McGraw-Hill Specialty Board Review Pain Medicine

Salahadin Abdi, Pradeep Chopra, Howard Smith

Chapter 9 Complementary and Alternative Medicine - all with Video Answers

Educators

Chapter Questions

Problem 743

Acupuncture needles used in current practice
(A) are under same marketing rules as syringes
(B) are under same standard control like medical needles
(C) have same quality control as surgical scalpels
(D) are used once only
(E) all of the above

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03:07

Problem 744

Which of the following statements is incorrect?
(A) Acupuncture was widely practiced by thousands of physicians, dentists, acupuncturists, and other practitioners
(B) Acupuncture can be used to relive pain and in various other health conditions
(C) The National Institutes of Health (NIH) have funded many research projects relating to acupuncture
(D) In a national survey, the number of visits to alternative medicine was nearly twice of the visits to primary care physician
(E) Few medical schools in the United States have included subjects on integrated medicine

Matthew Gooch

Numerade Educator

02:08

Problem 745

Which of the following statements is correct?
(A) There are 600 to 2000 acupuncture points on the human body
(B) Acupuncture points are mostly located along the meridians
(C) Acupuncturist could use points on the ears, scalp, hands, and feet to treat diseases
(D) Each treatment may use different acupuncture points even with the same disease
(E) All of the above

Cody Delk

Numerade Educator

01:10

Problem 746

In the acupuncture theory
(A) " $\mathrm{qi}$ " is the life force or energy that flows through the body
(B) " $\mathrm{qi}$ " influences our health at physical, mental, emotional, and spiritual levels
(C) any excess or deficiency of "qi" will contribute to our health problems
(D) blockage of "qi" may cause pain
(E) all of the above

Emily Himsel

Numerade Educator

01:30

Problem 747

Which of the following statements is incorrect?
(A) Electroacupuncture (EA) can be used through needles to enhance the stimulation of acupuncture points
(B) Percutaneous electric nerve stimulation (PENS) is a modified form of acupuncture treatment
(C) "Deqi" sensation is a side effect of acupuncture
(D) Moxibustion can be used with or without insertion of acupuncture needles
(E) Acupressure and cupping are also helpful in treating different diseases

Maryam Riaz

Numerade Educator

Problem 748

Which one of the following complications associated with acupuncture is mostly reported?
(A) Infection
(B) Bruising or bleeding
(C) Transient vasovagal response
(D) Pneumothorax
(E) Intra-abdominal abscess

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01:41

Problem 749

With regard to the scientific basis of acupuncture's effects, which of the following statements is incorrect?
(A) Electric acupuncture can activate the central nervous system (CNS) to release endogenous opioids into blood or cerebrospinal fluid (CSF)
(B) The analgesic effects of acupuncture may occur after 20 to 30 minutes of treatment
(C) Naloxone and other opioid antagonists can inhibit the acupuncture analgesia
(D) Acupuncture analgesia can not be passed from one animal to another animal via CSF transfer or blood transfer
(E) Substances that inhibit endorphin enzymatic degradation enhance the analgesic effects of acupuncture treatment

Precious

Numerade Educator

01:02

Problem 750

Which of the following is not involved in the analgesic effect of acupuncture?
(A) Nicotine
(B) Serotonin
(C) Norepinephrine
(D) Nitric oxide
(E) $\beta$-Endorphin

Dennis Howard

Numerade Educator

Problem 751

Which of the following is the condition/disease that acupuncture has not shown to be an effective treatment modality?
(A) Allergies
(B) Dysmenorrhea
(C) Leukemia
(D) Biliary colic
(E) Leukopenia

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01:14

Problem 752

Complementary and alternative medicine includes all of the following EXCEPT
(A) herbs
(B) mind-body therapy
(C) massage
(D) aspirin
(E) homeopathic therapy

Emily Himsel

Numerade Educator

01:11

Problem 753

Mind-body interventions have been used in all the following conditions EXCEPT
(A) headache
(B) low back pain
(C) arthritis
(D) chemotherapy-induced nausea and vomiting
(E) none of the above

