55 Questions
A 35-year-old female patient with a history of low back pain presents to your clinic complaining of persistent pain despite current medication therapy. Which of the following dietary changes is most likely to have a beneficial effect on her symptoms?(Week 9 - NUTR)
Including more cold-water fish in the diet to increase intake of omega-3 fatty acids
Which of the following drugs is an opioid receptor antagonist? (Week 9 - PHARM)
Naloxone
Your patient is a 35-year-old female with chief complaint of back pain. Her pain started after giving birth to her second child. then taking care of two children while having back pain was not so helpful and her pain became chronic. Her pain is worse before and during her periods. the only time she feels relief is after vigorous exercises or dancing. Which remedy will help her the most? (Week 9 - HOMEO )
Sepia
A 55-year-old female is presenting with a chronic pain which makes it so hard for her to sit comfortably without having a firm support and lying in a supine position is the only position that gives her some relief. She also feels so depressed after losing her partner last year, it is so hard for her to get over this loss, since then she's been avoiding meeting her friends because she hates when they try to console her. Which remedy seems to be a closer match for her: (Week 9 - HOMEO)
Nat.mur
Tina, a 26 year old woman is concerned about abdominal discomfort, bloating and constipation. She was diagnosed with IBS 2 years ago. You recommend Tina to: (Week 10 - NUTR)
Monitor her response to fiber intake
Which of the following drug pairs increase intestinal transit time? (Week 10 - PHARM)
Amitryptaline and Loperamide
Podophyllum and Cina children can both have diarrhea and colic. How could you differentiate between the two remedies? (Week 10 - HOMEO)
If the child gets stiff before and during a coughing fit, I’d give Cina
Which remedy would you give to an impatient patient who presents with vomiting, diarrhea, irritability and great chilliness? (Week 10 - HOMEO)
Nux vomica
Your patient has many food allergies but seems especially affected by fast foods. His symptoms get worse after eating out, so you use the rubric: GENERALS – Food and drinks – artificial food – agg. And you find two remedies that you saw today in this rubric. Which ones? (you can look up this rubric in the Synthesis repertory) (Week 10 - HOMEO)
Nux vomica and Podophyllum
David, A 35-year-old male presents with symptoms of heartburn, acid regurgitation, and a sour taste in his mouth. He has been experiencing these symptoms for the past few weeks and they seem to be worse after eating spicy or fatty foods. He has been taking over-the-counter antacids, but they only provide temporary relief. You recommend (Week 11 - NUTR)
All options are correct
Which of the following remedies is NOT a "carbon" remedy? (Week 11 - HOMEO)
All of the above are so-called "carbon" remedies
What important modality do Carbo vegetabilis and Lycopodium share? (Week 11 - HOMEO)
> eructations (belching, passing gas)
Why are Carbo vegetabilis children clingy, dependent, and averse to change? (Week 11 - HOMEO)
They are fearful that something bad will happen
Which of the following drug options is the best for treating peptic ulcer disease? (Week 11 - PHARM)
Omeprazole
Which of the following drugs is a partial opioid agonist? (Week 9 - PHARM)
Tramadol
Based on the available data, what would be the safest botanical treatment recommendation for a pregnant patient that is experiencing a worsening if their IBS symptoms? (Week 10 - BOT)
Peppermint and Psyllium
Which of the following drugs are administered as prodrugs? (Week 9 - PHARM)
Codeine and tramadol
Which of the following antihypertensive drugs works by modifying the renin-angiotensin-aldosterone system? (Week 12 - Spotlight)
Candesartan
Which of the following antihypertensive drugs is considered first-line therapy for a hypertensive patient with type 2 diabetes who smokes one pack of cigarettes per day? (Week 12 - Spotlight)
Candesartan
Which of the following symptoms is not a keynote of Calc.carb? (Week 12 - HOMEO)
Aggravation from 4 to 8 pm.
Which of the following aggravates symptoms of patient who needs calc.carb? (Week 12 - HOMEO)
Full moon
Tina is a 58-year-old obese patient with a high cholesterol level and strong family history of CVD. Which one of the following options can help Tina improve her health status? (Week 12 - NUTR)
All options are correct.
