Dnt -- Neurology/psychology

Front 1

Besides the link of aluminum exposure to Alzheimer's disease, what other 2 heavy metals may be linked?

Back 1

Lead and mercury

Front 2

Recent research has uncovered a possible link between disordered metabolism of 3 metals and Alzheimer's disease. Name the metals.

Back 2

Copper, Zinc, and iron.

Front 3

Dietary consumption of what food appears to be protective against Alzheimer's disease?

Back 3

Fish

Front 4

What types of fats are associated with increased risk of Alzheimer's disease?

Back 4

Saturated and Trans fats

Front 5

(T/F) Caloric restriction may be preventative against Alzheimer's Disease.

Back 5

True

Front 6

In later stages of Alzheimer's many patients do not want to eat. What is one way discussed in class to increase overall caloric intake?

Back 6

Give higher carbohydrate meals. Be careful if you use liquid meal replacements as part of this strategy -- after stopping this program, patients may reduce their calorie intake below baseline.

Front 7

Many of the symptoms of Alzheimer's mimic what other condition?

Back 7

Vascular Dementia

Front 8

Are the dietary risk factors for Alzheimer's and vascular dementia similar?

Back 8

Yes

Front 9

What diet discussed before the midterm may be protective against Alzheimer's disease?

Back 9

Mediterranean diet

Front 10

What are the top-shelf interventions for Alzheimer's disease?

Back 10

1. Ginkgo Biloba 120-240 mg
2. Melissa offficianalis (60 drops)

Front 11

Although there was a non-significant increase in hemorrhagic stroke with use of Ginkgo in the treatment of Alzheimer's disease. What should we consider?

Back 11

Not using it if our patient has vascular problems.

Front 12

(T/F) People who self-report food allergy have a higher rate of anxiety than the general population.

Back 12

True

Front 13

(T/F) Caffeine intake has not been shown to worsen anxiety symptoms.

Back 13

False. Even modest amounts appear to exacerbate symptoms.

Front 14

Is Hyperglycemia or Hypoglycemia considered a common trigger of anxiety symptoms?

Back 14

Hypoglycemia

Front 15

(T/F) Anxiety is commonly related to irritable bowel symptoms.

Back 15

True

Front 16

(T/F) Although there appears to be a relation between self-reported food allergy and anxiety, studies suggest that the perception of food allergy was related to the psychiatric issue.

Back 16

True

Front 17

(T/F) Exercise appears to prevent panic attacks as well as medications in trials.

Back 17

False. Medication does a better job.

Front 18

What are the top-shelf interventions for anxiety?

Back 18

1. Passion Flower extract (45 gtts/day)
2. Kava (50mg tid)
3. Multi-vitamin
4. St. Johns wort (300mg tid)

Front 19

What is the Feingold Diet?

Back 19

A diet that eliminates food colorings and additives.

Front 20

The Feingold diet has been effective in treating what disorder?

Back 20

Attention deficit hyperactivity disorder (ADHD)

Front 21

Along with the Feingold diet, what other dietary intervention may be useful in the treatment of ADHD?

Back 21

Allergy Elimination Diet

Front 22

Exposure to what heavy metal may trigger symptoms of ADHD?

Back 22

Lead

Front 23

(T/F) Although sugar is commonly blamed for symptoms of ADHD, controlled trials have not identified a big effect of very high intake of sugar.

Back 23

True

Front 24

Children of women who _______ during pregnancy are more likely to have ADHD than those born to those who don't

Back 24

Smoke

Front 25

What are the top shelf interventions for ADHD?

Back 25

1. L-carnitine (100mg/kg)
2. Magnesium (200mg/day)

Front 26

GI symptoms are very common in autism. What type of dietary interventions have been successful?

Back 26

Gluten and casein-free diets

Front 27

When making dramatic eliminations or revisions in a patient with autism, what should you keep in mind?

Back 27

Children with autism often have disordered dietary patters, so care must be taken to ensure proper nutritional status.

Front 28

(T/F) There is a strong link between vaccines and autism.

Back 28

False

Front 29

What is one of the most effective treatment for autism?

Back 29

Behavioral training programs based on the original Applied Behavioral Analysis (ABA) programs.

Front 30

(T/F) Chelation therapies have been shown to be effective in the treatment of autism.

Back 30

False. In fact, one study was halted because of evidence of lower IQ scores in children on chelation therapy.

Front 31

Some early beneficial results in the treatment of autism of two AOM modalities has been reported. Name them.

Back 31

Acupuncture and Qigong.

Front 32

What is the top-shelf intervention for autism?

Back 32

1. Omega-3 fatty acids (1.5 g/day)

Front 33

What is the top-shelf intervention for Bell's Palsy?

Back 33

Vitamin B12 (1000mcg im 3-7 times per week) taper with improvement. Improvement faster than seen with steroids.

