FELLOWSHIP STUDY GUIDE - University of Arizona · FELLOWSHIP STUDY GUIDE 2015 Fall Final Exam In...
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FELLOWSHIP STUDY GUIDE 2015 Fall Final Exam
In order to help you prepare for your final exam, we have created this study guide so that you can focus on those areas that we consider most important. Please make sure that you review relevant areas of content. Examples in parenthesis should not be considered exhaustive.
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Nutrition Foundations: Understanding Fats; Diet & Meal Patterns; Clinical Applications: Carbohydrates
U2: The Anti-Inflammatory Diet: Introduction; AI Diet as an Eating Pattern U11: Introduction to Integrative Neurology: Psycho-neuroimmunology; Food Chemicals in the Brain
Review: U2: Nutrition Foundations: Understanding Carbohydrates U7: Nutrition & Cardiovascular Health: Introduction U7: Integrative Cardiology: Dyslipidemia
U7: Integrative Diabetes Care: Treatment U8: Integrative Gastroenterology: IBS
Nutrition Mediterranean Diet
Understand key components of Mediterranean diet Be familiar with the evidence for health benefits of Mediterranean diet
DASH Diet
Understand key components of DASH diet Be familiar with the evidence for health benefits of DASH diet
Anti-inflammatory Diet
Understand key components of AI diet (plant based, low glycemic load/avoid most processed foods, limit saturated fats) Be familiar with the evidence for health benefits of AI diet
Understand the role of inflammation in chronic disease and the relationship between carbohydrates and inflammation
Be familiar with glycemic index/load and relationship to inflammation, CRP and insulin resistance, and neurological conditions (autism, Tourette syndrome, epilepsy)
Fiber
Understand differences between soluble and insoluble fiber Understand health benefits of dietary fiber (blood glucose, heart disease, constipation, diarrhea, and IBS) Recommended amount of dietary fiber in diet (generally 14 grams per 1000 calories)
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Nutrition Foundations: Understanding Fats U2: Nutrition Foundations: Diet & Meal Patterns U2: Micronutrients & Supplements: Omega-3 Fatty Acids U3: Intro to Integrative Mental Health: Depression U7: Nutrition & Cardiovascular Health: Introduction U7: Nutrition & Cardiovascular Health: Nutritional Approaches U7: Integrative Cardiology: Dyslipidemia U10: Introduction to Integrative Oncology
Review: U2: Nutrition Foundations: Potential Superfoods
Review: U2: Nutrition Foundations: Phytochemicals U2: Nutrition Foundations: Clinical Applications: Proteins U4: Integrative Rheumatology: Integrative Care for Osteoarthritis U9: Integrative Women’s Health: Menopause U9: Integrative Women’s Health: Osteoporosis U10: Breast Cancer: Prevention
Understand the role of fat in prevention and cause of a range of diseases: Health benefits of monounsaturated and polyunsaturated fats (impact on cholesterol, heart
disease, insulin) Omega 3 fatty acids in mental health (adjuvant treatment in bipolar disorder) Omega 3 fatty acids in cardiovascular health (reduce mortality, sudden cardiac death) Omega 3 fatty acids in cancer (may reduce risk of colon and prostate) Omega 3 fatty acids for rheumatoid arthritis Omega 3 fatty acids for pregnancy Ratio of omega 6 to omega 3 fatty acids in typical American diet (optimal ratio not known – but
likely somewhere around 4-6:1) Understand dose ranges commonly recommended for EPA/DHA for the above conditions Understand key differences between alpha linolenic acid found in plants and EPA/DHA in fish Be familiar with key benefits and uses for flaxseed
Cruciferous vegetables
Understand potential health benefits of indole-3-carbinol/DIM and proposed mechanism of action (Breast Cancer) Dose of indole-3-carbinol (400 mg) and recommended servings of cruciferous vegetables Be able to identify cruciferous vegetables
Soy/Isoflavones
Understand metabolism of soy to metabolites (daidzin, daidzein, equol) Describe what is meant by the term phytoestrogen Describe potential relationship between soy and health (heart disease, prostate cancer, osteoarthritis and women's health) Understand current dietary recommendations for soy consumption
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Nutrition Foundations: Potential "Super" foods U10: Prostate Cancer: Prevention
Review: U2: Micronutrients & Supplements U2: Nutrition Foundations U10: Prostate Cancer: Prevention U10: Breast Cancer: Prevention U10: Introduction to Integrative Oncology
