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  1. #1
    Unregisteredddd Guest

    improve longevity

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    A type A personality gentlemen comes to ur office who has a h/o chewing nicotine gum for his tobacco cravings. he also has a h/o of high BP, DM, and CHF.
    Which one habit would you ask the patient to modify in order to improve his longevity?

    1) type A personality
    2) restrict salt intake
    3) control body weight
    4) restrict sugar intake
    5) control his blood pressure
    6) restict chewing nicotine gum

  2. #2
    jameslynton's Avatar
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    Quote Originally Posted by Unregisteredddd
    A type A personality gentlemen comes to ur office who has a h/o chewing nicotine gum for his tobacco cravings. he also has a h/o of high BP, DM, and CHF.
    Which one habit would you ask the patient to modify in order to improve his longevity?

    1) type A personality
    2) restrict salt intake
    3) control body weight
    4) restrict sugar intake
    5) control his blood pressure
    6) restict chewing nicotine gum
    Type A pesonality is the most critical factor - What is type A - it stands for Aggressive personality type - It is associated with dangerious behaviors like fast aggresive driving - fatal first heart attacks - angry outbusts - CVA's - the list goes on.

    It is not something you really want to be. In the counseling business we call Type A's a crude name for the human anus which VMD will not let us post. Controling type A issues - drops blood pressure - and the other risk factors listed. So when somebody tells me they area type A - I ask them "do they know what it means"? After I tell them, they never say that again. Most type A's die in either a motor accident, heart attack due to high output of throxin and stress hormones - or a CVA normally in their late 30's or ealy 40's. Hope this helps.
    PS and when they go - Most people are doing the happy-happy joy dance who knew them. One of the best parties I was at, was when a type A personality boss was fired where I worked.

    This is one of those questions Dr Goljan say to think cheap on for the solution. Behavior modification is cheaper than BP drugs and drugs to control CHF. The BP and CHF are behavior induced Why does he have high BP and CHF - cause/mechanism - Type A personality issues. Think cheap!
    Last edited by jameslynton; 07-28-2006 at 05:03 PM.
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  3. #3
    jameslynton's Avatar
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    Yea - The Duke University has a book by Williams and Williams Called Anger Kills - it is a good quick read. I don't think the DMS IV-r has this as a listed item. As it is a choice state and not a personality disorder.

    Normally you look for the following issues:
    1. Dangerious driving - lots of tickets and car accidents.
    2. Impatients with others
    3. Poor anger management
    4. Aggressive verbal responses
    5. Tense and easy to anger
    6. Does not know difference between aggression and being assertive.
    7. Over drinks
    8. Smokes
    9. Over eats
    10. Over schedules
    11. Perfectionist behaviors
    12. Work-a-holic behaviors
    PreMed Forum Moderator

    I call it like I see it. I am not paid by ValueMD or any school. Nor do I recruit for any school.

  4. #4
    md90's Avatar
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    I disagree...

    A type A personality gentlemen comes to ur office who has a h/o chewing nicotine gum for his tobacco cravings. he also has a h/o of high BP, DM, and CHF. Which one habit would you ask the patient to modify in order to improve his longevity?
    1) type A personality
    2) restrict salt intake
    3) control body weight
    4) restrict sugar intake
    5) control his blood pressure
    6) restict chewing nicotine gum
    I say that the best answer is #3. Control body weight..., why?
    1. it's the cheapest...
    2. usually it means to exercise.. walking is cheap.. and BEST way to release the tensions of the day
    3. help to control the blood pressure, limit the chewing gum, and decrease some of that aggressive-assertive behavior from being Type A personality
    4. Exercise will lead to better habits such as better nutrition.. limiting the salt and sugar.. b/c one feels better of him/herself..
    5. It is easy to do whereas it is more difficult to change one's behavior, change eating/nutrition habits...

    any comments or questions??? Thank you for the question...
    "SLAM-DUNK THE STEPS"

    “Peace, it does not mean to be in a place where there is no noise, no trouble, or no hard work…..it means to be in the midst of those things and still be calm in your
    heart.”

  5. #5
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    So wich one kills more
    Type A personality
    obesity

    Md90 is correct but also jameslyton

    so who is giving the tie breaker

    with explanation
    thanks
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  6. #6
    Unregisteredddd Guest
    Interesting approach and discussion...
    Can you realy change a personality? There is no history for pt being overweight... how about a blood pressure control (pt has history of DM and CHF)? Sorry, I dont know the answer... It's a real exam question... Found it in other forum...

  7. #7
    md90's Avatar
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    Quote Originally Posted by Unregisteredddd
    Interesting approach and discussion...
    Can you realy change a personality? There is no history for pt being overweight... how about a blood pressure control (pt has history of DM and CHF)? Sorry, I dont know the answer... It's a real exam question... Found it in other forum...
    1. Type A personality can cause the high blood pressure,... BUT obesity can cause both the high blood pressure and DM therefore the man needs to control his weight;

    2. There is nothing to say that the person is obese, but as Goljan mentions..all of the information might not be given to you... and you have to know that the most common causes are usually for a given scenario... in this case... I believe that it's obesity;

    3. Also remember that obesity is a major problem in our society today, and the exam takes their questions from recent events and journal articles... also stated by Goljan...
    "SLAM-DUNK THE STEPS"

    “Peace, it does not mean to be in a place where there is no noise, no trouble, or no hard work…..it means to be in the midst of those things and still be calm in your
    heart.”

  8. #8
    Unregisteredddd Guest
    Thanks md90. You are an angel of this forum

  9. #9
    md90's Avatar
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    you are very welcome... good luck in your studying and exam...
    "SLAM-DUNK THE STEPS"

    “Peace, it does not mean to be in a place where there is no noise, no trouble, or no hard work…..it means to be in the midst of those things and still be calm in your
    heart.”

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