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1. The blood tests needed to identify Th1/Th17 inflammation include:

a) 25-D only
b) 1,25-D only
c) Both 25-D and 1,25-D

2. The following blood tests should be monitored as a baseline and as markers for recovery:

a) Complete Blood Count with differential (CBC)
b) Comprehensive Metabolic Profile (CMP)
c) Liver panel
d) Any lab values pertinent to the diagnoses (e.g. ACE, thyroid function, INR, triglycerides, CRP)
e) All of the above

3. Precautions should be taken to avoid exposure to natural light and bright artificial lights by the following:

a) Patients with light skin
b) Patients with dark skin
c) Patients who believe they are photosensitive
d) All patients initiating Inflammation Therapy

4. Patients initiating Inflammation Therapy should avoid the following:

a) Foods high in vitamin D
b) Fish oil
c) Multi-vitamins
d) Folic acid supplements
e) Vitamin D supplements
f) All of the above

5. Before initiating Inflammation Therapy patients should discontinue the following medications (may choose more than one answer):

a) Corticosteroids (must be weaned)
b) Immunosuppressants
c) Non-therapy antibiotics
d) Antibacterials
e) Medication that is part of another treatment plan
f) Medication needed to keep symptoms tolerable

6. Anticoagulants may be affected by Benicar and should be monitored frequently with blood work. True or false

7. Thiazide diuretics may be too hard on the kidneys. True or false

8. Statin medication should be taken to control high cholesterol. True or false

9. Some patients may need calcium supplements. True or false

10. Patients at risk for osteoporosis should take biphosphonates (e.g., Fosamax). True or false

11. Dietary supplements should be avoided unless a dietary deficiency is documented. True or false

12. It’s okay to take any over-the-counter medication. True or false

13. Do not discontinue high blood pressure medication when starting Benicar. True or false

14. The dose of thyroid medication may need to be altered during therapy. True or false

15. Medications that are effective may be taken to palliate:

a) Pain
b) Depression
c) Anxiety
d) Insomnia
e) Gastric problems
f) Any intolerable symptom
g) All of the above

16. If Benicar is not available, the following medications may be used:

a) A different Angiotensin Receptor Blocker (ARB)
b) A beta blocker
c) An ACE inhibitor
d) None of the above

17. Benicar is contraindicated during (may choose more than one ansswer):

a) Pregnancy
b) Menopause
c) Lactation

18. Initiating Benicar may result in:

a) Symptoms becoming worse
b) Symptoms improving
c) No change in symptoms
d) Any of the above

19. Patients with lower 1,25-D do not need to be concerned about Benicar making symptoms worse. True or false

20. Patients who have a history of reacting to Minocycline may substitute:

a) Doxycycline
b) Demeclocycline
c) Tetracycline
d) None of the above

21. Herxheimer reactions are (may choose more than one answer):

a) Caused by bacterial die-off
b) To be expected
c) A sign of treatment effectiveness
d) Uncontrollable

22. Symptoms may be reduced by:

a) Adjusting Benicar
b) Adjusting antibiotics
c) Avoiding natural and bright light
d) Taking palliative medications
e) All of the above

23. Benicar must be continued throughout Inflammation Therapy. True or false

24. Therapy is continued until all the three-antibiotic combinations have been tried and no longer provoke a Herxheimer reaction. True or false

25. Treatment end markers include:

a) Resolution of systemic symptoms
b) Return of physical function
c) Return of baseline lab markers to normal
d) All of the above

Answers:

1. c)
2. e)
3. d)
4. f)
5. a), b), c), d), e)
6. True
7. False
8. False
9. True
10. False
11. True
12. False
13. True
14. True
15. g)
16. d)
17. a) and c)
18.. d)
19.. False
20. b)
21. a), b), c)
22. e)
23. True
24. True
25. d)

 

Updated March 18, 2015