Lifestyle Medicine: Final Exam Questions with Correct Answers

Lifestyle Medicine: Final Exam
fn fn fn




FourfnPrinciplesfnPlusfnScopefn-
fn correctfnanswer✔ ✔ Beneficence:fnPromotefnpatient'sfnbestfninterests
Non-Maleficence:fnDofnnofnharm•fn
Autonomy:fnRespectfnpatient'sfndecisionsfnaboutfntheirfnownfnhealth
Justice:fnDistributefnmedicalfnbenefitsfnfairly


addictionfn-fncorrectfnanswer✔ ✔ Compulsivefnneedfnforfnandfnusefnoffnafnhabit-
formingfnsubstancefn(asfnheroin,fnnicotine,fnorfnalcohol)fncharacterizedfnbyfntolerancefnandfn
byfnwell-
definedfnphysiologicalfnsymptomsfnuponfnwithdrawal:fnSmokingfnandfnalcohol,fnOpioidfn(her
oin,fnmorphine,fnoxycodone,fnhydrocodone,fnpainfnmedicinefnprescriptions),fnAmphetamine
sfn(methylphenidate,fncocaine,fncrack),fnBenzodiazepinefn(diazepam,fnalprazolam,fnloraze
pam)


CategoriesfnoffnSubstancefnAbuse:fnImpairedfncontrolfn-fncorrectfnanswer✔ ✔
Takingfnsubstancefninfnlargerfnamountsfnorfnlongerfnthanfnmeantfnto,fnWantingfntofnreducefn
usefnbutfnnotfnbeingfnablefnto,fnSpendingfnexcessivefntimefngetting,fnusing,fnorfnrecoveringfnfr
omfnusing,fnHavingfncravingsfnandfnurgesfntofnuse


Tolerancefn-fncorrectfnanswer✔ ✔
capacityfnoffnthefnbodyfntofnendurefnorfnbecomefnlessfnresponsivefntofnafnsubstancefn(suchf
nasfnafndrug)fnorfnafnphysiologicalfninsultfnespeciallyfnwithfnrepeatedfnusefnorfnexposurefndev
elopedfnafntolerancefntofnpainkillers


Withdrawalfn-fncorrectfnanswer✔ ✔
Specificfnsignsfnandfnsymptomsfnoccurringfnafterfndiscontinuingfnthefngivenfnsubstance

,Dependencefn-fncorrectfnanswer✔ ✔
Physiologicalfndependencefniffnthefnpersonfnshowsfnwithdrawalfnorfntolerance;fntermfnisfnn
otfnusedfninfnthefnDSM-Vfn-fnSubstancefnUsefnDisorders,fninstead.
1964-
WHOfnintroducedfnthefntermfndependencefntofnreplacefn"addiction"fnandfn"habituation"fnEffo
rtfntofnreducefnstigmatizationfnoffnthosefnsufferingfnfromfnthisfndiseasefnTerminologyfnchange
dfntofnSubstancefnUsefnDisorderfnDSM-V


ABCDE'sfnoffnAddictionfn-fncorrectfnanswer✔ ✔ Afn-fnInabilityfntofnconsistentlyfnAbstain
Bfn-fnImpairmentfninfnBehavioralfncontrol
Cfn-fnCraving;fnorfnincreasedfn"hunger"fnforfndrugsfnorfnrewardingfnexperiences
Dfn-
Diminishedfnrecognitionfnoffnsignificantfnproblemsfnwithfnone'sfnbehaviorsfnandfninterperso
fn

nalfnrelationships
Efn-fnAfndysfunctionalfnEmotionalfnresponse


RiskfnFactorsfnforfnAddictionfn-fncorrectfnanswer✔ ✔
Genetic:fn50%fngenetic,fnLevelfnoffndopaminefnreceptors,fnAge,fngender,fnethnicity,fnco-
morbidfnmentalfnillnessfnEnvironmental:fnDrugfnavailability,fnPeerfnpressure,fnphysicalfnabu
se,fnsexualfnabuse,fnwitnessingfnviolencefnDevelopment:fnThefnearlierfnafnpersonfnbeginsfnu
singfndrugs,fnthefnmorefnlikelyfnaddictionfnwillfndevelop,fnAdolescentfnbrainsfnarefnstillfndevel
oping,fnespeciallyfnfrontalfnlobe,fnexecutivefnfunctionfnlikefndecisionfnmakingfnandfnjudgment


AddictivefnSubstancesfnandfnDSM-Vfn-fncorrectfnanswer✔ ✔
SubstancefnRelatedfnandfnAddictivefnDisorders:fn
Tobacco:fnTobaccofnUsefnDisorder.fnAlcohol:fnAlcoholfnUsefnDisorders,fnOpiates:fnOpioidfn
UsefnDisorder,fnCaffeine:fnCaffeine-RelatedfnDisorder•fnNon-
substancesfnRelatedfnDisorders,fnGambling•fnConditionsfnforfnFurtherfnStudy,fnInternetfnGa
mingfnDisorder•fnBingefnEatingfnDisorderfn(NewfntofnDSM-V)

, DSM-V:fnSubstancefnUsefnDisorderfn-fncorrectfnanswer✔ ✔
Afnpathologicalfnsetfnoffnbehaviorsfnrelatedfntofnthefnusefnoffnafnsubstancefn(e.g.,fnalcohol,fn
opioids,fnstimulants,fntobacco,fnetc.)
11fndiagnosticfncriteriafninfn4fnbroaderfncategories:fnImpairedfncontrol,fn2-
3fncriteria;fnmild,fn4-5fncriteria;fnmoderate,fn6+fncriteria;fnsevere


CategoriesfnoffnSubstancefnAbuse:fnSocialfnImpairmentfn-fncorrectfnanswer✔ ✔
Notfnmanagingfnwork,fnfamily,fnorfnsocialfnobligationsfnbecausefnoffnuse•fnContinuingfntofnu
sefnevenfnwhenfnitfncausesfnrelationshipfnproblems•fnGivingfnupfnimportantfnactivitiesfnbecau
sefnoffnuse


CategoriesfnoffnSubstancefnAbuse:fnRiskyfnusefn-fncorrectfnanswer✔ ✔
Usingfninfnphysicallyfndangerousfnsituations•fnUsingfndespitefnawarenessfnit'sfncausingfnorf
n worseningfnphysicalfnorfnpsychologicalfnproblems


CategoriesfnoffnSubstancefnAbuse:fnPharmacologicalfnindicatorsfn-fncorrectfnanswer✔ ✔
Tolerancefnandfnwithdrawalfnsymptoms


Alcoholfn-fncorrectfnanswer✔ ✔
DietaryfnGuidelines,fndailyfnlimitfnrecommendation:1fndrinkfnforfnwomen,fn2fndrinksfnforfnm
en


BingefnDrinkingfn-fncorrectfnanswer✔ ✔
Consumingfnfivefnorfnmorefndrinksfninfnaboutfn2fnhoursfnforfnmen,fnorfnfourfnorfnmorefndrinksf
forfnwomen
n




AtfnRiskfnDrinkingfn-fncorrectfnanswer✔ ✔
Men:fnMorefnthanfn4fndrinksfnonfnanyfndayfnorfnmorefnthanfn14fnperfnweek•fnWomen:fnMorefn
thanfn3fndrinksfnonfnanyfndayfnorfnmorefnthanfn7fnperfnweek•fnThefnmorefndrinksfnonfnanyfndayf
andfnthefnmorefnheavyfndrinkingfndaysfnoverfntime,fnthefngreaterfnthefnrisk—
n