Which of the following strategies is most effective/best recommendation for raising HDL cholesterol levels (HDL-C) in individuals with low HDL-C?(Week 13 - SPOTLIGHT)
Smoking cessation
John is a 55-year-old man who presents to your naturopathic clinic with complaints of erectile dysfunction (ED) for the past year. He has no significant medical history, is not taking any medications, and denies tobacco or recreational drug use. He reports a healthy diet and moderate exercise routine. Physical examination is unremarkable. Laboratory testing reveals normal testosterone levels, lipid panel, and fasting glucose. As a naturopathic doctor, you decide to take a holistic approach to John's ED, incorporating both nutritional and lifestyle interventions to address the root cause of his condition. which of the following dietary changes would be beneficial for John? (Week 13)
All of the above
Which of the following symptoms is not a keynote of Lycopodium? (HOMEO - Week 13)
Craving for eggs
Which of the following aggravates symptoms of a patient who needs Lycopodium? (Week 13 - HOMEO)
Contradiction
Which of the following drugs can cause rhabdomyolysis as an adverse effect? (Week 13 - PHARM)
Fenofibrate and atorvastatin
Which of the following drugs is a partial opioid agonist? (Week 9 - PHARM)
Tramadol
Based on the available data, what would be the safest botanical treatment recommendation for a pregnant patient that is experiencing a worsening if their IBS symptoms? (Week 10 - BOT)
Peppermint and Psyllium
Which of the following drugs are administered as prodrugs? (Week 9 - PHARM)
Codeine and tramadol
What herb should be AVOIDED when treating a patient's IBS, who is also experiencing an aggravation of their gall stones? (Week 10 - BOT)
Berberis vulgaris
True/ False: Increasing dietary fibre is likely to help most people reduce their IBS symptoms. (Week 10 - NUT)
False
Which statement best describes bulk-forming laxatives?
Are generally indicated when dietary fiber intake is low and can help to address both constipation and diarrhea
Which of the following dietary strategies is recommended for managing symptoms of IBS, specifically bloating and abdominal pain according to several studies shared:
Low-FODMAP die
True/ False: Stimulating laxatives increase absorption of water from the bowel lumen to support bowel elimination. (Week 10 - PHARM)
False
What would be the best homeopathic remedy to consider for a 6-year-old patient presenting with difficulties focusing at school, residual cough following COVID infection, and explosive temper tantrums? All of these symptoms concern the parent, but their main reason for bringing the child into your office today is seeking a diagnosis after seeing small, moving worms in the child's stool.
Cina
What does 'DII' convey? (Week 9 - NUT)
The inflammatory nature of one's diet
Your patient is a 26 year old student teetering on exhaustion. You’ve decided to prescribe Rhodiola rosea (Rhodiola) as a single herb to help with performance on upcoming exams. In order to obtain informed consent, you warn your patient that Rhodiola: (Week 9 - BOT)
Is very astringent and can cause stomach pain if taken on an empty stomach
What homeopathic remedy is most indicated for a 42-year-old female patient experiencing left-sided back pain, that is also reporting irritability associated with PMS, heavy menses, work and family stress, chocolate cravings, and residual symptoms from a recent bout of shingles? (Week 9 - HOMEO)
Sepia
You’ve prescribed an adaptogenic combo to your 32-year-old male patient with low back pain. After a week, they tell you they’ve begun feeling a heavy feeling in their stomach and their stools are getting loose. Which of the following herbs is most likely to have caused these symptoms: (Week 9 - BOT)
Rehmannia glutinosa (Rehmannia)
Which of the following offers an anti-inflammatory diet? (Week 9 - NUT)
All of the answers provided are examples of anti-inflammatory diets
What statement is INCORRECT regarding IFC? (Week 9 - Spotlight)
It involves therapeutic ultrasound
True/ False: When treating a patient's diarrhea with homeopathy, Podophyllum is indicated when the patient is constantly sipping small quantities of warm tea, whereas Arsenicum album is more indicated when the patient is drinking a 2L jug of water only in the morning. (Week 10 - HOMEO)
False
True/ False: Transcutaneous Electrical Neuromuscular Stimulation can support pain management by influencing endorphin release. (Week 9 - SPOT)
True
When doing a tongue and pulse exam to help inform an acupuncture treatment to address your patient's back pain, you notice that the tip of the patient's tongue is a bright red colour. What homeopathic remedy should be considered in this case?
