MOC EXAM
Select the best answer. Kindly write your answer in a separate sheet of paper. Encode your answers at the submission form found at the end of test questions.
A 51 y/o female presents to your office with a recent diagnosis of breast cancer. Her BMI is 37.4. Which of the following three guidelines would you tell her are MOST important to increase her odds of successful response to treatment?
a) Eat 3 cups of dark green leafy veggies daily, eliminate red and processed meats, walk vigorously at least 5 days/week
b) Eat 1 cup of berries daily, eat 3 cups of dark green leafy veggies daily, eliminate cheese
c) Lose 20 kg (44 lbs) of weight, walk vigorously at least 5 days/week, eliminate alcohol
d) Eliminate cheese, eat 1 cup of legumes daily, eliminated red and processed meats
a) Eat 3 cups of dark green leafy veggies daily, eliminate red and processed meats, walk vigorously at least 5 days/week
b) Eat 1 cup of berries daily, eat 3 cups of dark green leafy veggies daily, eliminate cheese
c) Lose 20 kg (44 lbs) of weight, walk vigorously at least 5 days/week, eliminate alcohol
d) Eliminate cheese, eat 1 cup of legumes daily, eliminated red and processed meats
The Emphasis on behavioral interventions and social/relationships is one of the LM intervention modalities which also includes the following except for one.
a) Stress management/emotional wellness
b) Sleep
c) The use of Electronic Medical records (EMR)
d) None of the above
a) Stress management/emotional wellness
b) Sleep
c) The use of Electronic Medical records (EMR)
d) None of the above
The Definition of Lifestyle Medicine set by the Consensus Panel
a) The use of lifestyle interventions in the treatment and management of disease and the application of medical, behavioral, motivational, and environmental principles to the management of lifestyle related health problems in a clinical setting including self-care and self-management.
b) Evidence-based practice of helping individuals and families adopt and sustain healthy behaviors that affect health and quality of life
c) Both A and B are correct
d) None of the above is correct
a) The use of lifestyle interventions in the treatment and management of disease and the application of medical, behavioral, motivational, and environmental principles to the management of lifestyle related health problems in a clinical setting including self-care and self-management.
b) Evidence-based practice of helping individuals and families adopt and sustain healthy behaviors that affect health and quality of life
c) Both A and B are correct
d) None of the above is correct
When you try to establish nutrition assessment in the patients, a food diary is best asked, which would you most likely consider to effectively extract relevant information?
a) 24 hour food diary
b) 7 days food diary
c) 2 week food diary
d) At least 30 day food diary
a) 24 hour food diary
b) 7 days food diary
c) 2 week food diary
d) At least 30 day food diary
A patient who have been visiting your center for a smoking cessation program have successfully overcame smoking and was able to quit. However, as the patient repeatedly see her friends smoking, she eventually went into relapse and went smoking again. What would be your best advise?
a) Assess potential triggers and lapses
b) Advice patient to start the program all over again and be more diligent and dedicated
c) Refer patient to s psychologist for assessment
d) Both selection A & B are correct
a) Assess potential triggers and lapses
b) Advice patient to start the program all over again and be more diligent and dedicated
c) Refer patient to s psychologist for assessment
d) Both selection A & B are correct
CASE for Questions 6-8
A 65 year old Asian female patient presents with BMI of 28 and persistent right knee pain. She reports that her last doctor told her that her weight was aggravating the knee pain. But she says that she is really stressed right now and needs her comfort food, especially her ice cream snack at night. You acknowledge her stress and ask her whether she has considered increasing her physical activity level. She says she has been walking a couple of times a week with a friend, but quit due to the knee pain and would like to start again.
What is her stage of change / readiness level for increasing her walking?
a) Precontemplation
b) Contemplation
c) Preparation
d) Action
e) Maintenance
A 65 year old Asian female patient presents with BMI of 28 and persistent right knee pain. She reports that her last doctor told her that her weight was aggravating the knee pain. But she says that she is really stressed right now and needs her comfort food, especially her ice cream snack at night. You acknowledge her stress and ask her whether she has considered increasing her physical activity level. She says she has been walking a couple of times a week with a friend, but quit due to the knee pain and would like to start again.
What is her stage of change / readiness level for increasing her walking?
a) Precontemplation
b) Contemplation
c) Preparation
d) Action
e) Maintenance
What is her stage of change / readiness level for decreasing her ice cream snack?
a) Precontemplation
b) Contemplation
c) Preparation
d) Action
e) Maintenance
a) Precontemplation
b) Contemplation
c) Preparation
d) Action
e) Maintenance
What kind of exercise would you likely advice as best option in patient’s case?
a) 75 minutes vigorous activity in a week
b) 150 minutes moderate activity in a week
c) Structured exercise in the pool
d) Stationary or seated exercises
a) 75 minutes vigorous activity in a week
b) 150 minutes moderate activity in a week
c) Structured exercise in the pool
d) Stationary or seated exercises
When trying to understand processed food, which ONE of the following is correct?
a) Currently the average diet in the USA consists of 60% ultra processed foods and an additional 15% moderately processed foods.
b) A food that has small amounts of it removed (ie, mashed potatoes with no added ingredients but the skin is removed) is considered slightly processed.
c) A food that has added ingredients is considered ultra processed (ie, mashed potatoes with the skin included but margarine, salt, pepper and chives are added)
d) Any food that has monosodium glutamate in it is by definition moderately processed
a) Currently the average diet in the USA consists of 60% ultra processed foods and an additional 15% moderately processed foods.
b) A food that has small amounts of it removed (ie, mashed potatoes with no added ingredients but the skin is removed) is considered slightly processed.
