Exam 1 August 2019 Flashcards

1
Q

Big Ideas: Digestion

A
  1. Digestion is a North to South process.
  2. The big 3 organs from a nutritional standpoint are Stomach, Pancreas, and Gallbladder. (SPG)
  3. Digestion is fundamental to nutritional therapy.
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2
Q

Glycogenolysis

A

Process of converting glycogen back into glucose as needed for fuel.

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3
Q

during Digestion, what happens in the Duodenum?

A
  1. Secretin triggers release of Bicarbonate & Pancreatic Enzymes
  2. CCK stimulates Gallbladder to release Bile
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4
Q

during Digestion, what happens in the Stomach?

A
  1. Gastric juice incl Pepsinogen/Pepsin & HCl
  2. HCl triggers Gastrin
  3. Chyme pH 1.5-3.0
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5
Q

Gluconeogenesis

A

Process of protein conversion to glucose within the liver.

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6
Q

Optimal range for blood glucose as regulated by the CNS

A

70-90 mg/dL (3.9-5.0 mmol/L)

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7
Q

What is the Sanchez-Cuenca Test for?

A

to determine general allergic tension

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8
Q

Optimal level of blood glucose

A

70-90 mg/dl (3.9-5.0 mmol/L)

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9
Q

What exists between the Small and Large Intestines?

A

Ileocecal Valve

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10
Q

Glycogenesis

A

synthesis of glycogen from excess blood glucose that occurs chiefly in the liver (100g) and skeletal muscles (400g)

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11
Q

When LNT for BSR, where should the start point be?

A

Organ (P.A.L) with highest FE score, then work N to S

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12
Q

FE. Order of Organs Tested (acronym)

Sugar Handling FOUNDATION

A

A.P.L.

Adrenal
Pancreas
Liver

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13
Q

Hormone antagonistic to Glucagon

A

Insulin

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14
Q

Gluconeogenesis

A

conversion of protein to glucose that occurs in the liver

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15
Q

Glycogenesis

A

Process of excess blood glucose stored as glycogen in liver and skeletal muscles

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16
Q

List the Steps of the Consultation Process

A
  1. Conduct Initial Interview and have client sign Disclaimer
  2. Review Food&Mood Journal and NAQ
  3. Conduct Functional Evaluation (LNT included)
  4. Provide Recommendations and Discuss Plan
  5. Schedule Follow-up Sessions
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17
Q

LNT: what is layering?

A

combining multiple supplements for a single LNT reading

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18
Q

Glucagon

A

pancreatic hormone which triggers the release of stored energy for use in the body

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19
Q

Name: the synthesis of glycogen from glucose that occurs in the liver and skeletal muscles

A

glycogenesis

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20
Q

Anatomy Directional Terms

A
  1. Superior v Inferior
  2. Proximal (towards shoulder) v Distal (towards hand)
  3. Medial (towards centre) v Lateral (away from centre)
  4. Anterior v Posterior
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21
Q

4 Roles of Fats in Body

A
  1. Source of energy
  2. Building blocks for cell membranes & hormones
  3. Makes fat-soluble vitamins more bioavailable
  4. Increases satiety
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22
Q

Purpose of Recommendations during Consultation Process

A
  1. Provide nutritional guidance

2. Agree on both short-term and long-term goals

23
Q

FE. Order of Organs Tested (acronym)

Digestion FOUNDATION

A

S.P.G.S.L.

Stomach
Pancreas
Gallbladder
Small Intestine
Large Intestine
24
Q

Formula to calculate adequate water intake

A

Body Weight KG = 30ml of water

25
Q

3 Possible Reactions to a Nutritional Protocol + example of each

A
  1. DIGESTIVE Reaction
    Ex: heartburn, diarrhea, constipation, etc
  2. SENSITIVITY/ALLERGY Reaction
    Ex: rash, itching, problem swallowing or breathing
  3. HEALING Reaction
    Ex: flu-like symptoms, nausea
26
Q

Name: conversion of protein to glucose in the liver

A

gluconeogenesis

27
Q

Define Metabolic Flexibilty

A

The ability to use different metabolic pathways for fuel.

