Ihm Block 1 Exam Study Guide

Front 1

TUCOM prepares students to become ____________________ who uphold the _________, ___________ and ______ of osteopathic medicine and who are committed to _____________ and the ______________ to the patient. The college advances the profession and serves students and society through __________________, _____________ and ________________.

Back 1

-outstanding osteopathic physicians
-values
-philosophy
-practice
-primary care
-holistic approach
-innovative education
-research
-community service

Front 2

Osteopathic medicine was developed in the year __________ by _________.

Back 2

1874

Andrew Taylor Still

Front 3

Dr. Still was dissatisfied by the effectiveness of _________ medicine.

Back 3

19th century

Front 4

The ideas of Dr. Still date all the way back to ....

Back 4

hippocrates

Front 5

The DO philosophy focuses on the ____________ of all body parts.

Back 5

unity

Front 6

Dr. Still pioneered the concept of ________________ over 130 years ago

Back 6

"wellness"

Front 7

What is "big doctoring"?

Back 7

primary care. focuses on the doctor being a humanist combining good science with good judgment

Front 8

What is the mindset Dr. Fitzhugh Mullan is talking about?

Back 8

the ability to deal with complexity and uncertainty

Front 9

What is added to traditional medicine according to Dr. Fitzhugh Mullan's "Big Doctoring"?

Back 9

science and technology applied in a measured, evidence-based and coordinated fashion

Front 10

Because a generalist's domain is large and complex, he needs a reasonable tolerance for living with ___________.

Back 10

uncertainty

Front 11

In addition to personal health care, primary care encompasses...

Back 11

mental health, public health and community health

Front 12

In the 19th century, most physicians were...

Back 12

general practicioners dealing with everything...specialties did not exist until the latter part of the 19th century

Front 13

What prompted the development of specialties?

Back 13

rapid developments in medical science/technology

Front 14

Formal differentiation of specialty practice came into place by what 3 things?

Back 14

-the american college of surgeons in 1913
-american college of physicians in 1915
-board examinations in the 1930's

Front 15

What historical event really caused a surge in specialties?

Back 15

WWII (1940-1945)

Front 16

In the 1950's, the number of specialties grew to...

Back 16

19

Front 17

Why was primary care referred to as medicine's "designated miser?"

Back 17

because primary care limited procedures/referrals/hospitalizations and pinched pennies as the gatekeeper

Front 18

A primary care physician responsible for overseeing and coordinating all aspects of a patient's medical care and pre-authorizing specialty care

Back 18

gatekeeper

Front 19

a system to integrate the delivery and financing of comprehensive health care services to covered individuals by means of arrangement with selected health care providers; explicit criteria for the selection of health-care providers; significant financial incentives for members to use providers; a very broad term that generally refers to a system that manages the quality of health care, access to care, and the cost of that care

Back 19

managed care

Front 20

prepaid group health insurance plan that entitles members to services of particiapting physicians, hospitals and clinics. Emphasis is on preventative medicine. Members pay a flat periodic fee

Back 20

health maintenance organization (HMO)

Front 21

HMO exclusions include

Back 21

-custodial care
-experimental procedures
-conveniences not medically related including cosmetic care

Front 22

What health care system provides health care on a reduced fee on a case-by-case basis (not paid in advance)?

Back 22

PPO (preferred provider organization)

Front 23

What health care system allows patients to see out of network professionals?

Back 23

PPO (preferred provider organization)

Front 24

Which health care system requires the participant to submit a claim after any doctor visit?

Back 24

PPO

Front 25

What became the business community's instrument for reform after President Clinton's failed health care reform legislation?

Back 25

managed care with the gatekeeper "core" model

Front 26

What is the ability to suspend your moral or personal judgment about the patient’s behavior, to set aside your negative feelings (if you have some) and work in the patient’s best interest?

Back 26

unconditional positive regard

Front 27

Unconditional positive regard is based on the understanding of human ______________.

Back 27

connectedness

Front 28

What are the 5 stages of Kubler-Ross response to loss?

Back 28

1. denial or isolation
2. anger
3. bargaining
4. depression or sadness
5. acceptance

Front 29

Are drug and alcohol dependence diseases?

Back 29

yes. chronic mental illnesses

Front 30

Opiate addiction is distinct from _________________.

Back 30

opiate physical dependence, where the pt develops a tolerance to opiates and larger doses are required for an effect; immediate withdrawal of the opiate causes physiological consequences

Front 31

Withdrawal symptoms of anxiety, nausea, vomiting, diarrhea, piloerection, tachycardia, hypertension and insomnia are collectively called

Back 31

abstinence syndrome (withdrawal syndrome)

Front 32

Morphine, Demerol, Fentanyl, Oxycodone, Hydrocodone, Darvon, Heroin and Opium are all

Back 32

opiates

Front 33

Addiction is a _______ disease.

Back 33

bio-psycho-social

Front 34

What is the opiate receptor antagonist drug?

Back 34

naloxone (Narcan)

Front 35

Valium, Xanax and Ativan are all

Back 35

benzodiazapines

Front 36

Drugs that cause dependence all affect the brain's...

Back 36

reward system

Front 37

Addictive substances all activate the __________ of the brain.

Back 37

mesolimbic dopamine system

Front 38

Addictive disorder is found in _____________ people.

Back 38

1 out of 10

Front 39

Time from initial exposure to substance to the actual “rewiring” of the affected areas in the brain leading to the classic presentation of: compulsivity, attempts to control, preoccupation with drug of choice, continued use despite negative consequences, relapsing behavior, and always accompanied by denial.

Back 39

incubation period

Front 40

Cocaine has a (short/long) incubation period. Alcohol has a (short/long) incubation period.

Back 40

-cocaine -short
-alcohol -long

Front 41

The incubation period is affected by

Back 41

the genetic factor

Front 42

What are chronic illnesses that require active patient participation?

Back 42

COPD
Hypertension
Diabetes

Front 43

What is SUD?

Back 43

substance use disorder

Front 44

Be careful when you see patients with Hypertension, Bipolar Depression, Major depression, Panic Disorder, Anecteric Hepatitis, Night sweats...as the real cause may be ______________

Back 44

alcohol abuse or addiction

Front 45

Abstinence syndrome is a powerful _____________ of craving.

Back 45

negative reinforcer

Front 46

What is the Caduceus Group?

Back 46

a peer support group for physicians

Front 47

PHP (diversion) programs

Back 47

have advocacy with state medical boards, hospitals and third-party payers. Guarantee that healthcare professionals who have been treated, and are being monitored in an after-care program, continue or return to practice based on health and wellness

Front 48

Following diversion treatment, physicians are required to enroll in PHP peer groups, Alcoholics/Narcotics anonymous groups, etc for _________ years. They are also required to submit __________

Back 48

5 years

monthly urine tests

Front 49

Recovery rate for physicians increases to ______________ if in a monitoring program. If treated at a physician-specific program, 5 year recovery rates are ________.

Back 49

20% to 30%

90%