mins

Repeat other direction

Question 6

BPPV

Answer 6

Loose canaliths in semicircular canal

Common 50-70 years, or trauma

Treat Epley maneuver and Brandt-Doff
No meds, don’t need further testing if all else normal.

Most common vertigo

Question 7

Vestibular neuritis

Answer 7

2nd most common, possible virus cause

Age 30-50

Objective Rotary vertigo
Horizontal nystagmus opposite side
Falling same side

Medications (anti-emetic, histamine,benzodiazepines) to treat

Question 8

Meniere disease

Answer 8

Hearing loss, possible tinnitus

Age 20-60

So severe needs bed rest

Question 9

Vestibular migraine

Answer 9

Episodic vertigo with history migraines

Kids-this is most common vertigo
Adult-more women, 20-50, family history

Stress relief, sleep/exercise,meds to block migraine

Question 10

Resting tremor

Answer 10

In relaxed body parts
Enhanced by stress, focus on other things

Eliminated with voluntary movement of that limb

Question 11

Action tremor
(3 types)

Answer 11

Postural- tremor when maintaining position against gravity

Isometric tremor- when contracting against stationary target(Making fist)

Kinetic- when voluntarily moving that limb (intention)

Question 12

Enhanced physiologic tremor

Answer 12

Everyone has one.

May be enhanced by stress, meds, metabolic conditions, coffee, fatigue

Question 13

Essential tremor

Answer 13

Most common

Common hands, head, feet, voice
Generally bilateral
Age61-69

Caffeine/fatigue increase tremor
Alcohol decreases

Question 14

Parkinsonism tremor

Answer 14

Generally from meds blocking dopamine

70% Parkinson patients have tremor,
Can remove with intention
“Pill-rolling”
Bradykinesia, small steps

Question 15

Cerebellar tremor

Answer 15

Low frequency postural tremor,

MS related(plaques, stroke, tumor)

Question 16

Psychogenic tremor

Answer 16

Abrupt onset, spontaneous remission,

changing tremor position

Worse with attention, decrease with distraction

Question 17

Parkinson’s disease

Answer 17

Tremor, slow movements, decrease dexterity,

Soft voice, facial weakness,

Depression, slow thinking,

Autonomic dysfunction(constipated, sweating)

Question 18

Older Child vaccines

Answer 18

Meningococcal

HPV

Question 19

Live Attentuated vaccines

5

Answer 19

MMR
Varicella 
Rotavirus
Infkuenze(nasal spray)
Herpes Zoster

Question 20

Toxoid vaccines(2)

What it mean?

Answer 20

Tetanus, diphtheria

Only include part that is most immunogenic(not whole microbe)

Question 21

Conjugate vaccines(7)

What does conjugate mean?

Answer 21

Antigen added to a carrier protein to increase immune response

Meningococcal
pneumococcal
haemophikus Infkuenze B
Hepatitis B
Infkuenze(injection)
HPV
Pertussis(whooping cough)

Question 22

Inactive/killed vaccine

Answer 22

Hepatitis A
Polio
Rabies

Question 23

Lacto-ovo-vegetarian
Lacto-vegetarian
Ovo -vegetarian
Vegan
Raw vegan
Pescatarian

Answer 23

Milk, eggs, veggie
Milk veggie
Egg veggie
No animal products
No cooking foods
Seafood and veggies

Question 24

Other sources

Calcium
Vitamin D

Answer 24

Calcium- dark leafy green, tofu, broccoli, beans

Vitamin D - mushrooms, tofu

Question 25

Vegans deficient in what vitamin

Answer 25

B12- cobalamin

Question 26

Sodium laws ``` Sodium free Very low sodium Low sodium Reduced sodium Light sodium No salt added ```

Answer 26

Free- less than 5mg Very low- less than 35 Low- less than 140 Reduced- 25% less than original Light- 50% less Unsalted- none added(but naturally will contain some)

Question 27

Fat laws Fat free Low fat Reduced fat Trans fat free

Answer 27

Free- less than 0.5g Low- less than 3g Reduced fat- 25% less than regular Trans fat free- less than 0.5g

Question 28

Heme iron vs non Heme What increase iron absorption? What decreases?

Answer 28

Heme- meat products, easily absorbed Non-Heme- plants- poor absorbed Calcium- decreases absorption Vit C- increase absorption

Question 29

Fat soluble vitamins? Water soluble?

Answer 29

A D E K B C

Question 30

Best sources ``` A D E K C Calcium Iron ```

Answer 30

A- eggs,dairy, meat, leafy green, tomato D- fish, egg, mushroom, “fortified.....” E- seeds,fish, K- leafy green, fruit,dairy C- fruit/veggie Calcium- dairy, dark green veggie, tofu, beans Iron- dark leafy, nut/seeds, beans, meat,

Question 31

``` B vitamin sources 1 2 3 6 9 12 ```

Answer 31

``` 1- legumes, grain, pork, 2- dairy, meat, leafy green 3- meat,fish,legumes 6- animal, veggie, grain 9(folate)- veggies, fruit, grain, nuts 12- MEAT/DAIRY ONLY ```

Question 32

Metabolic Roles of nutrients Vit A D E K C B Cal Iron

Answer 32

A- vision, development D- bone and calcium E- antioxidants K- blood clotting C- antioxidant, collagen, neurotransmitter B- mitochondria/DNA functioning/metabolism Cal- muscles, bone Iron- hemoglobin, cytochromes