Midterm

Question 1

In order to perpetuate the myth that animals are content with the confines of factory farms .. (food revolution)

True or false?

Answer 1

True

Question 2

While all of the following might have autoimmune elements behind them in some cases, which one of the following is most likely to be of an autoimmune nature as per class lecture in which an example was given of two twin brothers?

Peptic ulcer
Erosive gastritis
Acute dyspepsia
GERD

Answer 2

Peptic ulcer

Question 3

Reduction of gastric acid secretion has many deleterious effects on the GI tract and overall health. Common signs/ symptoms include all the following except?

Answer 3

Gluten intolerance

Question 4

Peptic ulcer can occur where in the GI tract?

Answer 4

Stomach, duodenum, and lower portion of the esophagus

Question 5

Ample research support the hypothesis that a significant number of patients with chronic body dysfunction even when the dysfunction causes symptoms in body systems with no apparent connection to the GI tract- have digestive and absorptive imbalances that are significantly compromising their health

True or false

Answer 5

True

Question 6

As per lecture and CNFA, lactose intolerance is most common in which ethnic population?

Answer 6

African blacks and asians

Question 7

Foul smelling gas is most often associated with?

Answer 7

Putrefactive dysbiosis

Question 8

Reducing emotional stress has successfully alleviated digestion-related disorders including which of the following:

1. abdominal pain
2. chronic diarrhea
3. peptic ulcer
4. general dyspepsia

Answer 8

All of the above

Question 9

Balancing digestive function by reducing stress may be partially attributed to a global nervous system shift from a parasympathetic to sympathetic tone

True or false

Answer 9

False

Question 10

Disease producing bacteria can take root in the colon if:

the pH content of the colin changes
the water content of the colon changes
digestive/ absorptive processes further up the GI tract are impaired

Answer 10

All of the above

Question 11

The cephalic phase of digestion refers to?

Answer 11

The phase in which a sensory stimulus

Question 12

According to Food Revolution n today’s intensive animal husbandry systems the conditions are so horrific that approximately ___% o pods and chicken die prematurely before reaching the age to be slaughtered for the marketplace

Answer 12

20

Question 13

Excess and inappropriate use of H2 blocking antacids has transformed diet induced _____ into medication induced _____ in may US individuals

Answer 13

hyperchlorhydria, hypochlorhydria

Question 14

Which of the following is best associated with a very large volume of intestinal gas?

Answer 14

Fermentation dysbiosis

Question 15

Which of the following best reflects putrefaction dysbiosis

Answer 15

The action of bacteria on undigested protein

Question 16

Which of the following have been shown to be more likely to occur with the use of antacids in GERD, Peptic Ulcer and Gastritis

1. interference with protein digestion and the resulting consequences
2. overgrowth of bacteria in the GI tract and the resulting consequences
3. interference with mineral utilization and the resulting consequences
4. mental retardation and the resulting consequences

Answer 16

1 2 3

Question 17

Bowel flora can begin changing in a matter of ______ when we under emotional distress

Answer 17

a few hours

Question 18

While a functional approach to laboratory assessment involves thinking about the rests differently, it doesn’t always mean doing different tests than would be used in a conventional approach

True or false

Answer 18

True

Question 19

In the famous McLibel trial Chief Justice found that McDonald’s

Answer 19

Is responsible for cruelty, exhibited towards the animals that become its products

Question 20

A forty year old females comes in complaint of fatigue and chronic GI distress. Lab testing and endoscopy reveal that she is anemic, has giant gastric rugae, low B12 and family history of autoimmune disease. Which is the most likely diagnosis

Answer 20

Menentrier’s Disease

Question 21

The primary immunoglobulin lining the gut membrane is?

Answer 21

Secretory IgA

Question 22

A comprehensive approach to normalization of GI function, commonly referred to as the 4R approach, includes these four basic clinical steps in proper order

Answer 22

Remove, replace, reinoculate, repair

Question 23

All of the following are functions of the colin except:

formation of stool
reabsorption of water
vitamin synthesis
fat absorption

Answer 23

Fat absorption

Question 24

Where do amino acids, monosaccharides and water-soluble vitamins get mostly absorbed?

