NR 661
NR661 Midterm Exam Study Questions
and Answers (100% Solved Solutions) 2026
What are the 2 most used CAM therapies?
Yoga and meditation
What is the number one safety issue with CAM therapies?
Delay of treatment (cancer, DM, meningitis)
What are biologic therapies and examples?
-Developed from blood, proteins, viruses, or living organisms
-ex: Botox, monoclonal antibodies (rituxin), enbrel (etanercept)
What is chelation therapy?
-conventional medicine: accepted method to treat toxicity and remove heavy
metals from the body (Ca, Pb, Cu, Fe)
-ex: EDTA to treat atherosclerosis (causes dangerously low Ca levels)
What is a ornish diet?
-low fat, lacto-ovo vegetarian diet plus exercise and stress management
what is a gerson diet?
Extremely high consumption of fruits and veggies, coffee enemas
what is a paleo diet?
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Avoidance of dairy, legumes, coffee, and others.
Belief that human genome has not evolved since paleolithic era to
accommodate these foods.
What is St. Johns wort and what side effects can it have?
Potent CYP450 3A4 inducer
Can reduce effect of OCPs, antiretroviral therapies, cyclosporine, digoxin!
What is the consideration with taking kava kava?
Sudden liver failure, increased LFTs
What is prolotherapy?
Hypertonic dextrose is injected into intra and peri-articular spaces to cause
inflammation in joint, generate collagen, and promote healing/scar tissue
breakdown (remodeling)
Difference between dry needling and accupuncture
dry needling is deeper for pressure points than accupuncture.
What is NOPQRST for HPI?
N- New?
O-onset/duration
P- primary lesion vs secondary
Q- quality (pain, itching, color)
R- region/radiation
S- severity
T-timing or evolution
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What is including in dermatology assessment?
Hair, skin, nails
what should you always document the absence of in derm assessment?
absence of lesions on palm/soles (syphilis)
Acanthosis Nigricans
thickening and darkening of skin near axillary region, A/w Diabetes Type II
and gastric carcinoma, associated with insulin resistance and
hyperinsulinemia
Treatment for acanthosis nigricans
treat underlying disease
What condition can be secondary to hyperinsulinemia?
HTN
Pathophysiology and cause of acne rosacea
-Multifactorial vascular disorder;
-Inflammatory mediators cause infiltration of the dermis causing
inflammatory papule and pustules.
-Common in perimenopause
What are the four types of acne rosacea
-erythematotelangiectatic
-papulopustular
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-phymatous
-ocular
Erythematoltelangiectatic rosacea presentation
redness, flushing, visible blood vessels
Papulopustular rosacea presentation
Redness, swelling, acne-like break outs with pustules and papules. NO
blackheads
-Often related to GI disease
Phymatous rosacea
thickening of skin and bumpy texture
Ocular rosacea presentation
eyes red and irritated, eye lids can be swollen, looks like stye, often
associated with GI disease.
Treatment of acne rosacea
-Reduce triggers (sun, ETOH, spicy food)
-mild to moderate severity: metronidazole topical 0.75% BID, or 1% Qday,
topical clinda or azelaic acid
-Moderate severity: treat w/ PO abx 2-4 weeks. (doxy 100mg Qday or Tetra
500-1000mg BID to QID.
-Severe: Accutane and refer to derm!
What should you NOT use for rosacea?
NR 661
NR661 Midterm Exam Study Questions
and Answers (100% Solved Solutions) 2026
What are the 2 most used CAM therapies?
Yoga and meditation
What is the number one safety issue with CAM therapies?
Delay of treatment (cancer, DM, meningitis)
What are biologic therapies and examples?
-Developed from blood, proteins, viruses, or living organisms
-ex: Botox, monoclonal antibodies (rituxin), enbrel (etanercept)
What is chelation therapy?
-conventional medicine: accepted method to treat toxicity and remove heavy
metals from the body (Ca, Pb, Cu, Fe)
-ex: EDTA to treat atherosclerosis (causes dangerously low Ca levels)
What is a ornish diet?
-low fat, lacto-ovo vegetarian diet plus exercise and stress management
what is a gerson diet?
Extremely high consumption of fruits and veggies, coffee enemas
what is a paleo diet?
NR 661
,NR 661
Avoidance of dairy, legumes, coffee, and others.
Belief that human genome has not evolved since paleolithic era to
accommodate these foods.
What is St. Johns wort and what side effects can it have?
Potent CYP450 3A4 inducer
Can reduce effect of OCPs, antiretroviral therapies, cyclosporine, digoxin!
What is the consideration with taking kava kava?
Sudden liver failure, increased LFTs
What is prolotherapy?
Hypertonic dextrose is injected into intra and peri-articular spaces to cause
inflammation in joint, generate collagen, and promote healing/scar tissue
breakdown (remodeling)
Difference between dry needling and accupuncture
dry needling is deeper for pressure points than accupuncture.
What is NOPQRST for HPI?
N- New?
O-onset/duration
P- primary lesion vs secondary
Q- quality (pain, itching, color)
R- region/radiation
S- severity
T-timing or evolution
NR 661
,NR 661
What is including in dermatology assessment?
Hair, skin, nails
what should you always document the absence of in derm assessment?
absence of lesions on palm/soles (syphilis)
Acanthosis Nigricans
thickening and darkening of skin near axillary region, A/w Diabetes Type II
and gastric carcinoma, associated with insulin resistance and
hyperinsulinemia
Treatment for acanthosis nigricans
treat underlying disease
What condition can be secondary to hyperinsulinemia?
HTN
Pathophysiology and cause of acne rosacea
-Multifactorial vascular disorder;
-Inflammatory mediators cause infiltration of the dermis causing
inflammatory papule and pustules.
-Common in perimenopause
What are the four types of acne rosacea
-erythematotelangiectatic
-papulopustular
NR 661
, NR 661
-phymatous
-ocular
Erythematoltelangiectatic rosacea presentation
redness, flushing, visible blood vessels
Papulopustular rosacea presentation
Redness, swelling, acne-like break outs with pustules and papules. NO
blackheads
-Often related to GI disease
Phymatous rosacea
thickening of skin and bumpy texture
Ocular rosacea presentation
eyes red and irritated, eye lids can be swollen, looks like stye, often
associated with GI disease.
Treatment of acne rosacea
-Reduce triggers (sun, ETOH, spicy food)
-mild to moderate severity: metronidazole topical 0.75% BID, or 1% Qday,
topical clinda or azelaic acid
-Moderate severity: treat w/ PO abx 2-4 weeks. (doxy 100mg Qday or Tetra
500-1000mg BID to QID.
-Severe: Accutane and refer to derm!
What should you NOT use for rosacea?
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