Review: U7: Integrative Diabetes Care: Treatment
Review: U2: Micronutrients & Supplements: Melatonin U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health U10: Introduction to Integrative Oncology: Introduction
Lycopene Describe dietary sources of lycopene Understand differences in bioavailability for cooked and raw tomatoes Be familiar with possible relationship between lycopene and cancer
Nutrition and Cancer Be able to discuss the key non-dietary risk factors for cancer (e.g., lack of physical activity, obesity, tobacco use, and UV exposure) Be familiar with risks/benefits of macronutrients in cancer prevention (e.g., fats, proteins, fiber) Describe the evidence of risk/benefit of dietary components on breast cancer (e.g., cruciferous vegetables, soy, alcohol, fiber, omega-3 fatty acids) Describe the evidence of risk/benefit of dietary components on colon cancer (.e.g., fats, fiber, calcium, vitamin D, red/processed meat, alcohol) Describe the evidence of risk/benefit of dietary components on prostate cancer (e.g., lycopene, green tea, dairy/calcium, flax, soy, turmeric, pomegranate)
Micronutrients & Dietary Supplements Alpha linolenic acid
Be familiar with its use in treatment of neuropathy, particularly diabetic neuropathy Dose range (600-1800 mg/d) and routes of administration (more evidence for IV administration)
Antioxidants
Be familiar with key antioxidants and role in human health (selenium, lycopene, melatonin)
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Micronutrients & Supplements: Calcium U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U7: Nutrition & Cardiovascular Health: Nutritional Approaches U8: Integrative Gastroenterology: GERD U9: Integrative Women's Health: Pregnancy, Osteoporosis, PMS/PMDD U10: Introduction to Integrative Oncology: Introduction to Integrative Oncology
Review:U7: Integrative Diabetes Care: Treatment
Review: U7: Integrative Diabetes Care: Treatment
Review: U2: Micronutrients & Supplements: Copper
Beta Sitosterol Be familiar with its use in Benign Prostatic Hyperplasia and LDL levels
Calcium
Understand key forms of calcium and pros/cons (citrate, carbonate) Describe dietary sources of calcium Consequences of calcium deficiency and excess (kidney stones, CV, prostate) Role of calcium in health (bones, PMS, cancer, cardiovascular disease) Role in treatment of osteopenia
Chromium
Be familiar with its use in diabetes Dose range and preferred form (picolinate) (effective doses likely 600-1000 mcg per day)
Copper
Role of copper in health
Folate
Be familiar with folate and health (pregnancy, mental health, neurologic disease, cancer) Consequences of folate deficiency Be familiar with potential interaction of folic acid and medication (anti-depressants, methotrexate, phenytoin) Dose ranges for folic acid, food sources of folate
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Micronutrients & Supplements: Magnesium U2: Nutrition Foundations: Phytochemicals U7: Integrative Cardiology: Hypertension U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health U7: Integrative Diabetes Care: Treatment U9: Integrative Women’s Health: PMS/PMDD U11: Intro to Integrative Neurology: Key Supplements
Review: U2: Micronutrients & Supplements: Folate U3: Intro to Integrative Mental Health: Depression U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U7: Integrative Cardiology: Coronary Heart Disease U8: Integrative Gastroenterology: Inflammatory Bowel Disease (IBD); GERD; Celiac Disease; Chronic Liver Disease U9: Integrative Women’s Health: Pregnancy U11: Introduction to Integrative Neurology: Key Supplements
Review: U2: Micronutrients & Supplements: Glucosamine & Chondroitin U4: Integrative Rheumatology: Integrative Care for Osteoarthritis
Review: U2: Micronutrients & Supplements: Vitamin EU3: Introduction to Integrative Mental Health: Depression
Glucosamine & Chondroitin
Be familiar with sources for glucosamine and chondroitin used in supplements
Be familiar with scientific studies of glucosamine and chondroitin in osteoarthritis and back pain
Be familiar with possible adverse effects, or lack of, with supplement use
Dose range (typically 1500 mg/d glucosamine and 1200 mg/d chondroitin) Manganese
Role of manganese in health Magnesium
Dietary sources for magnesium Signs of magnesium deficiency Role of magnesium in health (diabetes, cardiovascular disease, menstrual cramps, migraines, epilepsy) and potential adverse side effects Cautions with magnesium supplementation (renal disease, diarrhea)
