Ornish
Intake of this drink is reduced in this diet unless patient is already taking this drink and tolerating the stimulating effects well. Which drink in this diet is promoted up to 2 cups/day?
What is coffee? What is green tea?
T/F: The prevalence of LDL-C control seemed to be the lowest amongst individuals that were uninsured, Mexican American, or having income below the poverty level.
T
The reference range (w/units) for one of the following: total cholesterol, LDL-C, HDL-C, Triglycerides; Name the unit of measurement for the HbA1c test.
What is in mg/dL (<200, <130, >=40, <150)? What is %?
This substance made from the husks of Plantago ovata is a _________ (type of drug). When it interacts with bile acids, it prevents reabsorption of dietary fat and causes the fat to be eliminated as food waste.
Fill in the blank followed by your response to the statement.
laxative (bulk-forming); What is psyllium fiber?
BE CHARITABLE! SPLIT HALF YOUR TOTAL POINTS WITH YOUR OPPONENT IF YOU GET THIS QUESTION WRONG
Name, age, and occupation of patient
Greg Edwards, 43 y.o., commercial pilot
This is the amount of serving/day of added sugars/refined carbohydrates suggested in the Ornish nutrition program.
What is 2?
Dyslipidemia is classified into 5 groups using this system based on abnormalities in chylomicrons, triglycerides, apolipoprotein, VLDL, etc.
What is the Frederickson phenotype (I, IIa, IIb, III, IV)
The proportion of these three macronutrients differentiate LDL from HDL
What are proteins, triglycerides, and cholesterol?
LDL: Moderate proportion of protein, little triglyceride, high cholesterol
HDL: High proportion of protein, little triglyceride and cholesterol
BONUS: +100% POINTS IF YOU GET EVERY PART OF THIS QUESTION CORRECT (If not, points earned subject to host discretion)
This drug blocks ________ (enzyme) to prevent production of cholesterol. Name the enzyme, as well as three types of this medication.
What is statin?; HMG CoA reductase;
Atorvastatin, Fluvastatin, Lovastatin (Mevacor® or Altoprev™), Pitavastatin (Livalo® or Zypitamag®), Pravastatin, Rosuvastatin (Crestor® or Ezallor Sprinkle®), Simvastatin (Flolipid® or Zocor®)
Name the allergy precaution a physician must make before prescribing their pt omega-3 fatty acid supplements.
What is fish/seafood?
T/F: The Ornish diet recommends to add good fats such as avocados, coconut, and olives to the mostly plant diet regimen.
F: "No more than 10% of calories are from fat. This is achieved by not adding any fats, oils, avocados, coconut and olives to a mostly plant-based diet. The 10% of calories from fat comes from fat that occurs naturally in grains, vegetables, fruit, beans, legumes, soy foods — and small amounts of nuts & seeds."
These are the deposits of lipids that will appear on the skin and sometimes within subcutaneous tissue when a patient has dyslipidemia.
What are xanthomas?
This lipid blood test is the simplest and least expensive test, but this test alone does not tell enough information for a physician to make any treatment decisions.
What is total cholesterol?
WOW, YOU'RE SO KIND! YOU OFFERED TO GIVE YOUR OPPONENT HALF OF THE POINTS OF THIS QUESTION IF YOU GET ONE OF THE BLANKS WRONG.
One medication to decrease cardiovascular outcomes targets proprotein convertase subtilisin/kexin type 9 (PCSK9). An increase in PCSK9 ___________ (increases/decreases) LDL receptors, which causes an _____ in blood LDL levels.
Fill in both blanks
decreases; increases
Inclisiran, not yet received FDA approval
SPECIAL DEAL! IF YOU GET THIS QUESTION CORRECT, YOU EARN 20% MORE POINTS ON YOUR NEXT QUESTION
T/F: The Ornish nutrition plan limits the consumption of alcohol to these amounts: 1.5 oz liquor, 4 oz wine, 12 oz beer.
If incorrect, identify which parts of the statement are wrong (do not need to give the correct amounts of alcohol for each)
T
When concerning the FITT principle, Ornish recommends for the I portion to exercise at this percent (range) of maximal functional capacity?
Identify the word symbolized by "I" and follow up with your answer to the statement.
Intensity; 45%-80% of an individual’s maximal functional capacity determined by a treadmill test
According to the NIH, these genotype mutations cause most cases of familial hypercholesterolemia in LDL receptors
What is autosomal dominant?
This lipid molecule plays important roles in reverse cholesterol transport and has antioxidative and anti-inflammatory effects.
What is HDL?
BONUS: +50%
Name three main types of omega-3 fatty acids
What is (Alpha-linolenic acid (ALA), Eicosapentaenoic acid (EPA), Docosahexaenoic acid (DHA))?
The Ornish fitness method focuses on which aspect of exercise? (Aerobic or Anaerobic/Strength)
BONUS for +50%: How long per session should a pt exercise for the type of exercise from the answer above? (range)
What is aerobic exercise?
30-60 minutes, minimum of 3 hours per week and up to 5 hours per week
Evaluate if the following statement is T/F: The three categories of Ornish's "UnDo It" program are nutrition, fitness, and love and support.
F: Four categories, including stress management
Name four risk factors for dyslipidemia.
Answers: tobacco use, physical inactivity, nutrition, and obesity
The hemoglobin A1c test tells you your average level of ______ in the blood over the past 2 to 3 months.
What is sugar?
Decreased rate of breathing, increased lung capacity, better digestion, increased hemoglobin (ability of blood to carry oxygen), and feelings of calm and tranquility are associated with this component of the autonomic nervous system.
What is the parasympathetic nervous system?
Define the difference between sympathy and empathy.
"Empathy is not the same as sympathy. Empathy means listening with compassion — trying to experience and understand what the other person is feeling. Sympathy means feeling sorry for someone, a usually well-intentioned gesture that often creates more distance between people."