Rhus tox
True/ False: It is estimated that more than half of the world's population has an issue with lactose malabsorption. (Week 10 - SPOT)
True
True/ False: According to TCM, the Gallbladder is the only yin organ that stores a pure substance. (Week 10 - TCM)
False
Which statement is INCORRECT regarding lectins: (Week 10 - SPOT)
Ingestion of walnuts, kiwi, and raspberries lead to high levels
Regarding the TCM considerations of liver functions, which statement is INCORRECT: (Week 10 - TCM)
Manifests in the hair
True/ False: When practicing homeopathy, repertorization and case analysis involves translating the patient’s symptom descriptions into the language of the repertory. (Week 8 - HOMEO)
True
True/ False: A patient with a TCM diagnosis of HT blood stagnation would likely present with bright red lips with purple spots, and darker purple-coloured spots under the nails. (Week 9 - TCM)
False
True/ False: When practicing homeopathy and repertorizing symptoms, symptoms presented in italics are symptoms that have been proven by most provers and/often cured by the remedy (Week 8 - HOMEO)
False
Select the INCORRECT statement regarding the Triple Warmer and TCM theory? (Week 9 - TCM)
Is supportive, but not essential for the functioning of other organs
When building a botanical formula for a patient, you should pay close attention to consider all of the following, EXCEPT: (Week 8 - BOT)
Give a 3 month supply and only reassess if it's not helping the patient
Regarding the treatment of IBS and symptoms management, what statement is INCORRECT: (Week 10 - Put It Together)
Symptom management should be avoided since it's not a Naturopathic approach.
Study Notes
Nutrition (Week 9)
- A 35-year-old female patient with a history of low back pain may benefit from dietary changes, especially considering her symptoms worsen before and during her periods and are relieved after vigorous exercises or dancing.
- Fast foods can aggravate symptoms, and remedies like Podophyllum and Cina can be considered for diarrhea and colic.
- Tina, a 26-year-old woman with IBS, may benefit from dietary changes, especially considering her symptoms of abdominal discomfort, bloating, and constipation.
- David, a 35-year-old male, presents with symptoms of heartburn, acid regurgitation, and a sour taste in his mouth, which can be worsened by eating spicy or fatty foods and may benefit from dietary changes.
- Increasing dietary fiber is likely to help most people reduce their IBS symptoms.
- Bulk-forming laxatives can help manage symptoms of IBS, specifically bloating and abdominal pain.
- Stimulating laxatives do not increase absorption of water from the bowel lumen to support bowel elimination.
- Diet plays a crucial role in managing IBS symptoms, and individualized dietary approaches may be necessary.
Homeopathy (Week 9)
- The patient with back pain may benefit from a homeopathic remedy that addresses her symptoms, especially considering her pain is worsened before and during her periods and relieved after vigorous exercises or dancing.
- A 55-year-old female patient with chronic pain and depression may benefit from a homeopathic remedy that addresses her emotional and physical symptoms.
- Tina, a 26-year-old woman with IBS, may benefit from a homeopathic remedy that addresses her symptoms, especially considering her symptoms of abdominal discomfort, bloating, and constipation.
- Podophyllum and Cina can be differentiated for diarrhea and colic based on the patient's symptoms, especially considering the patient's emotional and physical characteristics.
- An impatient patient who presents with vomiting, diarrhea, irritability, and great chilliness may benefit from a homeopathic remedy that addresses their symptoms, especially considering their emotional and physical characteristics.
Homeopathy (Week 10)
- A patient with food allergies, especially affected by fast foods, may benefit from a homeopathic remedy that addresses their symptoms, especially considering their symptoms worsen after eating out.
