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Comp Exam Nov > Nutr Therapeutics Quizzes > Flashcards

Nutr Therapeutics Quizzes Flashcards

1
Q

Which vitamin is involved in the metabolism of homocysteine and its low serum levels have been associated with hypertension?

  • Folate
  • Vitamin B12
  • Vitamin B2
  • Vitamin B6
A

Vitamin B6

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2
Q

Which nutritional recommendation is not advised for patients with congestive heart failure?

  • Avoid Salt
  • Increase vitamin B1 intake
  • Drink plenty of fluids
  • Avoid processed sugars
A

Drink plenty of fluids

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3
Q 
Which of the following nutrient deficiencies is caused by statin medications?
•	CoQ10 
•	Magnesium 
•	Vitamin A 
•	Calcium
A

• CoQ10

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4
Q

Which of the following is not true regarding fatty acids and cardiac arrhythmias?
• 1 gram/d of fish lowers mortality following a myocardial infarction
• Omega-3 fatty acids increase lipid packing in cell membranes affecting ion channels
• Trans fatty acids are proarrhythmic
• Omega-3 fatty acids are antiarrhythmic

A

i think: Omega-3 fatty acids increase lipid packing in cell membranes affecting ion channels

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5
Q

A client has a microcytic anemia on her CBC. She presents to your office with pale skin, a normal blood pressure, and elevated pulse. What additional test would you follow up with?

  • Intrinsic factor antibody
  • Folate
  • Vitamin B12
  • Ferritin
A

• Ferritin

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6
Q

A client presents to your office seeking nutritional support for his elevated cholesterol. He is currently taking 200 mg of CoQ10 but still complains of muscle pain. What other nutrient would assess for a possible deficiency?

  • Vitamin B12
  • Vitamin D
  • Folate
  • Vitamin B6
A

• Vitamin D

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7
Q

Which of the following about lipoproteins is not significantly affected by diet and exercise?

  • HDL
  • Apolipoprotein B
  • LDL particle size
  • Lipoprotein (a)
A

Lipoprotein (a)

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8
Q

Which of the following is not true in reference to vitamin D and hypertension
• Vitamin D increases nitric oxide
• Vitamin D increases vascular smooth muscle hypertrophy
• Vitamin D suppresses pro-inflammatory cytokines
• The lower the vitamin D level, the greater the risk of hypertension

A

• Vitamin D increases vascular smooth muscle hypertrophy

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9
Q

Which nutrient facilitates the transport of fatty acids across the mitochondrial membrane and plays an essential role in congestive heart failure?

  • D-ribose
  • CoQ10
  • Magnesium
  • Carnitine
A

• Carnitine

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10
Q

A 36 year old female labs reveal a low Hgb 11.8, a low transferrin saturation 18%, and an elevated Ferritin at 124. She has a regular menstrual cycle. What is cause of anemia?

  • Heavy menstrual bleeding
  • Inflammation
  • Iron deficiency and Inflammation
  • Iron deficiency
A

• Iron deficiency

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11
Q 
What nutrient will increase the absorption of iron?
•	Magnesium 
•	Vitamin D 
•	Calcium 
•	Vitamin C
A

• Vitamin C

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12
Q

The body regulates iron through the ________________.

  • Gastrointestinal tract
  • Spleen
  • Kidney
  • Liver
A

• Gastrointestinal tract (i think)

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13
Q 
Which heavy metal is not associated with hypertension?
•	Aluminum 
•	Lead 
•	Mercury 
•	Cadmium
A

Aluminum

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14
Q 
Which is not part of the REMOVE phase for a GI 4-R program?
•	Garlic 
•	Remove food sensitivities 
•	Oil of Oregano 
•	Glutamine
A

Glutamine

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15
Q 
What hormone has been found to be low in individuals with GERD and helps eliminate H. pylori?
•	DHEA 
•	Melatonin 
•	Pregnenolone 
•	Cortisol
A

Melatonin

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16
Q

Although most food allergies are outgrown in late childhood, the occurrence of atopic dermatitis predisposes individuals to:

  • Inflammatory bowel disease
  • Celiac disease
  • Dybiosis
  • Asthma and allergic rhinitis
A

Asthma and allergic rhinitis

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17
Q

A client presents to your office with stool test results and her Elastase marker is low. What would nutritional support would you recommend?

  • S. boulardii
  • Glutamine
  • Betaine HCL
  • Digestive Enzymes
A

Digestive Enzymes

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18
Q

What bacteria has been associated with Hashimoto’s thyroiditis?

  • difficile
  • E. coli
  • Pseudomonas spp.
  • Yersinia enterocolitica
A

Yersinia enterocolitica

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19
Q

What is the dose of selenium shown in most of the human research studies?

200 mcg
400 mcg
100 mcg
800 mcg

A

200 mcg

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20
Q

Which nutrient is found in raw cabbage and has been shown to help heal peptic ulcers?