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Micronutrients & Supplements: Melatonin U10: Intro to Integrative Oncology: Integrative Oncology
Review: U2: Micronutrients & Supplements: Probiotics U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U8: Integrative Respiratory Health: Acute Conditions U8: Integrative Gastroenterology: IBD; IBS; Chronic Liver Disease U8: Integrative Dermatology: Atopic Dermatitis: An Integrative Approach U11: Introduction to Integrative Neurology: Key Supplements
Review: U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health U7: Integrative Cardiology: Dyslipidemia
Review: U2: Micronutrients & Supplements: SAMe U3: Intro to Integrative Mental Health: Depression U4: Integrative Rheumatology: Osteoarthritis
Melatonin Be familiar with the use of melatonin in sleep disorders Be familiar with its role as an antioxidant and as an adjuvant treatment in solid tumors Be able to discuss different dosing options (0.3 mg physiologic dose, 3-5 mg typically used as pharmacologic dose, doses of 20-60 mg sometimes used in cancer treatments)
Probiotics
Understand key benefits of probiotics and prebiotics Understand key health benefits associated with specific strains Food sources of probiotics and prebiotics
Red yeast rice
Use in cholesterol management and evidence of benefit
Quality control issues with the product (e.g., presence of citrinin, lack of standardization for monokolin, etc.) and potential risk of adverse effects (more rare but similar to statins)
SAMe
Be familiar with evidence for use in depression and osteoarthritis Describe contraindications and adverse effects (bipolar, GI side effects, insomnia) Dose range (therapeutic range typically 800-1600 mg per day)
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Micronutrients & Supplements: Vitamin A
Review: U2: Micronutrients & Supplements: Vitamin B6 U9: Integrative Women's Health: Pregnancy
Review: U2: Micronutrients & Supplements: Vitamin B12 U8: Integrative Gastroenterology: GERD
Review: U8: Integrative Dermatology: Psoriasis U9: Integrative Endocrinology: Hypothyroidism U10: Prostate Cancer: Prevention
Selenium Role of selenium in health
Vitamin A
Be familiar with forms of vitamin A (preformed, pro-vitamin A) Dietary sources of vitamin A Role of vitamin A and health (immune function, eyesight) Adverse effects linked to vitamin A (pregnancy, bone health, beta carotene in smokers) Dosing/serving size for vitamin A, lack of RDA for beta-carotene
Vitamin B6
Be familiar with use of vitamin B6 in pregnancy for nausea and vomiting RDA of vitamin B6 Role of vitamin B6 in adults
Vitamin B12
Be familiar with association of PPI
Vitamin D
Be familiar with testing for vitamin D deficiency Consequences of vitamin D deficiency (autoimmune disorders, breastfed infants) Forms of vitamin D (ergocalciferol, cholecalciferol) Role of vitamin D in health (bones, immune function, pregnancy, cancer) Upper tolerable limit
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U2: Micronutrients & Supplements: Vitamin D U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U9: Integrative Women's Health: Pregnancy U9: Integrative Women’s Health: Osteoporosis U10: Introduction to Integrative Oncology: Introduction to Integrative Oncology
Review: U9: Integrative Women’s Health: Pregnancy
Review: U2: Botanical Foundations: Botanical Medicines U9: Integrative Women’s Health: PMS/PMDD U9: Integrative Women’s Health: Menopause
Review: U8: Integrative Respiratory Health: Chronic Conditions U11: Integrative Neurology: Key Botanicals
Review: U2: Micronutrients & Supplements: Zinc
Zinc Role of Zinc in health
Botanicals/Herbs Blue cohosh
Use as a partus preparator (brings on labor) Potential risk of significant adverse effects if used in pregnancy
Chastetree/Chaste Berry/Vitex Agnus Castus
Be familiar with use in PMS Approval by German Commission E (PMS, irregular menstruation, mastalgia)
Chinese skullcap
Be familiar with its use as an anti-inflammatory in respiratory disease Be familiar with its physiologic actions
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U2: Botanical Foundations: Botanical Medicines U4: Integrative Rheumatology: Introduction to Integrative Rheumatology U4: Integrative Rheumatology: Integrative Care for Osteoarthritis
Review:
U2: Botanical Foundations: Botanical Medicines; Herbal Actions U8: Integrative Respiratory Health: Acute Conditions
Review: U9: Integrative Women's Health: All modules
Review: U2: Botanical Foundations: Herbal Actions
Review: U2: Botanical Foundations: Herbal Actions U2: Botanical Foundations: Botanical Medicines