c) A food that has added ingredients is considered ultra processed (ie, mashed potatoes with the skin included but margarine, salt, pepper and chives are added)
d) Any food that has monosodium glutamate in it is by definition moderately processed
Several types of cancer is found to be closely associated to sleep deprivation including which of the following?
a) Breast cancer and Endometrial cancer
b) Prostate cancer and colorectal cancer
c) Both selection A & B are correct
d) None of the above
a) Breast cancer and Endometrial cancer
b) Prostate cancer and colorectal cancer
c) Both selection A & B are correct
d) None of the above
Assessment and facilitating behavioral change is a vital component in handling patients which includes the following:
a) Readiness assessment and identifying population’s literacy level and cultural background
b) Review responses in advance visit and verbally reassess patient readiness level for behavior change
c) Both selection A & B are correct
d) None of the above
a) Readiness assessment and identifying population’s literacy level and cultural background
b) Review responses in advance visit and verbally reassess patient readiness level for behavior change
c) Both selection A & B are correct
d) None of the above
In the absence of Diabetes risk factors, testing for diabetes should begin at what age?
a) 40 years old and repeated at 3 year interval
b) 45 years old
c) 30 years old
d) 35 years old and repeated at 3 year interval
a) 40 years old and repeated at 3 year interval
b) 45 years old
c) 30 years old
d) 35 years old and repeated at 3 year interval
A 42 y/o female patient with a BMI of 32 visited a lifestyle center for weight loss program but is not losing weight, what would be your best advice?
a) Inform the patient that she might not be following the guidelines
b) She may try other exercises focusing on major muscle groups
c) Tell patient that sometimes it takes up to 6 months to see results
d) None of the above is correct
a) Inform the patient that she might not be following the guidelines
b) She may try other exercises focusing on major muscle groups
c) Tell patient that sometimes it takes up to 6 months to see results
d) None of the above is correct
In assessing patients, the waist circumference is basically measured and monitored. What would be considered normal in the selections?
a) The reference is at the level of the umbilicus
b) For males it should be less than or equal to 35 inches at the iliac crest
c) For males it should be less than or equal to 41 inches at the level of umbilicus
d) None of the selections is correct
a) The reference is at the level of the umbilicus
b) For males it should be less than or equal to 35 inches at the iliac crest
c) For males it should be less than or equal to 41 inches at the level of umbilicus
d) None of the selections is correct
Eating “plant based” has value for individual health, as well as for the environment. The definition of “plant based” is which of the following:
a) More calories come from plant based foods than from animal based foods
b) No dairy, eggs, fish, fowl, red meat or any other animal product
c) Five percent or less of calories come from dairy, eggs or meat
d) No red meat, limit fowl to small amounts, eat only organic/free range fowl and fish
a) More calories come from plant based foods than from animal based foods
b) No dairy, eggs, fish, fowl, red meat or any other animal product
c) Five percent or less of calories come from dairy, eggs or meat
d) No red meat, limit fowl to small amounts, eat only organic/free range fowl and fish
As you work with a patient who wanted to manage his weight, how many calories/day would you recommend to cut to lose 1 lb/week?
a) 300 calories
b) 500 calories
c) 700 calories
d) 900 calories
a) 300 calories
b) 500 calories
c) 700 calories
d) 900 calories
How would you advise a lady who has an average consumption of 4 cans of soda in a day using SMART prescription
a) Smart, Measurable, Affordable, Realistic, Time connected
b) Smart, Meaningful, Achievable, Relevant, Time connected
c) Specific, Measurable, Achievable, Realistic, Time connected
d) Smart, Measurable, Attainable, Relevant, Totally complete
a) Smart, Measurable, Affordable, Realistic, Time connected
b) Smart, Meaningful, Achievable, Relevant, Time connected
c) Specific, Measurable, Achievable, Realistic, Time connected
d) Smart, Measurable, Attainable, Relevant, Totally complete
How would you like to advice an obese patient who is confused on which clinic to visit
a) Find a psychologist
b) Find an exercise physiologist
c) Find a Lifestyle medicine center
d) Find an internist to who can help
a) Find a psychologist
b) Find an exercise physiologist
c) Find a Lifestyle medicine center
d) Find an internist to who can help
What could be included in the Lifestyle Vital signs
a) Weight
b) Height
c) Waist circumference
d) All of the above
a) Weight
b) Height
c) Waist circumference
d) All of the above
Studies have shown that counseling to quit smoking can be done in different methods. Which of the following statement is/are true?
a) Telephone quit line counseling is effective as in person
b) In person counseling cannot be replaced by counseling over the telephone
c) Telephone quit line counseling is always inferior to In person counseling and should never be considered
d) All of the above
a) Telephone quit line counseling is effective as in person
b) In person counseling cannot be replaced by counseling over the telephone
c) Telephone quit line counseling is always inferior to In person counseling and should never be considered
d) All of the above
ACE (Adverse Childhood Events) scoring is usually elicited as necessary approach to patients having indications and this includes _________
a) Substance abuse
b) Mother treated violently
c) incarceration
d) All of the above
a) Substance abuse
b) Mother treated violently
c) incarceration
d) All of the above
USPSTF recommends physician counseling and screening for tobacco use as_______
a) Grade A
b) Grade B
c) Grade c
d) Grade D
a) Grade A
b) Grade B
c) Grade c
d) Grade D
What does ITLC (Intensive Therapeutic Lifestyle Change) means?
a) Evidence based multi-modality approach to disease treatment
b) Usually run for 8 or more sessions
c) Should not be less than 10 days in Duration
d) All of the above
a) Evidence based multi-modality approach to disease treatment
b) Usually run for 8 or more sessions
c) Should not be less than 10 days in Duration
d) All of the above
In a study conducted in prostate cancer patients who have underwent ITLC, what remarkable improvement was noted?
