Nokea
A patient says he wants to go to a chiropractor to see if it will help his low back pain because medical treatment has been ineffective. How might you respond?
- A. Some studies have shown chiropractic to be an effective treatment for low back pain.'
- B. You would do better to stick with a real doctor.'
- C. I am not allowed to discuss alternative or complementary medicine with you.'
- D. You need to ask your medical doctor for permission to do that.'
Correct Answer: A
Rationale: Acknowledging evidence that chiropractic care can help low back pain (A) supports the patient's choice while providing factual information.
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You see a patient while in clinical at a walk-in clinic. This patient has occasional abdominal pain of unknown cause but otherwise is in good health. The doctor suggests blood work and a computed tomography scan of the abdomen to diagnose the cause. The patient says he wants to wait, see his acupuncturist, and give his body the opportunity to heal itself. What is your response?
- A. Tell the patient that he MUST follow through with the doctor's orders.
- B. Express strong disapproval of this plan, both verbally and nonverbally.
- C. Encourage the patient to act quickly and return if the pain persists.
- D. Explain that the body cannot heal itself and requires a doctor's intervention to heal.
Correct Answer: C
Rationale: Encouraging the patient to monitor symptoms and return if needed (C) respects their autonomy while ensuring safety, without dismissing their preference for acupuncture.
Which is accurate regarding the cause and effect of illness according to Eastern medicine and most types of CAM?
- A. Energy imbalance causes chronic illness that leads to functional changes.
- B. Energy imbalance causes changes that can initiate chronic illness preceding pathological changes.
- C. Pathological changes in tissue leads to energy imbalances that precede chronic illnesses.
- D. The mind and body must be in balance or pathological changes will occur.
Correct Answer: B
Rationale: Eastern medicine and CAM view energy imbalances as initiating changes that can lead to chronic illness before pathological changes occur (B).
Which conditions could cause massage to be contraindicated for a patient?
- A. A history of blood clots
- B. Older than 80 years
- C. Certain heart conditions
- D. Taking medications to lower cholesterol
- E. Osteoporosis
Correct Answer: A,C,E
Rationale: Massage is contraindicated in conditions like blood clots (A), certain heart conditions (C), and osteoporosis (E) due to risks of complications like dislodging clots or causing fractures.
A person with a tight, sore neck and headaches might use which of these CAM choices for relief?
- A. Echinacea
- B. Chiropractic
- C. Biofeedback
- D. Phytonutrients
- E. Massage therapy
- F. Acupuncture/acupressure
- G. Relaxation therapy and imagery
Correct Answer: B,E,F,G
Rationale: Chiropractic (B), massage therapy (E), acupuncture/acupressure (F), and relaxation therapy (G) are CAM methods effective for relieving neck pain and headaches.
Which is true of alternative medicine and complementary medicine?
- A. They mean the same thing and are simply different than conventional treatment.
- B. They cost more than traditional medicine but may be more effective.
- C. Access to these medicines is limited, so few people can use them.
- D. Alternative medicine is used instead of complementary medicine.
- E. Complementary medicine is used with traditional medicine.
- F. Both 4 and 5.
Correct Answer: E
Rationale: Complementary medicine (E) is used alongside traditional medicine, while alternative medicine is used instead of it.