exam questions with answers
Lifestyle medicine - CORRECT ANSWERS ✔✔(1) Evidence-based practice of
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helping individuals and families adopt and sustain healthy behaviors that
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affect health and quality of life. (2) The use of therapeutic lifestyle changes to
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treat, prevent and reverse disease - Lifestyle "in" medicine. When the same
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lifestyle choices maximize health and prevent disease, this is lifestyle "is"
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medicine.
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Pioneers of Lifestyle Medicine - CORRECT ANSWERS ✔✔Hippocrates;
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Thomas Edison; Nathan Pritikin; John McDougall; Dean Ornish; Caldwell B
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Esselstyn Jr; Hans Diehl; WHO Diet, nutrition, and the prevention of chronic
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diseases; James Rippe
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ACLM - CORRECT ANSWERS ✔✔Organized in early 2004 by Dr John Kelly;
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Physician Core LM Competencies established in 2009, published in JAMA
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2010
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ABLM - CORRECT ANSWERS ✔✔Established in 2015, first offering LM2017
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conference
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Value of Lifestyle Medicine - CORRECT ANSWERS ✔✔A distinguishing feature
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is that it actually saves more than it costs.
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,Lifestyle Medicine Core competencies - CORRECT ANSWERS ✔✔Leadership:
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1) Promote healthy behaviors as foundational to medical care, disease
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prevention, and health promotion - 2) Seek to practice healthy personal
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behaviors - 3) Create environments that support healthy behaviors at school,
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work and home; Knowledge: 1) Demonstrate a knowledge of the evidence
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that specific lifestyle changes can have a positive effect on patients' health
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outcomes - 2) Describe ways that physician engagement with patients and
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families can have a positive effect on patients' health behaviors; Assessment
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Skills: 1) Assess the social, psychological and biological predispositions of
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patients' behaviors and the resulting health outcomes - 2) Assess patient and
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family readiness, willingness, and ability to make health behavior changes -
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3) Perform history and physical exam specific to lifestyle-related health
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status including lifestyle 'vital signs'; Management Skills: 1) Use nationally
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recognized practice guidelines to assist patients in self-managing their health
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behaviors and lifestyle - 2) Establish effective relationships with patients and
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families to effect and sustain behavioral change - 3) Collaborate with patients
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and their families to develop action plans - 4) help patient manage and
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sustain health lifestyle practices; Use of Office and Community: 1) Have the
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ability to practice in an interdisciplinary team of HCPs - 2) Develop and apply
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office systems and practices to support lifestyle medical care - 3) Measure
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processes and outcomes to improve the quality of lifestyle interventions - 4)
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Use appropriate community referral resources that support the
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implementation of lifestyle medicine
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Lifestyle change impacts the "cause of the cause" of disease - CORRECT
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ANSWERS ✔✔1) beneficially affecting gene expression (epigenetics); 2)
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Reducing insulin resistance; 3) reducing chronic systemic inflammation; 4)
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providing anti-oxidants; 5) more...
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Health Risk Assessments - CORRECT ANSWERS ✔✔Described in Sep 2013
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AHRQ document; CDC source
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, Scientific evidence about unhealthy behaviors - CORRECT ANSWERS ✔✔1)
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Tobacco - Cochrane Collaboration, AHA and USPSTF; 2) USPSTF; 3)
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Interheart Study; 4) interSTROKE study; 5) Chicago heart Association
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Detection Project in Industry; 6) Framingham heart study; 7) Multiple Risk
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Factor Intervention Trial Study; 8) Nurses' Health Study; 9) Lyon Diet Heart
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Study; 10) Adventist Health Study 2; 11) Nurses Health Study, NHS2 and
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Health Professionals Follow Up Study; 12) World Cancer Research
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Fund/American Institute for Cancer Research
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Tobacco evidence - CORRECT ANSWERS ✔✔Strong evidence that tobacco
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cessation, increased physical activity and making dietary changes decrease
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mortality, morbidity, cancer (Cochrane, AHA, USPSTF)
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USPSTF recommended screening - CORRECT ANSWERS ✔✔tobacco, alcohol
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and obesity
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Interheart study - CORRECT ANSWERS ✔✔9 significant risk factors: smoking,
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lipids, HTN, obesity, diabetes, diet, physical activity, alcohol and psychosocial
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factors account for 90% of PAR of AMI in men and 94% in women: 5 risk
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factors: smoking, lipids, HTN, diabesity and obesity accounted for 80%
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InterSTROKE study - CORRECT ANSWERS ✔✔10 significant risk factors for all
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strokes: HTN, current smoking, abdominal obesity, unhealthy diet, physical
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inactivity, diabetes, alcohol intake, psychological stress, depression , cardiac
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causes and abnormal lipids
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