a) Increased blood circulation
b) Increased happiness among participants
c) Genes recognized as cancer-fighting were up-regulated
d) None of the above
a) Increased blood circulation
b) Increased happiness among participants
c) Genes recognized as cancer-fighting were up-regulated
d) None of the above
A patient who is previously obese with a BMI of 31, blood pressure 130/80 mmHg has changed his lifestyle having more plant-based diet and regular physical activity. He visited your clinic after a year and have shown a remarkable improvement with BMI of 23.8. What would you expect with the basal metabolic rate?
a) Increase
b) decrease
c) remain the same
d) initial decrease and then increase
a) Increase
b) decrease
c) remain the same
d) initial decrease and then increase
How much percentage of weight loss would you highly recommend a patient who is obese, having a BMI of 36 with co-morbidities?
a) Even modest weight loss of 3-5% can result in meaningful benefit
b) A goal of more than 5% weight loss
c) More than 10% weight loss
d) 15-20% weight loss
a) Even modest weight loss of 3-5% can result in meaningful benefit
b) A goal of more than 5% weight loss
c) More than 10% weight loss
d) 15-20% weight loss
A patient came for consult due to having a hard time initiating sleep. He usually drinks alcohol 2 hours before bedtime and eat a usual high carbohydrate diet for breakfast. What would be your best advice?
a) Do not take caffeine
b) Take a high carbohydrate dinner
c) Do not drink alcohol at bedtime
d) All of the above
a) Do not take caffeine
b) Take a high carbohydrate dinner
c) Do not drink alcohol at bedtime
d) All of the above
Best result of treating Tobacco addiction is the combination of?
a) Varecline and Nicotine inhaler
b) Nortriptyline and nicotine patch
c) Varecline and Bupropion
d) Bupropion and Nicotine patch
a) Varecline and Nicotine inhaler
b) Nortriptyline and nicotine patch
c) Varecline and Bupropion
d) Bupropion and Nicotine patch
What does MBSR mean?
a) Motivational Based Stress Recovery
b) Mindfulness and Balance Stress Reduction
c) Motivational Based Stress Reduction
d) Mindfulness Based Stress Reduction
a) Motivational Based Stress Recovery
b) Mindfulness and Balance Stress Reduction
c) Motivational Based Stress Reduction
d) Mindfulness Based Stress Reduction
In dealing with patients using a coach hat, what do we mean with Step 3 Tame Frenzy?
a) Negative emotions
b) Self compassion
c) Name your frenzy (gently stop and name emotion)
d) Accept your frenzy (acknowledge, stop evaluating and stop judging)
a) Negative emotions
b) Self compassion
c) Name your frenzy (gently stop and name emotion)
d) Accept your frenzy (acknowledge, stop evaluating and stop judging)
A patient with AUD came to your clinic for consult. As you are extracting history you were able to establish that the patient is repeatedly drinking over limits, continuous desire to drink and craving. You also noted interpersonal problems, role failure and giving up on non-drinking activities. What would you classify the patient?
a) No AUD
b) Mild AUD
c) Moderate AUD
d) Severe AUD
A patient who is always sleepy in the morning with no other signs and symptoms came to your clinic for consult. What would you do to effectively evaluate his condition?
a) Measure the weight and calculate BMI
b) Measure the neck length
c) Ask patient is he snores
d) All of the above
a) Measure the weight and calculate BMI
b) Measure the neck length
c) Ask patient is he snores
d) All of the above
Mindfulness meditation promotes stronger connections between the pre-frontal cortex and the _____________ which is correlated with problem solving skills and modulating emotional responses.
a) Hippocampus
b) Medulla
c) Amygdala
d) Selections A & C are correct
a) Hippocampus
b) Medulla
c) Amygdala
d) Selections A & C are correct
What would be your best advice to a person who will be travelling west to get good sleep?
a) Get early evening bright light
b) Eat carbohydrate meal 2-3 hours before the new time
c) Take 1 mg of Melatonin 1 hour before the new ideal sleep time
d) All of the above
a) Get early evening bright light
b) Eat carbohydrate meal 2-3 hours before the new time
c) Take 1 mg of Melatonin 1 hour before the new ideal sleep time
d) All of the above
Burn out is a condition experienced by a worker maybe due to long hours, low pay and stress laden job. This is best characterized as____________
a) Depersonalization
b) Emotional
c) Lack of satisfaction
d) Selections A & C are correct
a) Depersonalization
b) Emotional
c) Lack of satisfaction
d) Selections A & C are correct
What is the incidence of death according to the recent data on mortality linked to smoking?
a) 1 in 3
b) 1 out of 5 in general population
c) 1 in every 2 smokers
d) Selections B & C are correct
a) 1 in 3
b) 1 out of 5 in general population
c) 1 in every 2 smokers
d) Selections B & C are correct
MBSR is usually conducted using which method?
a) 2 meetings for 1 week
b) 8 weeks session
c) 9 sessions (45 minutes daily)
d) 2 weeks
a) 2 meetings for 1 week
b) 8 weeks session
c) 9 sessions (45 minutes daily)
d) 2 weeks
Which of the following is considered an attitude of mindfulness
a) Non-judging (witnessing) and non-striving (relaxing)
b) Acknowledging, letting be, trust as self reliance
c) Beginner's mind (fresh, openness, wide-awareness, experimentation
d) All of the above
a) Non-judging (witnessing) and non-striving (relaxing)
b) Acknowledging, letting be, trust as self reliance
c) Beginner's mind (fresh, openness, wide-awareness, experimentation
d) All of the above
A patient came to you saying he is sleeping from 10:30 pm to 5:30 am, what would be your best advice?