Devil's Claw Be familiar with its use in osteoarthritis and back pain Caution in those with peptic ulcer disease, strong bitter Be familiar with its physiologic actions
Dong quai
Be familiar with its physiologic actions
Echinacea
Be familiar with evidence for some preparations to reduce frequency and duration of UR Be familiar with potential adverse effects (most common is allergic reaction in patients with atopy) Be familiar with its physiologic effects
Eucalyptus Be familiar with its physiologic actions
Evening Primrose Oil
Be familiar with its physiologic actions
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Botanical Foundations: Botanical Medicines U7: Integrative Cardiology: Dyslipidemia U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health
Review: U2: Botanical Foundations: Botanical Medicines U4: Integrative Rheumatology: Introduction U9: Integrative Women’s Health: Pregnancy
Review: U2: Botanical Foundations: Botanical Medicines
Review: U7: Nutrition & CVH: Nutritional Approaches to CVH
Review: U2: Botanical Foundations: Botanical Medicines
Garlic Describe purported health benefits of garlic (mild blood-pressure lowering activity, Allium vegetables may reduce risk of colorectal cancer) Understand key differences between raw and cooked garlic (raw is superior to cooked)
Gingko
Be familiar with its physiologic actions
Ginger
Be familiar with the evidence for ginger in nausea and vomiting of pregnancy, motion sickness, and chemotherapy related nausea Be familiar with the anti-inflammatory effects of ginger and its use in osteoarthritis Be familiar with the dose range for pregnancy and the doses commonly used in arthritis
Goldenseal
Be familiar with its physiologic effects
Hibiscus
Be familiar with effects on blood pressure
FELLOWSHIP STUDY GUIDE 2015 Final Exam
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Review: U2: Botanical Foundations: Botanical Medicines U9: Integrative Women's Health: Menopause
Review: U2: Botanical Foundations: Botanical Medicines U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U8: Integrative Gastroenterology: Introduction U8: Integrative Gastroenterology: Inflammatory Bowel Disease U8: Integrative Respiratory Health: Chronic Conditions
Review: U3: Introduction to Integrative Mental Health: Anxiety U9: Integrative Endocrinology: Thyrotoxicosis U11: Introduction to Integrative Neurology: Key Botanicals
Review: U2: Botanical Foundations: Herbal Actions
Review: U2: Botanical Foundations: Herbal Actions U2: Botanical Foundations: Botanical Medicines
Kava Be familiar with the side effects (liver toxicity)
Lemon balm
Be familiar with its role in health
Licorice Describe key uses of licorice (anti-inflammatory, expectorant, demulcent, GERD, Cushing’s disease) Mechanism of action and effect on cortisol level Understand differences between DGL and licorice root Adverse effects (hypertension, hypokalemia)
Nettle leaf
Be familiar with its role in health
Panax Ginseng
Be familiar with its physiologic effects and potential adverse effects
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U8: Integrative Respiratory Health: Acute Conditions U8: Integrative Gastroenterology: Irritable Bowel Syndrome (IBS)
Review: U2: Botanical Foundations: Botanical Medicines U2: Botanical Foundations: Safety & Ethical Issues U3: Intro to Integrative Mental Health: Depression
Review: U2: Botanical Foundations: Herbal Actions
Review: U2: Botanical Foundations: Herbal Actions
Review: U2: Botanical Foundations: Herbal Actions U2: Botanical Foundations: Botanical Medicines
Peppermint Describe the mechanism of action of peppermint oil capsules (enteric coated) in IBS Be familiar with the use of peppermint for coughs and colds Be familiar with potential adverse effects of peppermint (GERD, peppermint essential oil on face of babies/young children, anal burning with peppermint oil capsules) Dose for enteric coated peppermint oil capsules
Slippery Elm
Be familiar with its physiologic properties
St. John's wort Be familiar with clinical trials for depression Be familiar with adverse effects, principally herb-drug interactions Know dose range and what compounds are standardized in extracts (standardized extracts typically 0.3% hypericin and/or 3-5% hyperforin. Dose is 900-1500 mg per day)
Thyme
Be familiar with its physiologic properties
Turmeric
Be familiar with the physiologic actions of turmeric and its primary phytochemical curcumin
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U2: Botanical Foundations: Botanical Medicines U2: Botanical Foundations: Safety & Ethical Issues U3: Intro to Integrative Mental Health: Anxiety U3: Sleep Health: Case Study: Insomnia
