Impaired immune system that occurs with age

High-density lipoprotein

Blood pressure

Memory dysfunction

food intake

aging

 sleeping schedule

family obesity

TRUE

FALSE

Ischemic heart disease

Coronary artery disease

Hypertensive heart disease

Congestive heart failure

Repay binge eating of carbohydrate and fatty foods.

Avoid exercise in the final few hours of fasting.

Diabetes type 1 patients that receive intensive insulin treatment should receive their long acting basal insulin.

Diabetes type 2 patients can do light to moderate exercise during Ramadan either in morning or night

The risk of getting headache increases as the duration of fasting increases

Caffeine withdrawal and hyperglycemia had been causative factors of headache

Lack of sleep and dehydration contribute to small number of cases of headache

Usage of simple analgesics can reduce the likelihood of headache in high risk patients

In patient of peptic ulcer disease, there is high risk of complications during fasting

Fasting will be beneficial in irritable bowel syndrome

In active phase of inflammatory bowel disease, fasting is recommended and full nutrition support needed with high dose medications

A single of dose PPIs adequate before iftar for non-erosive reflux disease

Compared to basal level, IL-6, CRP and homocysteine levels are low

Low level of inflammatory marker shows lower level of inflammation

There are significant changes in level of CL activity and CIC level of circulating neutrophil  during fasting

Low level of inflammatory process shown to have higher risk of developing arthritis and bursitis

Diuretics are the best choice of medication throughout the month

Patient with poor blood pressure control also considered as safe to continue fasting

A low sugar meal are advisable during suhoor and iftar

Incidence of myocardial infarction do not increase during Ramadan

Transplant patient that have transplanted kidney graph that functioning well for at least 2 years are safe to do fasting

Fasting is safe to stable renal transplant patient with 12-hour fasting pattern

There is not too much changes in serum creatinine levels during fasting in recipients with stable renal functions

The major concerns of adverse effects in kidney transplant patients are due to dehydration and accumulation of metabolites

TRUE

FALSE

the level of glycogen lowered by glycogenolysis

fasting hyperbilirubinemia shows decline of circulating unconjugated bilirubin

serum bilirubin level return to baseline after 12-14 hours of consumption of regular meal

there is no significant changes in ALT, AST, protein and albumin

Might encounter hypoglycemia with the signs of shivering and cold sweat due to long hours without food or hyperglycemia with signs of polyuria and extreme thirst due to huge reduction of insulin during suhoor

Morning usual dose is given during iftar before heavy meal while usual pre dinner dose is adjusted and given before suhoor

Type 2 DM - Patients on insulin and sulfonylureas combination should take their basal insulin (Isophane, Glargine or Detemir) about 10 pm to 12 midnight and the oral hypoglycaemic agents taken at Iftar

Type 1 DM - Those on pre-mixed insulin such as 30/70 or 25/75 preparations should have their morning dose before the Iftar in the same or even greater dose. However the pre- Suhoor dose should be reduced or substituted with shorter acting insulin only.

Early in the morning

In the afternoon

Few hours before iftar

Before going to bed

Use of sublingual tablet under tongue and not swallowed

Use of gas type of generalized anesthesia

Donating blood

Biopsy

TRUE

FALSE

30 minutes before suhoor

1 hours before suhoor

2 hours after breaking fast

After breaking fast that without having heavy meal

Delay suhoor meal  as late as possible

Quickly breaking the fast if there is any detrimental symptoms occur

Advisable to have main meal after maghrib prayer

Choose food that contains more sugar, fats and salts

Reduce coffee intake gradually starting from months before Ramadan

Do some exercise after iftar

Use simple analgesics

Consume strong coffee during suhoor

the dose and the time of insulin injection need to be altered by doctor based on blood sugar test

need to discuss with the doctor on medication taking and insulin dose on ramadan

need to do health screening and educational program with health officers to know how to fast during ramadan

not taking any medications during ramadan

Too thirsty

Too sleepy

Frequently urinating

Cold sweat

The use of long acting anticholinergic inhaler tiotropium

“Long acting alpha agonist and steroids” inhaler twice daily with titrating dose up

The use of oxygen inhalation permitted

For patients that need systemic steroids, it can be given as once daily dosing

Parkinson - take long acting dopamine agonist during suhoor

Seizure - have enough sleep and constant medicament schedule

Headache - one tablet of analgesic and a cup of coffee during suhoor

Seizure - have enough sleep and constant medicament schedule

Parkinson - take long acting dopamine agonist during suhoor

Headache - one tablet of analgesic and a cup of coffee during suhoor

Seizure - one tablet of analgesic and a cup of coffee during suhoor

Headache - have enough sleep and constant medicament schedule

Before suhoor

1 hours after iftar

During iftar before heavy meals

Before bed

Very hard

Hard

EZ

Very easy