a) Increase bright light exposure in the morning
b) Avoid exercise 2 hours before bedtime
c) Take 1 mg of Melatonin 1 hour before bedtime
d) Just continue his routine and he is doing fine
a) Increase bright light exposure in the morning
b) Avoid exercise 2 hours before bedtime
c) Take 1 mg of Melatonin 1 hour before bedtime
d) Just continue his routine and he is doing fine
A condition where drinking causes the increase of blood level of alcohol to 0.08mg/l which is approximately 5 drinks taken in 2 hours.
a) Moderate drinking
b) Severe AUD
c) Binge drinking
d) None of the above
a) Moderate drinking
b) Severe AUD
c) Binge drinking
d) None of the above
A condition when people are at work but there is evidence of being not productive
a) Burn out
b) Depersonalization
c) Self-compassion
d) Presenteeism
a) Burn out
b) Depersonalization
c) Self-compassion
d) Presenteeism
What is the main hormone secreted during sleep?
a) Melatonin
b) Cortisol
c) Grehlin
d) Selection A & C are correct
a) Melatonin
b) Cortisol
c) Grehlin
d) Selection A & C are correct
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What does the curve pointed in the figure represents in the sleep cycle?
a) Increasing cortisol b) Decreasing melatonin c) Decreasing core temperature d) Decreasing cortisol |
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What does the curve pointed in the figure represents in the sleep cycle?
a) Increasing cortisol b) Increasing core temperature c) Increasing melatonin d) Increasing Non REM sleep |
Which of the following nicotine replacement should not be given in a patient using Nicotine inhaler?
a) Varenicline
b) Nortryptiline
c) Nicotine patch
d) Selections A & C are correct
a) Varenicline
b) Nortryptiline
c) Nicotine patch
d) Selections A & C are correct
How many percentage of smokers would quit without any assistance?
a) 15%
b) 10%
c) 5%
d) 1%
a) 15%
b) 10%
c) 5%
d) 1%
Which of the following statement is not true about the benefits of physical activity
a) Improved health-related fitness
b) Decreased risk of disabling medical conditions
c) Improved control and maintenance of body weight
d) None of the above
a) Improved health-related fitness
b) Decreased risk of disabling medical conditions
c) Improved control and maintenance of body weight
d) None of the above
FOR QUESTIONS 48 & 49
A 51 year old male presents to your clinic concerned because his 53 year old brother was just diagnosed with colon cancer. This patient has been with your clinic for 3 years, and is already on a whole food (less than 20% of all calories are processed food), plant based (less than 5% of calories are animal products) diet. His BMI is 28.2. His biomarkers are all normal. You recommend that he get a colonoscopy. You also want to help him decrease his advanced glycated end product (AGE) load. To achieve this, which ONE of the following recommendations is MOST appropriate?
a) When cooking vegetables, he should steam them for 2 minutes instead of 4 minutes.
b) He should eat more protein, especially legumes.
c) He should go on a raw diet.
d) He should incorporate more fruit into his diet. Consider keeping quantities of dried fruit available for snacks and quick lunch preparation.
A 51 year old male presents to your clinic concerned because his 53 year old brother was just diagnosed with colon cancer. This patient has been with your clinic for 3 years, and is already on a whole food (less than 20% of all calories are processed food), plant based (less than 5% of calories are animal products) diet. His BMI is 28.2. His biomarkers are all normal. You recommend that he get a colonoscopy. You also want to help him decrease his advanced glycated end product (AGE) load. To achieve this, which ONE of the following recommendations is MOST appropriate?
a) When cooking vegetables, he should steam them for 2 minutes instead of 4 minutes.
b) He should eat more protein, especially legumes.
c) He should go on a raw diet.
d) He should incorporate more fruit into his diet. Consider keeping quantities of dried fruit available for snacks and quick lunch preparation.
Together you decide with the patient in QUESTION 48 that he should lose about 10 pounds. Since he is already eating very healthy foods, you focus on how he eats. Which ONE of the following recommendations is MOST appropriate.
a) He should incorporate intermittent fasting into his daily routine
b) He should institute a five day 800 calorie per day fast twice each year
c) He should eat smaller portions for each meal, and eat 4-6 times each day
d) He should begin a five day water only fast in two weeks
a) He should incorporate intermittent fasting into his daily routine
b) He should institute a five day 800 calorie per day fast twice each year
c) He should eat smaller portions for each meal, and eat 4-6 times each day
d) He should begin a five day water only fast in two weeks
Sleep deprivation is found to be associated with certain types of cancer which includes the following
a) Breast and prostate cancer
b) Endometrial and colorectal cancer
c) AML
d) All of the above
a) Breast and prostate cancer
b) Endometrial and colorectal cancer
c) AML
d) All of the above
Which advice would you best give in doing strength/resistance exercise
a) 6 set of repetitions for healthy adults
b) 1 set of 8-12 repetitions for healthy adults on each major muscle
c) 75 minutes daily strength training in any set that is most comfortable for the patient
d) Selections B & C are correct
a) 6 set of repetitions for healthy adults
b) 1 set of 8-12 repetitions for healthy adults on each major muscle
c) 75 minutes daily strength training in any set that is most comfortable for the patient
d) Selections B & C are correct
What would you most likely consider when you wear a "Coach" hat in dealing with patients?