Mastic gum
DGL
Methylmethionesulfonium
Zinc Carnosine

A

Methylmethionesulfonium

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21
Q

What nutrient recommendations would you make for someone on a proton pump inhibitor (PPI)?

Betaine HCL
Goldenseal
Vitamin B12 and Magnesium
Ginger

A

Vitamin B12 and Magnesium

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22
Q

What nutrient would be most likely to cause constipation?

Magnesium
Vitamin C
Calcium
Niacin

A

Calcium

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23
Q

Which of the following is not recommended for an individual with irritable bowel syndrome (IBS)?
Low FODMAP diet
Eliminate artificial sweeteners
Eliminate or restrict carbonated beverages
High-fat diet

A

High-fat diet

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24
Q 
Which probiotics strains should be avoided in a patient with an elevated urinary D-lactate organic acid?
  Bifidobacter 
  Bacillus 
  S. boulardii 
  Lactobacillus
A

Lactobacillus

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25
Q

What nutrient would be contraindicated for an individual with a peptic ulcer?

Betaine HCL
Zinc Carnosine
Aloe vera
DGL

A

Betaine HCL

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26
Q

What protein regulates the permeability of the intestine?

Zonulin
Lipopolysaccharides
Calprotectin
Occludin

A

Zonulin

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27
Q

Which of the following will not increase the beneficial bacteria in the gastrointestinal tract?

Fiber
Prebiotics
Glutamine
Butyrate

A

Glutamine

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28
Q

Hashimoto’s thyroiditis is associated with what elevated lab marker?

Thyroid Peroxidase Antibody
Thyroid Stimulating Immunoglobulin
Thyroxine Binding Globulin
Triiodothyronine

A

Thyroid Peroxidase Antibody

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29
Q

Too much of what nutrient can trigger thyroid autoimmunity?

Selenium
Tyrosine
Zinc
Iodine

A

Iodine

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30
Q

What is the most common allergenic food causing atopic dermatitis in infants?

Tree nuts
Peanut
Cow’s milk
Shellfish

A

Cow’s milk

31
Q

Which is not true correct about Saccharoymes boulardii?

  • Protects the gastrointestinal lining during antibiotic use
  • Increases secretory IgA
  • It makes up part of the commensal bacteria in the gastrointestinal tract
  • It is a nonpathogenic, probiotic yeast
A

It makes up part of the commensal bacteria in the gastrointestinal tract

32
Q

Which type of food antibody testing detects delayed food reactions?

IgD
IgE
IgM
IgG

A

IgG

33
Q

A client receives back stool panel results from her doctor and was a low secretory IgA. What nutrient will not increase SIgA?

Glutamine
S. boulardii
Colostrum
Proteolytic enzymes

A

Glutamine

34
Q

Which of the following declines significantly with age an often associated with sleep difficulties?

Melatonin
5-HTP
Tryptophan
Inositol

A

Melatonin

35
Q

The pathophysiology of acne encompasses all of the following EXCEPT?

Decreased sebum production by sebaceous glands
Abnormal hyperkeratinization in the hair follicle lumen
Inflammation
Overgrowth of Propionobacterium acnes

A

Decreased sebum production by sebaceous glands

36
Q

Which B vitamin is used during insulin signal transduction?

Inositol
Folate
Vitamin B12
Niacin

A

Inositol

37
Q

Which botanical is an analog to metformin?

Berberine
Bitter melon
Cinnamon
Fenugreek

A

Berberine

38
Q

What is the most common self-identified trigger for migraines?

Stress
Menstrual cycle
Food
Insomnia

A

Stress

39
Q

What nutrient has been shown to be a bronchodilator?

Magnesium
Calcium
Zinc
D.Selenium

A

Magnesium

40
Q

Which botanical increases insulin sensitivity but also has a modest effect on lipid metabolism?

Berberine
Bitter melon
Cinnamon
Fenugreek

A

Berberine

41
Q

Which B vitamin supports overall relaxation and helps maintain the proper metabolism of serotonin?

Inositol
Biotin
Niacin
Riboflavin

A

Inositol

42
Q

Which nutrient improved glutathione levels and decreased fat deposition in patients with NASH?

N-acetyl-cystiene
Phosphatidylcholine
Milk thistle
Carnitine

A

N-acetyl-cystiene

43
Q

Which amino acid has been shown to reduce stress and improve the quality of sleep?

L-theanine
L-tyrosine
L-glutamine
L-lysine

A

L-theanine

44
Q

What is the most common type of kidney stone?

Calcium Oxalate
Calcium Phosphate
Cysteine
Magnesium Oxalate

A

Calcium Oxalate

45
Q

Which is not a symptom of hypoglycemia?

Polyuria
Headache
Sweating
Dizziness

A

Polyuria

production of abnormally large volumes of dilute urine

46
Q

Which botanical acts as a hypoglycemic agent and an antimicrobial?

Berberine
Bitter melon
Cinnamon
Fenugreek

A

Berberine

47
Q

What is the most common studied dosage of melatonin?