- David, a 35-year-old male, presents with symptoms of heartburn, acid regurgitation, and a sour taste in his mouth, which can be worsened by eating spicy or fatty foods and may benefit from a homeopathic remedy that addresses his symptoms.
Homeopathy (Week 11)
- Carbo vegetabilis and Lycopodium share the modality of relief after eating, and Carbo vegetabilis children are clingy, dependent, and averse to change.
- A patient with symptoms of heartburn, acid regurgitation, and a sour taste in his mouth may benefit from a homeopathic remedy that addresses their symptoms, especially considering their symptoms worsen after eating spicy or fatty foods.
Homeopathy (Week 12)
- Calc.carb is not indicated for a patient with symptoms of depression, and the patient's symptoms are aggravated by certain factors, such as milk or consolation.
- Lycopodium is not indicated for a patient with symptoms of right-sided abdominal pain, and the patient's symptoms are aggravated by certain factors, such as eating or lying on the right side.
Pharmacy (Week 9)
- An opioid receptor antagonist is a medication that blocks the effects of opioids, and a partial opioid agonist is a medication that has both agonist and antagonist effects on opioid receptors.
- Prodrugs are medications that are administered in an inactive form and are converted to their active form in the body.
Pharmacy (Week 10)
- Podophyllum and Cina can be differentiated for diarrhea and colic based on the patient's symptoms, especially considering the patient's emotional and physical characteristics.
Pharmacy (Week 11)
- A patient with symptoms of heartburn, acid regurgitation, and a sour taste in his mouth may benefit from antacids, which provide temporary relief.
Pharmacy (Week 12)
- Antihypertensive drugs work by modifying the renin-angiotensin-aldosterone system, and the first-line therapy for a hypertensive patient with type 2 diabetes who smokes one pack of cigarettes per day is a specific antihypertensive medication.
Pharmacy (Week 13)
- A partial opioid agonist is a medication that has both agonist and antagonist effects on opioid receptors, and rhabdomyolysis is an adverse effect of certain medications.
Botany (Week 10)
- A pregnant patient experiencing worsening IBS symptoms may benefit from a botanical treatment, especially considering the available data.
Botany (Week 9)
- Rhodiola rosea can be prescribed for a patient experiencing fatigue and exhaustion, but the patient should be warned about potential side effects, such as increased anxiety.
- A 32-year-old male patient with low back pain may benefit from an adaptogenic combo, but the patient should be monitored for potential side effects, such as a heavy feeling in the stomach and loose stools.
Spotlight (Week 12)
- The renin-angiotensin-aldosterone system plays a crucial role in blood pressure regulation, and antihypertensive drugs work by modifying this system.
Spotlight (Week 13)
- Raising HDL cholesterol levels can be achieved through specific dietary strategies, such as increasing omega-3 fatty acid intake.
Homeopathy (Week 13)
- Lycopodium is not indicated for a patient with symptoms of right-sided abdominal pain, and the patient's symptoms are aggravated by certain factors, such as eating or lying on the right side.
- A 6-year-old patient presenting with difficulties focusing at school, residual cough following COVID infection, and explosive temper tantrums may benefit from a homeopathic remedy that addresses their symptoms, especially considering their symptoms of seeing small, moving worms in their stool.
TCM (Week 9)
- The Gallbladder is not the only yin organ that stores a pure substance, and the TCM diagnosis of HT blood stagnation is characterized by specific symptoms, such as bright red lips with purple spots, and darker purple-colored spots under the nails.
TCM (Week 10)
- The Liver function in TCM is not only responsible for storing and filtering blood, but also plays a role in regulating emotions, and the Triple Warmer is a system that regulates the body's temperature, metabolism, and immune function.
Other
- Transcutaneous Electrical Neuromuscular Stimulation can support pain management by influencing endorphin release.
- It is estimated that more than half of the world's population has an issue with lactose malabsorption.
- Lectins are a type of protein found in certain foods, and a high-lectin diet can cause digestive issues in some individuals.
This quiz presents a case of a 35-year-old female patient with low back pain and aims to test your knowledge on which dietary change is most likely to have a beneficial effect on her symptoms. Check the correct dietary change option to improve your understanding.
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