a) Focus on and affirm the positive as much as possible
b) Look for areas to compliment and way to increase confidence in ability to change
c) Encourage focus on obstacles and setbacks to get the patient ready as they make healthy behavior change
d) All of the above
a) Focus on and affirm the positive as much as possible
b) Look for areas to compliment and way to increase confidence in ability to change
c) Encourage focus on obstacles and setbacks to get the patient ready as they make healthy behavior change
d) All of the above
After doing your regular assessment routine in a patient with Diabetes type 2, you noted a BMI of 30. What other risk factor measurement you may want to find to effectively manage the patient?
a) Physical inactivity
b) First degree relative with diabetes
c) Hypertension
d) All of the above
a) Physical inactivity
b) First degree relative with diabetes
c) Hypertension
d) All of the above
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In a given Nutritional Facts, how much % DV would the 23g protein be?
a) 20% DV b) 26% DV c) 40% DV d) 46% DV |
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In the given Nutritional Facts, how much % DV would the 4g carbohydrates be?
a) 1% b) 2 % c) 3% d) 4% |
What is the unique feature of high fructose corn syrup that makes it unhealthy source of sugar?
a) It bypasses the pathway of glucose conversion to energy
b) It is easily converted to fat
c) Increase metabolites
d) Selection A & B are correct
a) It bypasses the pathway of glucose conversion to energy
b) It is easily converted to fat
c) Increase metabolites
d) Selection A & B are correct
Using the talk test how would you say that an individual is doing high intensity activity
a) Can talk but can't sing while doing the activity
b) Can talk and sing while doing the activity
c) Can barely talk while doing the activity
d) Grasping breath while singing and doing the activity
a) Can talk but can't sing while doing the activity
b) Can talk and sing while doing the activity
c) Can barely talk while doing the activity
d) Grasping breath while singing and doing the activity
If a patient can hardly find time to do physical activity due to busy schedule in most days of the week, what would be your advice?
a) Do aerobic exercise for at least 10 minutes bouts
b) 3-5 minutes bouts of exercise will give the same benefit
c) 5-8 minutes bouts will be a better option
d) Any of the above
a) Do aerobic exercise for at least 10 minutes bouts
b) 3-5 minutes bouts of exercise will give the same benefit
c) 5-8 minutes bouts will be a better option
d) Any of the above
Worrying is common to almost everyone, but how much percentage of perceived worry is happening in Reality?
a) 10%
b) 15%
c) 20%
d) 25%
a) 10%
b) 15%
c) 20%
d) 25%
The ability to practice as an interdisciplinary team of health care professionals and support in team approach
a) Associated with higher levels of treatment compliance and improved health outcomes
b) Team approach is best option in terms of collaborative patient care but does not necessarily guarantee success due to challenges that may take place in multiple referrals
c) Selections A & B are correct
d) None of the above
a) Associated with higher levels of treatment compliance and improved health outcomes
b) Team approach is best option in terms of collaborative patient care but does not necessarily guarantee success due to challenges that may take place in multiple referrals
c) Selections A & B are correct
d) None of the above
What would be your safe treatment option for Depressed patient with Coronary Artery Disease?
a) TCA
b) SSRI
c) Both TCA and SSRI are safely given
d) None of the above
a) TCA
b) SSRI
c) Both TCA and SSRI are safely given
d) None of the above
The following represents complete nutrition prescription except for ___________
a) Duration of intake
b) Type of Food
c) Frequency of intake
d) Amount of food
a) Duration of intake
b) Type of Food
c) Frequency of intake
d) Amount of food
What percentage of people with AUD receive appropriate assessment or treatment from Primary Care Physicians?
a) 5%
b) 10%
c) 20%
d) 25%
a) 5%
b) 10%
c) 20%
d) 25%
A 42 year old woman is concerned about enough soluble fiber. She currently takes a fiber supplement 3 times per day which adds 7 grams of fiber to her daily intake. Which of the following foods would provide more fiber than the fiber supplement
A. Kidney beans (1/2 cup cooked)
B. Oatmeal (1/2 cup cooked)
C. Prunes (1/2 cup raw)
D. Sweet potato (1 medium baked)
A. Kidney beans (1/2 cup cooked)
B. Oatmeal (1/2 cup cooked)
C. Prunes (1/2 cup raw)
D. Sweet potato (1 medium baked)
In Ornish study patients are placed in an intensive dietary plan mostly composed of whole food plant-based source. At the end of the study, Angina pectoris was improved as early as _____________
a) 4 weeks
b) 4 months
c) 3 months
d) 3 weeks
a) 4 weeks
b) 4 months
c) 3 months
d) 3 weeks
In Diagnosis anxiety disorder, there must be note of excessive anxiety on more days than not for at least____________
a) 3 months
b) 6 months
c) 9 months
d) 12 months
a) 3 months
b) 6 months
c) 9 months
d) 12 months
A patient with a BMI of 31 had an operation due to fracture sustained after a fall. What type of food would you highly recommend to enhance collagen production needed for recovery
a) Berries and Kale
b) Kiwi and tomatoes
c) Almonds and Cashew
d) Selections A & B are correct
a) Berries and Kale
b) Kiwi and tomatoes
c) Almonds and Cashew
d) Selections A & B are correct
Omega 3 fatty acids is a known anti-inflammatory substance largely found in which type of food group?
a) Peanut
b) Corn
c) Flaxseed
d) Sesame seeds
a) Peanut
b) Corn
c) Flaxseed
d) Sesame seeds
AGE is a family of oxidative stress by-product which is involved in different pathologic mechanism. What is the best way to prepare food in order to avoid AGE formation?