Asma Venkitta

Numerade Educator

03:16

Problem 754

The following statements regarding Ginkgo biloba are true EXCEPT
(A) Ginkgo biloba has been used to treat multiple conditions such as asthma, bronchitis, fatigue and tinnitus
(B) Ginkgo biloba has also been tried to improve Alzheimer disease and dementia
(C) patients with intermittent claudicating, multiple sclerosis have tried Ginkgo biloba supplement
(D) Ginkgo bilobu has side effects including headache, nausea, diarrhea, dizziness, and allergic skin reactions
(E) Ginkgo biloba does not increase bleeding risk so it can be safely taken with other anticoagulant drugs

Sheryl Ezze

Numerade Educator

00:35

Problem 755

The evidence from research supports the following effects of ginseng EXCEPI
(A) ginseng supports overall health and boost immune system
(B) ginseng does not cause allergic reactions
(C) ginseng can increase both mental and physical performance
(D) some studies have shown that ginseng lowers the blood glucose level
(E) most common side effects of ginseng are headache, sleep disturbances, and gastrointestinal (GI) problems

Jessica Reyna

Numerade Educator

Problem 756

The biologically based practice is a domain of complementary and alternative medicine. It includes
(1) vitamins
(2) fatty acids
(3) proteins
(4) prebiotics

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Problem 757

Naturopathy is a system of healing. Its principles include the following:
(1) The healing power of nature
(2) Identification and treatment of the cause of disease
(3) Treatment of the whole person
(4) The doctor as a teacher

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01:26

Problem 758

Which of the following statement(s) is (are) correct for homeopathy?
(1) It stimulates the body's ability to heal by itself
(2) Remedy contains giving small doses of highly diluted substance that can cause similar symptoms
(3) Same substance if given in a larger dose would produce illness or symptoms
(4) "Principle of similar" is not the theory of homeopathy

Asmita Mehta

Numerade Educator

Problem 759

. Glucosamine and chondroitin are used to treat knee osteoarthritis, which of the following statements is (are) correct?
(1) In the United States, glucosamine and chondroitin are considered dietary supplements
(2) It may cause serious adverse events such as congestive heart failure and chest pain
(3) It may have more substantial treatment effects in a subgroup of patients with moderate to severe pain
(4) Overall, glucosamine and chondroitin sulfate alone or in combination reduces the pain effectively in patients with knee osteoarthritis

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01:18

Problem 760

Which of the following is (are) true about mind-body interventions?
(1) May have impact on health by the mechanism of the brain and CNS influencing immune, endocrine, and autonomic function
(2) Multicomponent mind-body interventions may be useful adjunctive treatment for coronary artery disease and certain pain-related disorders
(3) Cognitive behavioral therapy, combined with educational/informational component can be effectively used as adjuncts in the management of variety of chronic conditions
(4) When applied presurgically, a group of mind-body therapies (imaginary, hypnosis, relaxation) may improve recovery time and reduce pain following surgical procedures

Parvati Devi

Numerade Educator

04:18

Problem 761

Which of the following is (are) true about Echinacea?
(1) Studies indicate that Echinacea does not prevent colds or other infections
(2) Studies have not proven that Echinacea shortens the course of colds or flu
(3) Echinacea can cause allergic reactions including rash, asthma, and anaphylaxis
(4) GI side effects are most common

Maryam Riaz

Numerade Educator

Problem 762

Which of the following is (are) true about chiropractic practice?
(1) It is an alternative medical system and takes a different approach from conventional medicine in diagnosing, classifying, and treating medical problems
(2) The chiropractic theories consider that the body has a powerful self-healing ability and the body structure and its function are closely related and this relation affects our health
(3) The goal of this therapy is to normalize the relation of structure and function
(4) There have been serious reported adverse effects such as stroke, caudal equine syndrome associated with chiropractic therapy

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