AFMCP

Question 1

ABCD

Answer 1

Anthropometrics and vital signs
Biomarkers and Labs
Clinical indicators (nutritional PE)
Diet and Lifestyle assessment

Question 2

Functional Nutrition Biomarkers

Answer 2

Proteins
fats and oils
carbs
minerals
vitamins
phytonutrients

Question 3

GOTOIT

Answer 3

Gather - oneself and hx, intake, Timeline, PE, diet/lifestyle journal
Organize - put info into Matrix, assess system (e.g. allergy, endocrine, neuro)
Tell - share story with patient (conventionally - share dx)
Order and Prioritize - your priorities + patient goals
Initiate - diagnostic tests, referrals, tx
Track - f/u, MSQ

Question 4

Antecedents

Answer 4

factors that predispose individual to illness
a trigger with a delayed effect
e.g. SAD, family hx, VAT, chronic low stress

Question 5

Triggers

Answer 5

factors that provoke s/sxs of illness

e.g. “not well since”, auto accident, ACE, acute stress

Question 6

Mediators

Answer 6

biochemical or psychosocial factors that contribute to pathology/dysfunction
triggers that are ongoing
e.g. SAD, high alcohol, sedentary, adiposity

Question 7

Evidence-based benefits of MBSR

Answer 7

increases BDNF, stimulates left prefrontal cortex, facilitates neurogenesis and neuroplasticity, brain waves assoc with cognitive restructuring and learning
lower 8-OH2dG, ROS, cortisol, IL-6; higher TAC, telomerase activity, beta endorphins, sirtuin-1
changes gray matter assoc with learning/memory, emotional regulation, self-deferntial processing, perspective taking
decrease anxiety, physical sxs, CRP
decrease post-stress inflammation (TNF alpha and IL-8)
increase HRV, serotonin, beta-endorphin, melatonin, Ach; decrease norepi
increase cortical thickness in grey matter and right hippocampal volume

Question 8

Stages of Change

Answer 8

pre-contemplation – denial/lack of intention to change behavior
contemplation (next 6 months) – bargaining, searching for certainty
preparation (next month) – sets a date, announces intentions, makes a clear plan
action – acceptance, modifies behavior and surroundings
maintenance – I solved my problem more than 6 months ago

Question 9

Dry hair assoc with ___ nutritional def

Answer 9

EFA

Question 10

Dandruff assoc with ___ nutritional def

Answer 10

EFA, Zn

Question 11

Dull hair assoc with ___ nutritional def

Answer 11

protein, iron, EFA

Question 12

premature gray hair assoc with ___ nutritional def

Answer 12

copper, B12

Question 13

hair depigmentation assoc with ___ nutritional def

Answer 13

protein, copper, zinc, biotin, B12

Question 14

corkscrew and swan neck hairs assoc with ___ nutritional def

Answer 14

vit C

Question 15

Menke’s disease hair finding assoc with ___ nutritional def

Answer 15

copper

Question 16

hair thinning assoc with ___ nutritional def

Answer 16

protein, zinc, selenium

Question 17

hair loss assoc with ___ nutritional def

Answer 17

protein, zinc, copper, iron, B vitamins, biotin, vitamins C, E, A, D, coQ10

Question 18

altered smell assoc with ___ nutritional def

Answer 18

Zinc, copper, iron, iodine, vitamin A, vitamin E, B2, B3, B5, biotin, folate, B12

Question 19

loss of which sense precedes Parkinson’s and Alzheimer’s dx by 5 years

Answer 19

smell

Question 20

loss of taste assoc with ___ nutritional def

Answer 20

protein malnutrition, copper, zinc, niacin, B12 deficiency

Question 21

macroglossia assoc with these conditions

Answer 21

insulin resistance, sleep apnea, food allergy/hypersensitivity, hypothyroidism

Question 22

red painful tongue assoc with ___ def

Answer 22

niacin

Question 23

angular cheilitis assoc with ___ def

Answer 23

riboflavin, nicotinic acid, folic acid, biotin, cobalamin, vit C, iron, zinc, niacin, pyridoxine