a) Grilling
b) Frying
c) Boiling
d) Selection A & B are correct
a) Grilling
b) Frying
c) Boiling
d) Selection A & B are correct
In measuring intensity of exercise 3-4 perceived exertion would show as____________
a) Can talk and sing while doing the exercise
b) Can talk but not sing while doing the exercise
c) Can hardly talk while doing the exercise
d) Selections A & C are correct
a) Can talk and sing while doing the exercise
b) Can talk but not sing while doing the exercise
c) Can hardly talk while doing the exercise
d) Selections A & C are correct
Lifestyle modification will positively help patients diagnosed with Heart failure. To whom would you initially refer them for proper care?
a) Nutrition and Dietician
b) Exercise physiologist
c) Lifestyle Medicine physician
d) Functional medicine physician
a) Nutrition and Dietician
b) Exercise physiologist
c) Lifestyle Medicine physician
d) Functional medicine physician
Egg yolk is composed of calcium, fat soluble vitamins and essential fatty acids. But it is also composed mostly of this type of saturated fat ___________
a) Linoleic and Oleic acid
b) Palmitic and Stearic acid
c) Lauric and Linoleic acid
d) Selection A & C are correct
a) Linoleic and Oleic acid
b) Palmitic and Stearic acid
c) Lauric and Linoleic acid
d) Selection A & C are correct
According to USDA the recommended fiber intake in 2000 kcal for female is _______________
a) 30 grams
b) 35 grams
c) 40 grams
d0 45 grams
a) 30 grams
b) 35 grams
c) 40 grams
d0 45 grams
How would you initiate Flexibility exercise using the guidelines including major muscle groups?
a) 10-30 seconds for each stretch
b) 30-60 seconds for each stretch
c) 5-10 seconds for each stretch
d) 15 seconds for each stretch
a) 10-30 seconds for each stretch
b) 30-60 seconds for each stretch
c) 5-10 seconds for each stretch
d) 15 seconds for each stretch
Nutrition prescription should focus on
a) Nutrient categories
b) Plant sources
c) Specific foods
d) Food preparation
a) Nutrient categories
b) Plant sources
c) Specific foods
d) Food preparation
Which of the following statements regarding nutrition prescriptions is true?
a) Nutrition prescriptions should be crafted for permanent dietary changes
b) The primary focus of nutrition prescriptions should be cutting back on processed foods
c) Pre-printed nutrition prescriptions are an evidence based way of achieving improved dietary patterns
d) Taking a typical daily food intake history is a reasonable way to prepare for a nutrition prescription
a) Nutrition prescriptions should be crafted for permanent dietary changes
b) The primary focus of nutrition prescriptions should be cutting back on processed foods
c) Pre-printed nutrition prescriptions are an evidence based way of achieving improved dietary patterns
d) Taking a typical daily food intake history is a reasonable way to prepare for a nutrition prescription
When trying to understand processed food, which ONE of the following is correct?
a) Currently the average diet in the USA consists of 60% ultra processed foods and an additional 15% moderately processed foods.
b) A food that has small amounts of it removed (ie, mashed potatoes with no added ingredients but the skin is removed) is considered slightly processed.
c) A food that has added ingredients is considered ultra processed (ie, mashed potatoes with the skin included but margarine, salt, pepper and chives are added)
d) Any food that has monosodium glutamate in it is by definition moderately processed
a) Currently the average diet in the USA consists of 60% ultra processed foods and an additional 15% moderately processed foods.
b) A food that has small amounts of it removed (ie, mashed potatoes with no added ingredients but the skin is removed) is considered slightly processed.
c) A food that has added ingredients is considered ultra processed (ie, mashed potatoes with the skin included but margarine, salt, pepper and chives are added)
d) Any food that has monosodium glutamate in it is by definition moderately processed
As Chinese adapted the Western diet what is expected to increase according to studies?
a) Calories and toxins
b) Sugar and Dairy
c) Cholesterol
d) None of the above
a) Calories and toxins
b) Sugar and Dairy
c) Cholesterol
d) None of the above
In the absence of Diabetes risk factors, testing for diabetes should begin at which age?
a) 40 y/o and repeated at 3 years interval
b) 45 y/o
c) 50 y/o
d) 55 y/o
a) 40 y/o and repeated at 3 years interval
b) 45 y/o
c) 50 y/o
d) 55 y/o
A pregnant patient who is physically active asked if she would necessarily need to stop doing exercise. What would be your best advice?
a) She may stop doing exercise at the 3rd trimester of pregnancy
b) She may continue any level of exercise as long as it feels comfortable for her
c) She may continue her activity but just avoid doing supine position exercises
d) Selections B & C are correct
a) She may stop doing exercise at the 3rd trimester of pregnancy
b) She may continue any level of exercise as long as it feels comfortable for her
c) She may continue her activity but just avoid doing supine position exercises
d) Selections B & C are correct
A person who wanted to start a healthy lifestyle and purchased a pair of shoes to use for exercise is at what stage of Transtheoretical change?
a) Contemplation
b) Pre Contemplation
c) Preparation
d) Action
a) Contemplation
b) Pre Contemplation
c) Preparation
d) Action
With the poor dietary patterns there is a common shortfall of nutrients known that includes ____________
a) Fruits
b) Seeds
c) Legumes
d) All of the above
a) Fruits
b) Seeds
c) Legumes
d) All of the above
Generally, the Center for Disease control and Prevention recommends 10-35% of our daily calories would come from protein. How much would that be for a woman weighing 50 kg?
a) 40 grams
b) 46 grams
c) 50 grams
d) 56 grams
a) 40 grams
b) 46 grams
c) 50 grams
d) 56 grams
In the pathogenesis of type 2 Diabetes, _____________ plays the role in the destruction of B cells in the pancreas
a) IL-6
b) Leptin
c) Adiponectin
d) TNF
a) IL-6
b) Leptin
c) Adiponectin
d) TNF
A procedure that you can do for patient where there is early administered exercise intensity at submaximal level.