Review: U2: Botanical Foundations: Herbal Preparations
Review: U3: Mind-Body Medicine: Modalities Overview; Stress & Health; Meditation and Mindfulness; Pediatric Mind-Body Medicine
Valerian Be familiar with its use as a mild over-the-counter sleep aid Relatively good safety profile Be familiar with its physiologic actions
Herbal Preparations
Know different types of extracts, strengths/ratios (be able to define what is meant by a 1:3 or 1:5 ratio of herb/solvent - i.e., 1:5 ratio means 1000 mg or 1 gram for every 5 ml of tincture) Know the major differences between water, vegetable glycerine, and alcohol as solvents Be a competent label reader of botanical products Be familiar with most common herb-drug interactions (these are reviewed above under botanicals)
Mind-Body
Techniques and efficacy research for a variety of conditions Techniques and pediatric care Familiarize with pros and cons of clinical hypnosis
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U3: Introduction to Integrative Mental Health: Anxiety U3: Introduction to Integrative Mental Health: Depression
Review: U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health U7: Integrative Cardiology: Dyslipidemia
Review: U2: Nutrition Foundations: Diet & Meal Patterns U7: Integrative Cardiology: Hypertension U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health
Review: U2: Nutrition Foundations: Fats U7: Nutrition & CVH: Introduction to Nutrition & Cardiovascular Health U7: Integrative Cardiology: Coronary Heart Disease
Review: U7: Integrative Diabetes Care: Treatment
Integrative Treatment/Prevention Depression & Anxiety
Be familiar with dietary supplements commonly used in the treatment of anxiety and depression (e.g., L-theanine, inositol, rhodiola, SAMe, B-vitamins, omega-3 fatty acids, St. John’s wort) Be familiar with medical conditions and nutrient deficiencies that can mimic or contribute to depression (e.g., tertiary syphilis, heavy metal toxicity, hypothyroidism, folate, B12) Be familiar with dietary supplements and medical conditions that can mimic or cause anxiety (e.g., pheochromocytoma, hyperthyroidism, cardiac arrhythmia, caffeinated drinks including guarana, yerba mate) Be familiar with the evidence for integrative approaches to the management of anxiety and depression (e.g., mind-body techniques, pharmacotherapy, energy medicine, TCM, etc.)
Dyslipidemia
Key dietary interventions and relevant supplements
Hypertension Key dietary interventions and relevant supplements
Coronary Heart Disease Key dietary interventions and relevant supplements
Diabetes Key dietary interventions and relevant supplements
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U8: Integrative Gastroenterology: Celiac Disease
Review: U8: Integrative Gastroenterology: IBD; IBS; Celiac Disease
Review: U2: Micronutrients & Supplements: Glucosamine & ChondroitinU4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U4: Integrative Rheumatology: Integrative Care for Osteoarthritis
Review: U2: Micronutrients & Supplements: Calcium, Vitamin D U2: Nutrition Foundations
Review: U10: Intro to Integrative Oncology: Integrative Oncology U10: Prostate Cancer: An Integrative Approach U10: Breast Cancer: An Integrative Approach
Celiac Disease Be familiar with key sources of dietary gluten Be able to identify the diagnostic tests used in diagnosis of celiac disease
IBS Be familiar with the role of supplements (enteric coated peppermint oil, soluble fiber), mind-body approaches, and the mechanism of action
Rheumatic conditions (Rheumatoid arthritis and Osteoarthritis)
Anti-inflammatory diet and key supplements
Colon cancer
Be familiar with possible risks (family history, high folate, processed meats) and possible risk reduction (vitamin D, calcium, fiber)
Chemo-induced neuropathy
Be familiar with the use of glutamine and to a lesser degree alpha-lipoic acid Chemo-induced nausea
Be familiar with the use of ginger, acupuncture, and prescription medications Cancer prevention
Be familiar with guidelines regarding cancer prevention (no smoking, healthy weight, exercise, limit alcohol)
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U9: Integrative Women's Health: Infertility: PCOS; Pregnancy; Menopause
Review: U9: Integrative Men's Health: Benign Prostatic Hyperplasia, Erectile Dysfunction, Male Menopause
Review: U11: Introduction to Integrative Neurology: All Modules
Hot Flashes Be familiar with treatment approaches for menopause and men with hot flashes secondary to prostate cancer treatment