Question 24

burning mouth assoc with ___ def

Answer 24

B6 ( or Candida ifxn)

Question 25

candidiasis assoc with ___ def

Answer 25

folic acid, B12, iron

Question 26

glossitis assoc with ___ def

Answer 26

riboflavin, nicotinic acid, B6, folic acid, B12, iron, protein

Question 27

lip fissures assoc with ____ def

Answer 27

B6

Question 28

oral sensitivity assoc with ___ def

Answer 28

thiamine, B6

Question 29

recurrent apthae assoc with ____ def

Answer 29

riboflavin, folic acid, B12, vitamin C

Question 30

stomatitis assoc with ____ def

Answer 30

nicotinic acid, folic acid, B12

Question 31

periodontal disease assoc with ____ def

Answer 31

vit A, D, E, thiamine, folate, B12, Ca, Se

Question 32

geographic tongue assoc with ____ def

Answer 32

Iron, Zinc, Niacin, B6,12, folate insufficiency

Question 33

glossitis assoc with ____ def

Answer 33

protein, iron, riboflavin, niacin, B6, B12, folate

Question 34

tongue fissuring assoc with

Answer 34

autoimmune, malabsorption, genetic, infection

Question 35

taste bud atrophy assoc with ___ def

Answer 35

iron, riboflavin, niacin, B12

Question 36

Leukoplakia assoc with ___ def

Answer 36

vit A, B2, B3, B6, folate, B12

Question 37

Black hairy tongue

Answer 37

associated with smoking, sulfur granule positive bacteria-oral dysbiosis, Bismuth, antibiotics

Question 38

Hyperkeratosis pilari assoc with ____ def

Answer 38

zinc, vitamin A, vitamin C, B vitamins, zinc

Question 39

Seborrheic derm assoc with ___ def

Answer 39

EFA, zinc, vit A, biotin

Question 40

Koilonychia (spooned nail) assoc with ____ def

Answer 40

protein, iron, chromium, copper, zinc

Question 41

Leukonychia punctate assoc with ___ def

Answer 41

zinc

Question 42

Leukonychia striae assoc with

Answer 42

Se def or toxicity | Arsenic toxicity

Question 43

Brittle nails assoc with ___ def

Answer 43

protein, EFA, Ca, Mag, iron, silicon, zinc, biotin | EXCESS vit A and selenium

Question 44

"Bracelet pain" or "knee high pain"

Answer 44

vitamin D def

Question 45

Beau's lines - growth arrest on nails - assoc with ____ def

Answer 45

zinc, protein, niacin

Question 46

thiamine def conditons

Answer 46

berberi, Wernicke/Korsakoff, encephalopathy, calf cramping, muscle tenderness, burning feet, irritability

Question 47

niacin def conditions

Answer 47

peripheral neuropathy, encephalopathy

Question 48

B6 def conditions

Answer 48

peripheral neuropathy, pure sensory neuropathy (toxicity)

Question 49

folate or B12 def conditions

Answer 49

myelopathy, peripheral neuropathy, neuropsychiatric, optic neuropathy, autonomic dysfunction

Question 50

vit D def conditions

Answer 50

cutaneous hyperalgesia, bone pain of osteomalacia

Question 51

vit E def conditions

Answer 51

spinocerebellar syndrome, peripheral neuropathy, opthalmoplegia

Question 52

copper def conditions

Answer 52

myelopathy, myeloneuropathy

Question 53

protein def conditions

Answer 53

muscle wasting, weakness, hypotonia, hyporeflexia

Question 54

factors that improve cellular sensitivity to thyroid hormones

Answer 54

Vitamin A, exercise, and zinc

Question 55

nutrients that contribute to thyroid hormone production

Answer 55

Iron, iodine, tyrosine, zinc, selenium, vitamin E, B2, B3, B6, vitamin C

Question 56

increase conversion of T4 to T3

Answer 56

Se and zinc