Answer 24

jejunum and ileum

Question 25

Which of the following are true of peptic ulcers? 1. affects 45% of the worlds population 2. occurs only in those areas bathed by acid and pepsin 3. more often found in patients with rheumatoid disease and COPD 4. may occur anywhere from the esophagus down to the ileum 5. may have a strong autoimmune component in some patients

Answer 25

2,3,5

Question 26

According to CNFA the primary immunological defense in the GI tract is?

Answer 26

Secretory IgA

Question 27

_____ cells that secrete mucus are found in greets abundance in the ______

Answer 27

Goblet cells, stomach

Question 28

Bacteria used in supplementation studies shown to favourably affect GI and immune function include all of the following except Bifidobacterium Klebsiella LactobaciliStreptococci

Answer 28

Klebsiella

Question 29

According to CNFA and class the use of ant-acids promotes?

Answer 29

Bacterial overgrowth in small intestine

Question 30

Which of the following areas is GERD NOT likely to be directly involved with stomach duodenum esophagus none of the above

Answer 30

duodenum

Question 31

Which is the following are not likely to be involved as causal factors with GERD ``` constipation obesity excessive stress smoking hiatal hernia ```

Answer 31

constipation

Question 32

The Kreb's cycle requires which of the following key cofactors? CNFA

Answer 32

B complex vitamins, Iron, Phosphorus

Question 33

Chronic acid secretion has many predictable deleterious effects on the GI tract and digestion including which of the following? ``` Bacterial overgrowth of SI mineral deficiences/ osteoporosis intestinal putrefaction food allergies All of the above ```

Answer 33

All of the above

Question 34

The most common complaints associated with Hiatal hernia include all of the following except pyrosis lump sensation in throat pressure/ fullness constipation

Answer 34

constipation

Question 35

A decrease in acid secretion in the stomach is most likely to result in a ____ of bicarbonate release in the SI

Answer 35

decrease

Question 36

Bile's primary role in human physiology is?

Answer 36

emulsification of fats

Question 37

At the end of chapter 9, the pig farmer...

Answer 37

Gave up pig farming and started the "pet a pig" program at local schools

Question 38

At the end of chapter 10 of food revolution John Roberts discusses PETA's campaign against?

Answer 38

Fast food companies McDonald's, Burger King and Wendy's

Question 39

According to Infinite Variety two major areas of variance between individuals are?

Answer 39

Nutrient requirement and detoxication potential

Question 40

The case studies present in Infinite Variety exemplify?

Answer 40

The limitations of medical diagnosis

Question 41

Sensitivity dysbiosis would least likely be involved directly in which of the following conditions?

Answer 41

Phenylketonuria

Question 42

Chronic gastritis often leads to

Answer 42

B12 deficiency

Question 43

Factors contributing to peptic ulcer include

Answer 43

poor nutrition, Blood group O, Stress

Question 44

According to Dr. Goldberg in his interview with Jiri Patel, alternative medicine:

Answer 44

Is generally a hodgepodge of treatments that ultimately suppress symptoms

Question 45

According to Dr. Goldberg in his interview with Jiri Patel, the most important factor for patient recovery is:

Answer 45

How hard they are willing to get well

Question 46

Gamma-oryzanol is a naturally occurring component of ____ and is well documented in providing support for _____ related conditions

Answer 46

rice bran, permeability

Question 47

CNFA makes clear that failure to remove pathogens, toxins and allergens from gut environment can make attaining proper _____ virtually impossible

Answer 47

intestinal permeability

Question 48

Altered intestinal permeability is a localized organ specific disorder (CNFA) True or false

Answer 48

False

Question 49

In testing for digestive malabsorption, if we were only going to test one component the best one to chose would be?

Answer 49

Fat malaborption (via fecal fat analysis)

Question 50

Organic issues of the digestive tract generally precede functional issues True or false

Answer 50

False