40 Questions
Which would you think of for a case of arthritis hat pain gets worse with slight movement and px needs to hold the painful areas to prevent from any movement. (HOMEO-Week 4)
Bryonia
Which of these symptoms is not a keynote of Rhus tox: (HOMEO-Week 4)
Amelioration with cold compress
Clara M. is a 49-year-old married mother. Seven months ago, she began noticing stiffness in both hands in the morning that lasted longer and stiffness. At her visit with the Rheumatologist she was diagnosed with RA. The Rheumatologist recommended her to start oral methotrexate and see a physiotherapist. Which one of the following supplements do you recommend Clara take? (NUT - Week 4)
Vitamin B9 (folate)
Which of the following NSAIDs acts through non-competitive inhibition of COX enzymes? (PHARM - Week 4)
Acetylsalicylic acid
A 64-year-old female is experiencing a severe shooting pain in her back since a few days ago. She also feels weak, and her knee randomly gives out while walking. She is constantly worried about her health and family which gives her a butterfly sensation in the stomach. Which homeopathic remedy matches her symptoms most: (HOMEO - Week 5)
Kali carb
Which of these symptoms are the keynote of Colocynth? (HOMEO - Week 5)
Strong anger and vexation
Susan, a 72-year-old female with chronic kidney disease is concerned about low back pain. She drinks 3 glasses of wine every day. She also feels muscle spasms, headaches, and constipation. Which one of the following supplements is the best option for Susan? (NUT - Week 5)
Magnesium
Which of the following drugs is classified as a non-benzodiazepine antispasmodic? (PHARM - Week 5)
Methocarbamol
Which of the following drugs enhances inhibitory GABAergic neurotransmission? (PHARM/Spotlight - Week 6)
Clonazepam
A patient complaining of increased dreaming, electric shocks, and flulike symptoms after cutting their pills in half to make them last longer may be experiencing which of the following? (PHARM/Spotlight - Week 6)
Antidepressant discontinuation syndrome
Sarah is a 25-year-old CCNM student. She is concerned about fatigue and low mood. She does not have the motivation for daily tasks and feels hopeless. Sarah is following a healthy vegan diet for the last 7 years but is not receiving any supplements. She wants to know if there is a supplement that you recommend she take to help with her depression and fatigue. You decide to run a lab test and based on the result you consider this supplement: (NUT - Week 6)
All options are correct
A 35-year-old female is in your clinic presenting with depression after breaking up with her partner recently which was very unexpected and shocking to her. She is experiencing strong mood swings, feeling lump in her throat and sighing constantly. Which homeopathic remedy will help her the most? (HOMEO - Week 6)
Ignatia amara
Your patient is very weak but restless, waking up every night at 2 am with anxiety and it's hard for him to fall back sleep. He is constantly thirsty but takes small sips frequently. Which homeopathic remedy resonates with him the best? (HOMEO - Week 6)
Arsenicum
Which of the following antibiotics is suitable for use in a patient with an immediate hypersensitivity reaction to penicillin? (SPOT - Week 1)
Azithromycin
You are treating a 9 year-old patient with a high fever, runny nose, cough, and ear pain. What over-the-counter medication do you advise the family to avoid to prevent Reye's syndrome? (PHARM - Week 2)
Baby Aspirin
Select the best option below that presents elements representative of patient-centred care: (PUT - Week 1)
Patient education, Patient's preferences, Coordination of care
Which of the following factors reduces a drug’s bioavailability? (PHARM - Week 1)
First pass effect
True/ False: When developing a patient's treatment plan and deciding on the best evidence-informed approach, a Case Control Study will generally provide better quality of information, as compared to a Systematic Review (PSYCH - Week 1)
False
What element is important to include when advising patients on their treatment options in order to uphold informed consent? (PUT - Week 1)
All elements listed are necessary and important to include for informed consent
True/ False: If a patient is seeking Naturopathic support to improve immune function, you can confidently advise there is evidence to suggest that good quality and amount of sleep can improve a patient's response to vaccination by strengthening immune memory (PUT - Week 1)
True
True/ False: 'Neuroception' is a neural process that distinguishes environmental and visceral features that are dangerous and life-threatening. (PUT - Week 1)
True
According to TCM, the cause of disharmony is most likely to be found where? (TCM - Week 1)
All options provided can be the cause of disharmony
Which herb is considered the 'king of mucous membranes'? (BOT - Week 1)
Hydrastis canadensis
You want to prescribe a homeopathic remedy for a 5 year-old patient that presents with an upper respiratory tract infection, rapid onset high fever, swollen cervical lymph nodes, and flushed in the face. On inspection the oropharynx appears very red and the patient reports difficulties swallowing. Select the most indicated homeopathic remedy from the options provided: (HOMEO - Week 1)
Belladonna
Select the true statement regarding Vitamin D: (NUT - Week 1)
Vitamin D supplementation can enhance neutrophil killing of pathogenic streptococcal bacteria
By having a patient sign a detailed consent form at the beginning of the first visit, you have achieved the legal and regulatory requirements for achieving the patient's consent to conduct a physical exam during the second visit, and apply an acupuncture treatment during the third visit. (PUT - Week 2)
False
True/ False: The neti pot is a device used to introduce an herbal infusion of echinacea into the sinuses to treat viral and bacterial infections (PUT - Week 2)
False
When used in combination with Echinacea and Thuja, this herb has been shown to substantially reduce the time to improvement when treating the common cold. (SPOT - Week 2)
Wild Indigo
When prescribing Echinacea as treatment for the common cold, what should you inquire about and be cautious about with use? (SPOT - Week 2)
Asteracea allergy
True/ False: The impacts of childhood trauma can include cardiovascular disease, a shorter lifespan, and poor immune system functioning. (PSYCH - Week 2)
True
In order to comply with the standards of 'Clean Needle Technique', important in the practice of acupuncture, when should the practitioner wash their hands? (TCM E learning - Week 2)
The practitioner should wash their hands all 3 of the indicated times.