a) 6 minute walk test
b) Perceived exertion
c) 18 METS
d) Resistance training
a) 6 minute walk test
b) Perceived exertion
c) 18 METS
d) Resistance training
Who would require Exercise screening?
a) 50 y/o male with BMI of 28
b) 70 y/o female with BMI of 30
c) 48 y/o female with BMI of 33
d) Selections B &C are correct
a) 50 y/o male with BMI of 28
b) 70 y/o female with BMI of 30
c) 48 y/o female with BMI of 33
d) Selections B &C are correct
What is the most common side effects of increasing insulin?
a) Hypoglucemia
b) Cataract
c) CVD
d) All of the above
a) Hypoglucemia
b) Cataract
c) CVD
d) All of the above
A patient with cardiomyopathy with 30% ejection fraction, had history of Myocardial infarction and a note of apnea in exertion is best referred to a team including the following except for one.
a) Dietician
b) Functional medicine physician
c) Coach and dietician
d) Lifestyle medicine physician
a) Dietician
b) Functional medicine physician
c) Coach and dietician
d) Lifestyle medicine physician
Which is true according to the study conducted with lung cancer patients given vitamin E supplement and carotenoids?
a) Decrease progression with Vitamin E and increase progression with carotenoids
b) Increase progression with Vitamin E and decrease progression with carotenoids
c) No reduction of incidence with vitamin E and carotenoids
d) None of the above
a) Decrease progression with Vitamin E and increase progression with carotenoids
b) Increase progression with Vitamin E and decrease progression with carotenoids
c) No reduction of incidence with vitamin E and carotenoids
d) None of the above
In Diagnosing major depressive disorder using DSM5 what are some signs and symptoms you are looking for?
a) Depressed mood and/or loss of interest
b) Weight change and insomnia
c) Agitation, fatigue trouble concentrating
d) All of the above
a) Depressed mood and/or loss of interest
b) Weight change and insomnia
c) Agitation, fatigue trouble concentrating
d) All of the above
Which statement/s is/are true according to the meta-analysis of 305 randomized controlled trials with 339,000 subjects comparing exercise versus medication and their impact to mortality rates.
a) Exercise is equivalent to medication as secondary prevention of CAD
b) Exercise is better that medications in any stage of stroke treatment
c) Exercise is superior than medication in treating heart disease
d) All of the above
a) Exercise is equivalent to medication as secondary prevention of CAD
b) Exercise is better that medications in any stage of stroke treatment
c) Exercise is superior than medication in treating heart disease
d) All of the above
MET is a ratio of the rate of energy expanded during an activity to the rate of energy expended at rest. What is the MET score for running?
a) 9
b) 18
c) 27
d) 36
a) 9
b) 18
c) 27
d) 36
The essential fatty acid not produced by humans
a) linoleic acid
b) DHA
c) DPA
d) All of the above
a) linoleic acid
b) DHA
c) DPA
d) All of the above
A patient who wanted to start a healthy lifestyle within several weeks after her class and then she bought a cook book, what stage of change she would be?
a) Contemplation
b) Preparation
c) Action
d) Pre contemplation
a) Contemplation
b) Preparation
c) Action
d) Pre contemplation
The general principles of motivational interviewing includes empathy, self efficacy and what other principle?
a) Theory of reasoned action
b) Dispute
c) Develop discrepancy
d) Catastrophizing
a) Theory of reasoned action
b) Dispute
c) Develop discrepancy
d) Catastrophizing
FITT is an abbreviation used in prescribing physical activity which stands for _________________
a) Fitness, Intensity, Type and Timing
b) Frequency, Interval, Type and Timing
c) Fitness, Interval, Type and Time
d) Frequency, Intensity, Type and Time
a) Fitness, Intensity, Type and Timing
b) Frequency, Interval, Type and Timing
c) Fitness, Interval, Type and Time
d) Frequency, Intensity, Type and Time
To ensure that the behavioral change plan will be successful, one should have at least __________ confidence level
a) 5
b) 6
c) 7
d) 8
a) 5
b) 6
c) 7
d) 8
How much time would a person need to move from active to maintenance phase?
a) 3 months
b) 4 months
c) 5 months
d) 6 months
a) 3 months
b) 4 months
c) 5 months
d) 6 months
In the ABCD method of behavioral change, you would see Actions, Beliefs, Consequences and ____________
a) Despair
b) Dedication
c) Dispute
d) Determination
a) Despair
b) Dedication
c) Dispute
d) Determination
The PAVS equation would be:
a) (MVPA minutes/day) x (# of days/week)
b) (Aerobic exercise/day) x (#of days/week)
c) (High intensity exercise/day) x (# of days/week)
d) (Moderate intensity exercise/day) x (# of days/week)
a) (MVPA minutes/day) x (# of days/week)
b) (Aerobic exercise/day) x (#of days/week)
c) (High intensity exercise/day) x (# of days/week)
d) (Moderate intensity exercise/day) x (# of days/week)
In the 5A's approach to gauge patient's readiness and willingness to change includes the following
a) Advocate, Assess, Agree, Answer, Assist
b) Advice, Agree, Approve, Assist, Arrange
c) Advocate, Agree, Approve, Assist, Arrange
d) Advice, Assess, Agree, Assist, Arrange
a) Advocate, Assess, Agree, Answer, Assist
b) Advice, Agree, Approve, Assist, Arrange
c) Advocate, Agree, Approve, Assist, Arrange
d) Advice, Assess, Agree, Assist, Arrange
In Framingham scoring it was noted that risk in developing heart disease increases are the following factors are present except for one
a) High cholesterol
b) >45 y/o for Male, > 55 y/o for female
c) Hypertension
d) None of the above
a) High cholesterol
b) >45 y/o for Male, > 55 y/o for female
c) Hypertension
d) None of the above
How will you handle a patient with non-productive thoughts such as catastrophizing and mind reading?