3 mg
1 mg
6 mg
5 mg

A

3 mg

48
Q

Which lab test is used to monitor diabetic patients and provides a snapshot of the client’s blood sugar handling over the past 3-4 months?

HbA1c
Fasting glucose
Fasting insulin
C peptide

A

HbA1c

49
Q

A client’s lab results with kidney stones show an elevated serum calcium level. What follow up lab would you recommend?

Parathyroid hormone (PTH)
Thyroid stimulating hormone (TSH)
Cortisol
DHEA sulfate

A

Parathyroid hormone (PTH)

50
Q

Which nutrient is considered a conditional essential nutrient in client’s with Polycystic Ovarian Syndrome (PCOS)?

Inositol
Folate
Vitamin B12
CoQ10

A

Inositol

51
Q

Which criteria is not true for metabolic syndrome?

HDL > 50 mg/dl
Fasting glucose > 100 mg/dl
Blood Pressure > 130/85 mmHg
Triglycerides > 150 mg/dl

A

HDL > 50 mg/dl

52
Q

Which brain nutrient should only been used to support sleep if the client has elevated cortisol?

Phosphatidylserine
Phosphatidylcholine
GABA
5-HTP

A

Phosphatidylserine

53
Q

What HbA1c level is prediabetic?

  1. 8%
  2. 5%
  3. 6%
  4. 1%
A

5.8%

54
Q

Which is not a mechanism of action of vitamin C for osteoarthritis?

Analgesic
Increase collagen synthesis
Decrease collagen degradation
Increase proteoglycan synthesis

A

Analgesic

55
Q

Which botanical is a mast cell stabilizer and controls the release of histamine?

Curcumin
Resveratrol
EGCg
Quercetin

A

Quercetin

56
Q

What does a certificate of analysis not show?

Heavy metal testing
Method
Analytical testing results
Specifications

A

Heavy metal testing

57
Q

Which form of nutrient that has poor bioavailabilty?

Malate
Oxide
Citrate
Glycinate

A

Oxide

58
Q

Which is not required to be on a dietary supplement label?

Ingredient list
Amount
Source of ingredient
Name of manufacturer

A

Source of ingredient

59
Q

Fibrocystic breast disease is associated with an increase in what hormone?

Pregnenolone
Testosterone
Progesterone
Estrogen

A

Estrogen

60
Q

Which nutrient Improves 2/16 hydroxyestrone ratio?

Fish Oil
DIM
NAC
Calcium D Glucarate

A

DIM

estrogen

61
Q

What does cGMP stand for?

Correct Good Manufacturing Procedures
Correct Good Manufacturing Practices
Current Good Manufacturing Practices
Current Good Manufacturing Procedures

A

Current Good Manufacturing Practices

62
Q

Which nutrient is contraindicated for individuals on Coumadin?

Magnesium
Vitamin K1
Zinc
Vitamin D

A

Vitamin K1

Coumadin - blood thinner

63
Q

What hormone stimulates the release of calcium from bone by an increase in osteoclastic activity?

TSH
Estrogen
DHEA
PTH

A

PTH

64
Q

What tocotrienol isomer has demonstrated the significant cytotoxic effect on human cancer cells?

Delta
Gamma
Alpha
Beta

A

???

I think alpha

65
Q

Which estrogen metabolite has been associated with an increased risk of breast cancer?

2-hydroxyestrone
Etiocholanolone
Androsterone
16-hydroxyestrone

A

16-hydroxyestrone

66
Q

Which nutrient is necessary for angiogenesis?

Selenium
Copper
Molybdenum
Zinc

A

Copper

Angiogenesis is the formation of new blood vessels.

67
Q

Which nutrient’s mechanism of actions is as an analgesic for osteoarthritis?

Vitamin C
SAMe
Fish Oil
Selenium

A

SAMe

68
Q

Which botanical is a phytoestrogen has demonstrated a significant reduction in hot flashes?

Flavocoxid
Berberine
Quercetin
Genistein

A

Genistein

69
Q

What vitamin has a natural suppression on prolactin?

Vitamin C
Vitamin D
Vitamin A
Vitamin B6

A

Vitamin B6

70
Q

What form of Vitamin B3 has been used as a therapy for the osteoarthritis?

Nicotinic acid
Niacinamide
Inositol hexanicotinate

A

Niacinamide

71
Q

What nutrient significantly inhibits carbohydrate-mediated tumor growth, angiogenesis, and metastasis by its effects on Galectin 3 proteins?

Curcumin
Quercetin
Modified Citrus Pectin
EGC

A

Modified Citrus Pectin

72
Q

What is not a risk factor for osteoporosis?

Obesity
Onset of menopause
Glucocorticoid use
Smoking

A

Obesity

73
Q

Which of the following would not be used to support detoxification pathways?

NAC
Quercetin
Sulphoraphane
EGCg

A

Quercetin

Comp Exam Nov (4 decks)

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