How long after starting antibiotics for acute otitis media should treatment failure be considered if symptom improvement has not occurred? (PHARM - Week 2)
72 hours
What would be a top homeopathic remedy for consideration when treating whooping cough of a 22 year-old patient that presents holding their chest every time they cough due to the pain. They report their cough has improved after walking to the clinic, but comments that they can't sleep at night since its worse lying down, and worse at bedtime (HOMEO - Week 2)
Drosera
True/ False: There is evidence to suggest that Echinacea purpurea (combo of root and herb) can help prevent respiratory tract infections and reduce associated antibiotic usage in children. (BOT - Week 2)
True
The resistance mechanism produced by H. influenzae can be overcome by which of the following strategies? (PHARM - Week 2)
Giving amoxicillin and clavulanate together
Susan, a 32-year-old pregnant female is concerned about skin dryness and eczema. You tell Susan that she needs to be cautious about taking this supplement. (NUT - Week 3)
Vitamin A
A child with an allergic reaction presents to your clinic. The skin of their chest and arms is covered with red welts and scratch marks. What question could potentially help you differentiate between your top remedies for hives/urticaria? (HOMEO - Week 3)
What happens with warm or cold compresses, baths?
Which remedy would you think of for a case of herpes simplex, where the eruptions appear at the corner of the lips and behind the ears? (HOMEO - Week 3)
Graphites
Which of these symptoms is a keynote of Sulphur? (HOMEO - Week 3)
Not hungry in the morning, until about 11am
A high-potency topical corticosteroid would be an appropriate initial recommendation for the treatment of which of the following body areas? (PHARM - Week 3)
Palm
Study Notes
Homeopathy
- In arthritis, pain worsens with slight movement, and the patient needs to hold the painful area to prevent movement.
- Key symptoms of Rhus tox: not specified
- Colocynth symptoms: not specified
- A patient with shooting back pain, weakness, and worry about health and family matches the symptoms of a specific homeopathic remedy.
- A patient with increased dreaming, electric shocks, and flulike symptoms after cutting their pills in half may be experiencing withdrawal symptoms.
- A 35-year-old female with depression after a breakup, experiencing strong mood swings, feeling a lump in her throat, and sighing constantly, may be helped by a specific homeopathic remedy.
- A patient who is very weak but restless, wakes up at 2 am with anxiety, and is thirsty but takes small sips frequently, may be helped by a specific homeopathic remedy.
- A 5-year-old patient with an upper respiratory tract infection, rapid onset high fever, swollen cervical lymph nodes, and flushed face, may be helped by a specific homeopathic remedy.
- A 22-year-old patient with whooping cough, holding their chest every time they cough due to pain, may be helped by a specific homeopathic remedy.
Nutrition
- Clara M., a 49-year-old married mother with RA, may benefit from a specific supplement.
- Susan, a 72-year-old female with chronic kidney disease, low back pain, muscle spasms, headaches, and constipation, may benefit from a specific supplement.
- Sarah, a 25-year-old CCNM student with fatigue, low mood, and depression, may benefit from a specific supplement after lab test results.
- A pregnant female, Susan, needs to be cautious about taking a specific supplement due to skin dryness and eczema.
Pharmacology
- NSAID that acts through non-competitive inhibition of COX enzymes: not specified
- Non-benzodiazepine antispasmodic: not specified
- Drug that enhances inhibitory GABAergic neurotransmission: not specified
- Antibiotic suitable for use in a patient with an immediate hypersensitivity reaction to penicillin: not specified
- OTC medication to avoid to prevent Reye's syndrome: not specified
- Factor that reduces a drug's bioavailability: not specified
Psychology
- Case Control Study vs. Systematic Review: not specified
- Importance of informed consent: not specified
- Neuroception: a neural process that distinguishes environmental and visceral features that are dangerous and life-threatening.
Traditional Chinese Medicine (TCM)
- Cause of disharmony: not specified
- Importance of Clean Needle Technique: not specified
- Hand washing: before every patient contact
Botany
- Herb considered the 'king of mucous membranes': not specified
- Herb that has been shown to substantially reduce the time to improvement when treating the common cold: not specified
- Importance of inquiring about and being cautious about Echinacea use: not specified
Patient-Centred Care
- Importance of including elements in patient-centred care: not specified
- Importance of upholding informed consent: not specified
Test your knowledge on a case of arthritis where pain worsens with movement and the patient needs to hold the affected areas to prevent any motion. This quiz is based on content from HOMEO-Week 4.
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