a) Refer to psychologist
b) Refer to psychiatrist
c) Advice Increase awareness on emotions
d) All of the above
a) Refer to psychologist
b) Refer to psychiatrist
c) Advice Increase awareness on emotions
d) All of the above
A health behavior change theory that deals with attitude toward a behavior and perception of norms.
a) Dispute
b) Theory of reasoned action
c) Theory of Increased awareness of emotions
d) Selection B & C are correct
a) Dispute
b) Theory of reasoned action
c) Theory of Increased awareness of emotions
d) Selection B & C are correct
A white women aged 20 to 30 with BMI of >45 may have an estimated _____ years of life lost (YLL)
a) 12
b) 8
c) 4
d) 2
a) 12
b) 8
c) 4
d) 2
Lifestyle Medicine Vital Signs includes the following except for one
a) Weight, height, waist circumference
b) Blood pressure
c) Physical Activity and Nutritional intake
d) Water intake
a) Weight, height, waist circumference
b) Blood pressure
c) Physical Activity and Nutritional intake
d) Water intake
A pregnant patient with BMI of 30 was evaluated by her OB Gyne doctor and was worried of her blood sugar level. She currently had fasting blood sugar test, what would be your next step to evaluate further?
a) 70 g OGTT 3 hours post prandial
b) 75 g OGTT 3 hours post prandial
c) 100 mg OGTT 3 hours post prandial
d) Just manage the weight
a) 70 g OGTT 3 hours post prandial
b) 75 g OGTT 3 hours post prandial
c) 100 mg OGTT 3 hours post prandial
d) Just manage the weight
According to study, the most common problem among physicians is __________
a) Stress
b) 6 or fewer hours of sleep
c) Depression
d) Anxiety
a) Stress
b) 6 or fewer hours of sleep
c) Depression
d) Anxiety
Physician has a personal health impact to patients they handle. It was found out that physicians would more likely record obesity diagnosis when ______
a) They perceive that their weight is lower than the patient's weight
b) When patient's weight is lower than the doctor's weight
c) When the patient is obviously obese
d) Selection B and D are correct
a) They perceive that their weight is lower than the patient's weight
b) When patient's weight is lower than the doctor's weight
c) When the patient is obviously obese
d) Selection B and D are correct
Which of the following has the highest source of saturated fat?
a) Bread
b) Cheese
c) Seeds
d) Salmon
a) Bread
b) Cheese
c) Seeds
d) Salmon
Among types of food commonly consumed by majority of the population, which has the highest sodium content?
a) Cheese
b) Pasta
c) Bread
d) Slightly processed whole grain
a) Cheese
b) Pasta
c) Bread
d) Slightly processed whole grain
In doing Nutrition prescription for a patient who is trying to loose some weight, you would want to write 1/2 cup of green leafy vegetable to be taken daily. What do you think can be added to complete the prescription?
a) Type of food
b) Duration
c) Specific amount
d) The prescription is already complete
a) Type of food
b) Duration
c) Specific amount
d) The prescription is already complete
Which of the following has the highest palmitic acid and stearic acid component?
a) Palm oil
b) Coconut oil
c) Egg
d) Cheese
a) Palm oil
b) Coconut oil
c) Egg
d) Cheese
AGE has numerous hazardous effect to health which is known to commonly affect the____________
a) Blood vessels
b) Liver
c) Heart muscles
d) Kidneys
a) Blood vessels
b) Liver
c) Heart muscles
d) Kidneys
What is the known action of Nitric Oxide in the blood vessels?
a) Dissolve foam cells
b) Prevents adhesion of smooth muscle to plaque
c) Dilatation of vessels
d) All of the above
a) Dissolve foam cells
b) Prevents adhesion of smooth muscle to plaque
c) Dilatation of vessels
d) All of the above
According to a study on Diabetes incidence, in a 2000 population, 200 have diabetes and ________ may have Pre-diabetes
a) 200
b) 400
c) 600
d) 800
a) 200
b) 400
c) 600
d) 800
What is the recommended exercise duration for Children and Adolescents?
a) 1 hour per day 2-3x a week of moderate physical activity
b) 60 minutes or more in a day of moderate to vigorous physical activity
c) 75 minutes per week of vigorous activity
d) Follow adult guidelines unless there is identified restriction
a) 1 hour per day 2-3x a week of moderate physical activity
b) 60 minutes or more in a day of moderate to vigorous physical activity
c) 75 minutes per week of vigorous activity
d) Follow adult guidelines unless there is identified restriction
Positive psychology is one best option to apply in patients who are struggling to start healthy behavior. Which of the following would fall into this category?
a) Expression of Appreciation
b) Counting blessings
c) Depersonalization
d) Selection A & B are correct
a) Expression of Appreciation
b) Counting blessings
c) Depersonalization
d) Selection A & B are correct
A hormone responsible for awakening
a) Leptin
b) Adrenalin
c) Cortisol
d) Melatonin
a) Leptin
b) Adrenalin
c) Cortisol
d) Melatonin
Positive Psychology is composed of the following except for one
a) Coverage
b) Compassion
c) Individual virtues and strength
d) None of the above
a) Coverage
b) Compassion
c) Individual virtues and strength
d) None of the above