PCOS/Infertility
Role of mind-body medicine in fertility Role of insulin resistance in PCOS Possible treatment approaches (diet, exercise, metformin, OCP)
Pregnancy Be familiar with treatment approaches for morning sickness (ginger, acupuncture/acupressure, dietary supplements) Know botanical/herbs that are not recommended during pregnancy
Benign Prostatic Hyperplasia
Be familiar with dietary supplements typically used: saw palmetto, pygeum, rye grass pollen and beta-sitosterol
Erectile Dysfunction
Be familiar with primary integrative therapies (e.g., pharmaceutical, botanical, mind-body and lifestyle) Pros and cons of testosterone replacement
Neurological Conditions
Be familiar with food chemicals that may influence neurological development or behavior (e.g., monosodium glutamate, aspartame, dyes and preservatives) Be able to define excitotoxicity and provide examples of excitotoxins Be able to describe the key role for omega 3 fatty acids, zinc, magnesium, B-vitamins, and iron in neurological health Be able to describe the difference between nervine tonics, relaxants, and stimulants and an example of each
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U9: Environmental Medicine: Taking an Environmental Medicine History; Land; Air
Review: U3: Integrative Sleep Health: Case Study: Insomnia
Review: U9: Integrative Endocrinology: Multiple Modules
Environmentally Influenced Illness Be familiar with key components of an environmental history, including populations who are most at risk for environmental exposures Be able to define and identify key classes of endocrine disruptors and how to reduce exposure (e.g., BPA, phthalates, flame retardants) Be able to identify key strategies for reducing exposure to air pollutants in high risk populations
Insomnia and Sleep Health
Be familiar with clinical recommendations for patients with insomnia Be able to identify factors associated with a healthy sleep environment
Thyroid Disorders Be familiar with the role of iodine in thyroid health and disease and recommended daily intake Be familiar with the role of selenium in autoimmune thyroiditis and postpartum thyroiditis Be able to identify with the role of T4 and T3 replacement in hypothyroidism
Autoimmune thyroiditis
Be familiar with supplements used
Adrenal Health
Be familiar with the distinction between adrenal insufficiency and adrenal fatigue Be able to describe the adverse consequences of persistent stress on the neuroendocrine system Be able to discuss the role of exercise, mind-body therapies, bright light therapy and supplements in HPA axis dysfunction
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Review: U4: Manual Medicine: Introduction; Massage Therapy; Osteopathy
Review: U6: Whole Systems Introduction: Introduction to Ayurveda
Review: U6: Whole Systems Introduction: Introduction to Traditional Chinese Medicine U10: Intro to Integrative Oncology: Introduction
Review: U5: Legal Issues
Manual Medicine Be familiar with basic history of massage (widespread around world since ancient times) and prevalence of use today (one of most widely used CAM modalities) Physiologic effects of massage therapy Know the five basic techniques of Swedish massage Strain-counterstrain technique (what it is, when it is used, how it is used)
Whole Systems Ayurveda
Understand the basics about the three doshas and what characteristics they are associated with Know the terms: dhatu, panchakarma, agni
Traditional Chinese Medicine Understand the philosophical basis and meanings of yin & yang, qi, and the meridians Be able to identify a variety of treatment approaches used in TCM (herbal medicine, acupuncture, moxibustion, diet) Research showing benefit of acupuncture for a variety of conditions, including cancer Potential contraindications for acupuncture (neutropenia, thrombocytopenia)
Legal Understand Medicare’s Opt Out program Understand physician liability and informed consent
FELLOWSHIP STUDY GUIDE 2015 Final Exam
All rights reserved © Arizona Board of Regents
Some of the following lectures may be helpful to review:
Top Selling Botanical Medicines with Tieraona Low Dog
U2: Botanical Foundations: Botanical Medicines
Diabetes: Kitchen Preps with Tieraona Low Dog
U7: Integrative Diabetes Care: Treatment
GI Health Botanical lectures with Tieraona Low Dog
U8: Integrative Gastroenterology: Chronic Liver Disease U8: Integrative Gastroenterology: IBD U8: Integrative Gastroenterology: IBS
Sleep Recommendations with Rubin Naiman U3: Integrative Sleep Health: Case Study: Insomnia