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Case Study
question 25
question 25
Multiple Choice
Case Study

WD is an 86 yo F who is seen by the internal medicine physician because she has been feeling very depressed. The physician takes a full history from WD, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the meds that WD was prescribed by her other doctors and the potential drug-nutrient interactions.

The physician’s notes are as follows:

Current Medication Reason for Prescribing

St. John’s wort WD read in a magazine that this helps with depression

Slow Fe (iron supplement) prior anemia

Warfarin history of embolic stroke

Omeprazole history of embolic stroke

Tums upset stomach

Amoxicillin recent respiratory infection

Doxazosin incontinence

Allegra seasonal allergies

Lipitor high cholesterol

Vitamin E she heard it was “good for heart disease”

Diet hx

B- eggs D- cooked spinach

bacon chicken breast

orange juice mashed potatoes

fruit cocktail

L- Italian hoagie (salami, ham, cheddar cheese, lettuce, and tomato) iced tea

-Given the above, the physician decides to put WD on Nardil Which of the following from WD's diet history will you counsel WD on changing?
Understand the effects of aging and various factors on the skeletal system.
Comprehend the relationship between the muscular system and osteoporosis.
Identify and describe bone diseases and their causes.
Learn about the role of various body systems in contributing to or counteracting osteoporosis.

Definitions:

Prefix

A morpheme added at the beginning of a word to adjust or qualify its meaning.

Combining Vowel

A vowel, often 'o' or 'i', used in medical terminology to ease the pronunciation between the word root and the suffix or between two word roots.

Cutting Out

The act of removing or excising a piece of material or a part of a structure.

Excision

A surgical procedure involving the removal of tissue, an organ, or other body part.

WD is an 86 yo F who is seen by the internal medicine physician because she has been feeling very depressed. The physician takes a full history from WD, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the meds that WD was prescribed by her other doctors and the potential drug-nutrient interactions.
The physician’s notes are as follows:
Current Medication	Reason for Prescribing
St. John’s wort	WD read in a magazine that this helps with depression
Slow Fe (iron supplement)	prior anemia
Warfarin	history of embolic stroke
Omeprazole	history of embolic stroke
Tums	upset stomach
Amoxicillin	recent respiratory infection
Doxazosin	incontinence
Allegra	seasonal allergies
Lipitor	high cholesterol
Vitamin E	she heard it was “good for heart disease”
Diet hx
B- eggs	D- cooked spinach
bacon	chicken breast
orange juice	mashed potatoes
fruit cocktail
L- Italian hoagie (salami, ham, cheddar cheese, lettuce, and tomato) iced tea