Front 34

Generally low cholesterol is a good thing, but too low has been associated with what condition?

Back 34

Depression

Front 35

Is there a link between insulin response and major depression?

Back 35

Yes, many benefit from treatments that help to balance blood sugar.

Front 36

What are the top-shelf interventions for Depression?

Back 36

1. St. John's wort (300mg tid)
2. Tryptophan (1000-2000 mg tid)
3. Iron, repletion of deficiency
4. Omega-3 fatty acid concentrate (9.6 g/day)
5. DHEA (50-100 mg/day)

Front 37

What diet has been shown effective in the treatment of pediatric epilepsy?

Back 37

Ketogenic diet

Front 38

(T/F) Part of the reason the Ketogenic diet works in the treatment of epilepsy is because it is so high in nutrients.

Back 38

False. The ketogenic diet is deficient in nutrients, so supplementation with multi is recommended.

Front 39

(T/F) The Ketogenic is a long-term intervention in the treatment of epilepsy.

Back 39

False, it is generally thought of as a short-term treatment -- a year or two at most.

Front 40

Kidney stones are common in children on a ketogenic diet. What supplement could be given for prevention?

Back 40

Potassium citrate

Front 41

What other diet besides the Ketogenic diet may help with epilepsy?

Back 41

Atkin's

Front 42

How long does it take for a patient with epilepsy to see the benefits of a ketogenic diet?

Back 42

A couple of weeks.

Front 43

(T/F) About half of patients with epilepsy report a connection between particular foods and seizures.

Back 43

True

Front 44

Has severe hypoglycemia or hyperglycemia been shown to trigger seizures

Back 44

Hypoglycemia

Front 45

Epileptic drugs decrease what nutrient in the body?

Back 45

Calcium, so remember to test vitamin D and bone density in pts on these meds

Front 46

What are the top-shelf interventions for epilepsy?

Back 46

1. Vitamin E (400IU/day)
2. Vitamin B6 (30-50mg/kg/day iv)

Front 47

Does Hypoglycemia or Hyperglycemia trigger migraines?

Back 47

Hypoglycemia

Front 48

What dietary intervention is useful in treatment of migraines?

Back 48

Elimination/rechallenge diet

Front 49

What byproduct of amino acid breakdown and is found in cheese has been linked to migraines?

Back 49

Tyramine

Front 50

What dietary intervention besides an elimination diet has been useful in the treatment of migraine?

Back 50

A histamine-free diet

Front 51

What foods are high in histamine?

Back 51

fish, alcoholic beverages, cheese, and sausages.

Front 52

What are the top-shelf interventions for migraines?

Back 52

1. Riboflavin (400 mg/day)
2. Magnesium (300-500mg/day)
3. Butterbur (50mg bid)
4. Feverfew (250mcg of parthenolide perday)

Front 53

What is the name of the diet used in the treatment of MS?

Back 53

The Swank Diet

Front 54

What does the Swank diet recommend?

Back 54

Less than 20 gramms of fater per day and complete elimination of dairy. It also supplements with marine oils.

Front 55

Besides the Swank diet, what other diet has been shown useful but a more modest intervention?

Back 55

Step 1 diet + Fish oil

Front 56

What are the top-shelf interventions for MS?

Back 56

None

Front 57

What dietary recommendations have been shown to help with obsessive compulsive syndrome? (This was only reported in one patient)

Back 57

Balance blood sugar, in part by adding a high-protein b-fast along with an elimination diet.

Front 58

What are the top-shelf interventions for obsessive compulsive syndrome?

Back 58

None

Front 59

Why should you be concerned with using St. John's wort with medication?

Back 59

Because it is metabolized by CytP450. If the drug is also metabolized via this pathway it can potentiate the effect of the drug.

Front 60

Name 1 drug discussed in class that is used to treat Parkinson's disease?

Back 60

Sinemet

Front 61

Is black tea or green tea associated with lower risk for parkinson's?

Back 61

Black tea

Front 62

(T/F) High intakes of coffee is associated with a reduced risk of Parkinson's disease.

Back 62

True. One study found an 80% reduction in risk in people driking about 2 cups per week or more.

Front 63

(T/F) Smoking has been associated with a lower risk of Parkinson's disease.

Back 63

True by as much as 60%

Front 64

What are the top-shelf interventions for Parkinson's Disease?

Back 64

1. CoQ10 (1200 mg/day)

Front 65

What condition may be linked to scizophrenia?

Back 65

Celiac Disease

Front 66

Patients with schizophrinia, particularly those on newer generation antipsychotic medications, are more prone to developing what condition?

Back 66

Diabetes

Front 67

What are the top-shelf interventions for schizophrenia?

Back 67

1. Glycine (0.8g/kg/day)