28
Q

Purpose of FE (Functional Evaluation)

A

Gather information directly from the client`s body

29
Q

Glycogenolysis

A

conversion of glycogen back to blood glucose as needed for fuel

30
Q

Cofactors necessary to conjugate fatty acids into prostaglandins

A
  1. Proper digestion
  2. Proper liver function
  3. Enzymes
31
Q

The 3 Keys for LNT preparation

A
  1. Water for client to rinse
  2. Spit cup
  3. Do not touch supplements
32
Q

What does a Digestive Reaction look like?

A

Digestive problems like diarrhoea, constipation, heartburn

33
Q

What exists between the stomach and duodenum?

A

Phyloric Sphincter

34
Q

Optimal Ratio of Macronutrients

A

30/30/40

P/F/C

35
Q

What does an Allergic/Sensitivity Reaction look like?

A

Allergic or sensitivity symptoms like rash or congestion

36
Q

List the Foundations

A
  1. Digestion
  2. Blood Sugar Regulation
  3. Mineral Balance
  4. Fatty Acid Balance
  5. Hydration
  6. Properly Prepared, Nutrient-Dense Diet
37
Q

Define “Digestion”

A

the Mechanical and Chemical breakdown of food

38
Q

Purpose of Initial Interview and Disclaimer

A
  1. Introduce self
  2. Build rapport
  3. Determine ability to help client
39
Q

Define Anatomy v Physiology

A

Anatomy: study of body parts and their structure

Physiology: study of how the body parts function

40
Q

LA stands for?

A

Linoleic Acid

41
Q

Purpose of Scheduling Follow-up Session at end of Consultation

A
  1. Monitor progress
  2. Possibly retest points (FE/LNT)
  3. Provide additional feedback
42
Q

What percentage of change is necessary to deem a LNT as successful?

A

> than 50% REDUCTION

43
Q

Dysbiosis happens in which organ?

A

Large Intestine

44
Q

What exists between the esophagus and stomach?

A

Cardiac Sphincter

45
Q

FE. Leg Length for what organ?

A

Adrenal Glands

46
Q

What are the 2 essential fatty acids?

A
  1. ALA: alpha-linolenic acid

2. LA: linoleic acid

47
Q

ALA

A

Alpha-linolenic Acid (om3)

48
Q

Diagram the Digestion Cascade

A
  1. Brain (parasympathetic state)
  2. Mouth (1..saliva 2..mastication)
  3. Esophagus (bolus)
  4. Cardiac Sphincter
  5. Stomach (1..gastric juice incl Pepsinogen/Pepsin & HCl
    2. .HCl triggers Gastrin)
  6. CHYME enters Duodenum via Phyloric Sphincter
  7. in Duodenum (1..Secretin triggers Pancreatic enzymes and Bicarbonate
    2. .CCK stimulates Gallbladder to release Bile)
  8. Small Intestine (absorption)
  9. Ileocecal Valve
  10. Large Intestine (1..recycle water and waste materials
    2. .conversion to vitamins B1, B2, B12, K, & butyric acid)
  11. Elimination (faeces)
49
Q

Rules for the Sanchez-Cuenca Test?

A
  1. Sit Down
  2. Take full minute pulse
  3. Stand Up
  4. Wait 15-30 seconds
  5. Take full minute pulse again
  6. Compare results (if pulse goes up 6 or more, positive for allergic reaction)
50
Q

Name: conversion of glycogen back to glucose

A

glycogenolysis

51
Q

What does a Healing Reaction look like?

A

Like the symptoms you are trying to address.

Such as flu-like symptoms or nausea.

52
Q

Describe Anatomical Position

A
  1. Face forward
  2. Look forward
  3. Arms hanging by your side
  4. Palms facing forward
53
Q

Glucagon

A

Hormone produced by pancreas that triggers the release of stored glucose and fatty acids in cells to be used as fuel.

54
Q

Purpose of Food and Mood Journal and NAQ

A

Gather information regarding:

  1. Dietary habits
  2. Symptoms
  3. Health concerns