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Pain and Addiction CME Quiz

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Which therapies can be used on closed brain tumors?

Mistletoe, H2O2

Nutrients only

DMSO, Nutrients

NAD, B6

What is true about fat soluble vitamins?

The fat soluble vitamins can accumulate if given in too high dose over time and may result in toxicity

The fat-soluble vitamins, including A, D, E, K and biotin are available in “water soluble” forms as stable emulsions

The fat soluble vitamins are relatively non-toxic as they do not accumulate in the body

DO NOT give to patients with liver disease or liver cancer

Vitamin D

Excessive Vitamin D leads to serum hypocalcemia

Has a contraindication in primary hypoparathyroid disease

Deficiencies can allow for more sensitivities to aflatoxin

Has no correlation to inflammation and infection

Which statement is true?

High Dose Vitamin C produces H2O2 intracellularly and has the potential for cell damage by this mechanism.

H2O2 infusion gets intracellularly when using DMSO to drive it into the cell. Providing the mechanism for H2O2 mediated cell damage.

High Dose Vitamin C produces H2O2 extracellularly and in the plasma.

Ozone is the only oxidative therapy that can produce H2O2 intracellularly

What is the most common preservative used with IV Curcumin products?

Sodium Bicarb- check for patient intolerances

Sodium Hydroxide- check for patient intolerances

Benzyl Alcohol- check for patient intolerances

Potassium Sorbate- check for patient intolerances

Which statement is FALSE about IV Curcumin?

Safe at doses used in common protocols

Start low and titrate up to dose needed

IV form is a lipid

The water soluble form is safe and comfortable for IV administration.

Which B Vitamin is the lease likely to flare up a chronic disease patient?

Thiamin

Pyridoxine

Dexpanthenol

Methyl cobalamin

Ozone’s mechanism of regeneration is all EXCEPT:

Improved oxygenation

Increased Lipid Oxides (LOP) and cytokine signals

Sterilization of the site

Upregulation of antioxidant pathways

Which nutrient initiates the electron transport chain?

Iron

CoQ10

NAD

Copper

NAD is the rate limiting factor in the synthesis of which neurotransmitter?

Serotonin

Dopamine

Cortisol

Insulin

NAD acts as an anti-aging mechanism by stimulating

SIRTs (Sirtuins)

PARPs (Poly ADP-ribose polymerase)

CD38

ATP

NAD can be depleted by

Riboflavin, Drugs, Pesticides

Oral NAD supplementation

Alcohol, Hydrogenated fats,

Magnesium, Iron, CoQ10

Your next patient arrives for their IV nutrient infusion you ae considering adding in glutathione. Is it appropriate to mix glutathione into the IV solution an hour prior to starting the infusion?

True

False

You are giving an infusion of alpha lipoic acid (ALA) Which of the following should you remember?

ALA is given alone

ALA dose is 100-250mg, max 600mg.

ALA bags must be covered to decrease light exposure.

All the above.

Vitamin A can be mixed with other water soluble vitamins.

True

False

PTC compounded for Mesotherapy can be added to an IV nutrient bag.

True

False

Which of the following is TRUE of medical ozone.

Medical ozone has 100% kill rate in the body

Medical ozone is 50% ozone and 50% oxygen.

Medical ozone is a strong antioxidant

Medical ozone is 5% ozone and 95% oxygen.

Ketamine is an NMDA receptor

Agonist

Antagonist

Highest Bioavailable of ketamine is:

IV

IM

Oral

Topical

Oral Ketamine Bioavailability is:

10%

20%

50%

80%

Contraindications to Ketamine use are

No psychosis

No schizophrenia

Uncontrolled hypertension

All of the above

Neuroinflammation can involve all the following EXCEPT?

Peripheral nerves

Central nervous system

Present with pain and cognitive decline.

Can cause increases in Testosterone, Estradiol and Progesterone levels.

Neuroinflammatory calming strategies include all the following EXCEPT?

Use of neurosteroids: Progesterone, Testosterone, DHEA

Lowering histamine and aldehyde burden

Taking ACE inhibitor blood pressure medications

Low carbohydrate diets

Insomnia has no impact on neuroinflammation and pain

True

False

Which type of cannabinoid receptor is primarily found in the central nervous system?

CB1

CB2

Both CB1 and CB2

Neither CB1 nor CB2

Which of the following is a possible function of CB2 receptors?

Regulating mood and emotion

Regulating appetite and metabolism

Regulating immune function

Regulating sleep-wake cycles

Which of the following is a possible therapeutic use of CB2 receptor activation?

Reducing anxiety and depression

Relieving pain and inflammation

Treating seizures and epilepsy

Improving bone density and strength

Which of the following best describes how CBD may help relieve pain?

By blocking pain signals from reaching the brain

By reducing inflammation in the body

By increasing the body's production of endorphins

By inducing a state of relaxation that reduces pain sensitivity

Which of the following is an important consideration when using CBD to treat pain?

CBD is not safe to use in combination with other pain medications

CBD can cause addiction and dependence

CBD can interact with other medications and cause side effects

CBD does not require a prescription and can be used freely

How does chronic pain affect the HPG axis?

It decreases sex hormone production

It increases sex hormone production

It has no effect on sex hormone production

Chronic pain affects sex hormone production only in males

Which of the following is a potential consequence of opioid use on the HPG axis?

Increased sex hormone production

Decreased sex hormone production

No effect on sex hormone production

Opioid use affects sex hormone production only in females

What does NAD stand for in the context of addiction treatment?

Nicotine adenine dinucleotide

Nicotinamide adenine dinucleotide

Nicotinic acid dinucleotide

Nicotinamide acid dinucleotide

What is the primary function of NAD in the body?

Producing energy in the mitochondria

Regulating neurotransmitter levels in the brain

Enhancing immune function

All of the above

How is NAD administered for addiction treatment?

Intravenously

Orally

Topically

Inhaled

What is the primary goal of NAD therapy in addiction treatment?

To eliminate cravings and withdrawal symptoms

To induce a state of euphoria

To increase dopamine levels in the brain

To provide a placebo effect

What is the theory behind the NAD+ addiction protocol?

That addiction is caused by a deficiency of NAD+ in the brain

That NAD+ can help repair damage to the brain caused by drug or alcohol abuse

That NAD+ can help reduce withdrawal symptoms and cravings during detoxification

All of the above

Is NAD infusion a standalone treatment for addiction?

Yes

No

What is the typical dose range with IV NAD+ for addiction?

100-500mg

2500 -10,000mg

500-1500mg

1000-2000mg

LAMC is used to

Support the electron transport chain to form Iron

Supports the electron transport chain to form CoQ10

Supports the electron transport chain to form NADH

Supports the electron transport chain to form ATP

Palladium in LAMC is non-toxic and will not show up on heavy metal testing

True

False

LAMC can be used for

Neurological Support

Autoimmunity

Treatment for Radiation Damage

All of the above

LAMC which statement is true:

Does not need to be given slow

Can be put into an IV bag with other nutrients

Can be given as a small, slow push

Can be given as a push in large doses

Our teaching team of highly experienced medical professionals are unsurpassed in their hands-on practice of IV Nutritional Therapy.

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Team
- Testimonials
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- Heavy Metal Toxicology, From A-Z
- Video Seminar – Advanced IV Therapy Strategies Nov. 2018
Buy The Textbook!
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