Nutr Therapeutics Quizzes Flashcards by Paige Snyder

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

Vitamin B6

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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

Drink plenty of fluids

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

• CoQ10

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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

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

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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

• Ferritin

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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

• Vitamin D

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

HDL
Apolipoprotein B
LDL particle size
Lipoprotein (a)

Lipoprotein (a)

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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

• Vitamin D increases vascular smooth muscle hypertrophy

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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

• Carnitine

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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

• Iron deficiency

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

• Vitamin C

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The body regulates iron through the ________________.

Gastrointestinal tract
Spleen
Kidney
Liver

• Gastrointestinal tract (i think)

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

Aluminum

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

Glutamine

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

Melatonin

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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

Asthma and allergic rhinitis

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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

Digestive Enzymes

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What bacteria has been associated with Hashimoto’s thyroiditis?

difficile
E. coli
Pseudomonas spp.
Yersinia enterocolitica

Yersinia enterocolitica

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

200 mcg
400 mcg
100 mcg
800 mcg

200 mcg

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

Mastic gum
DGL
Methylmethionesulfonium
Zinc Carnosine

Methylmethionesulfonium

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

Betaine HCL
Goldenseal
Vitamin B12 and Magnesium
Ginger

Vitamin B12 and Magnesium

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What nutrient would be most likely to cause constipation?

Magnesium
Vitamin C
Calcium
Niacin

Calcium

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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

High-fat diet

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

Lactobacillus

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What nutrient would be contraindicated for an individual with a peptic ulcer? Betaine HCL Zinc Carnosine Aloe vera DGL

Betaine HCL

What protein regulates the permeability of the intestine? Zonulin Lipopolysaccharides Calprotectin Occludin

Zonulin

Which of the following will not increase the beneficial bacteria in the gastrointestinal tract? Fiber Prebiotics Glutamine Butyrate

Glutamine

Hashimoto’s thyroiditis is associated with what elevated lab marker? Thyroid Peroxidase Antibody Thyroid Stimulating Immunoglobulin Thyroxine Binding Globulin Triiodothyronine

Thyroid Peroxidase Antibody

Too much of what nutrient can trigger thyroid autoimmunity? Selenium Tyrosine Zinc Iodine

Iodine

What is the most common allergenic food causing atopic dermatitis in infants? Tree nuts Peanut Cow’s milk Shellfish

Cow’s milk

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

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

Which type of food antibody testing detects delayed food reactions? IgD IgE IgM IgG

IgG

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

Glutamine

Which of the following declines significantly with age an often associated with sleep difficulties? Melatonin 5-HTP Tryptophan Inositol

Melatonin

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

Decreased sebum production by sebaceous glands

Which B vitamin is used during insulin signal transduction? Inositol Folate Vitamin B12 Niacin

Inositol

Which botanical is an analog to metformin? Berberine Bitter melon Cinnamon Fenugreek

Berberine

What is the most common self-identified trigger for migraines? Stress Menstrual cycle Food Insomnia

Stress

What nutrient has been shown to be a bronchodilator? Magnesium Calcium Zinc D.Selenium

Magnesium

Which botanical increases insulin sensitivity but also has a modest effect on lipid metabolism? Berberine Bitter melon Cinnamon Fenugreek

Berberine

Which B vitamin supports overall relaxation and helps maintain the proper metabolism of serotonin? Inositol Biotin Niacin Riboflavin

Inositol

Which nutrient improved glutathione levels and decreased fat deposition in patients with NASH? N-acetyl-cystiene Phosphatidylcholine Milk thistle Carnitine

N-acetyl-cystiene

Which amino acid has been shown to reduce stress and improve the quality of sleep? L-theanine L-tyrosine L-glutamine L-lysine

L-theanine

What is the most common type of kidney stone? Calcium Oxalate Calcium Phosphate Cysteine Magnesium Oxalate

Calcium Oxalate

Which is not a symptom of hypoglycemia? Polyuria Headache Sweating Dizziness

Polyuria production of abnormally large volumes of dilute urine

Which botanical acts as a hypoglycemic agent and an antimicrobial? Berberine Bitter melon Cinnamon Fenugreek

Berberine

What is the most common studied dosage of melatonin? 3 mg 1 mg 6 mg 5 mg

3 mg

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

HbA1c

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

Parathyroid hormone (PTH)

Which nutrient is considered a conditional essential nutrient in client’s with Polycystic Ovarian Syndrome (PCOS)? Inositol Folate Vitamin B12 CoQ10

Inositol

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

HDL > 50 mg/dl

Which brain nutrient should only been used to support sleep if the client has elevated cortisol? Phosphatidylserine Phosphatidylcholine GABA 5-HTP

Phosphatidylserine

What HbA1c level is prediabetic? 5. 8% 6. 5% 5. 6% 8. 1%

5.8%

Which is not a mechanism of action of vitamin C for osteoarthritis? Analgesic Increase collagen synthesis Decrease collagen degradation Increase proteoglycan synthesis

Analgesic

Which botanical is a mast cell stabilizer and controls the release of histamine? Curcumin Resveratrol EGCg Quercetin

Quercetin

What does a certificate of analysis not show? Heavy metal testing Method Analytical testing results Specifications

Heavy metal testing

Which form of nutrient that has poor bioavailabilty? Malate Oxide Citrate Glycinate

Oxide

Which is not required to be on a dietary supplement label? Ingredient list Amount Source of ingredient Name of manufacturer

Source of ingredient

Fibrocystic breast disease is associated with an increase in what hormone? Pregnenolone Testosterone Progesterone Estrogen

Estrogen

Which nutrient Improves 2/16 hydroxyestrone ratio? Fish Oil DIM NAC Calcium D Glucarate

DIM | estrogen

What does cGMP stand for? Correct Good Manufacturing Procedures Correct Good Manufacturing Practices Current Good Manufacturing Practices Current Good Manufacturing Procedures

Current Good Manufacturing Practices

Which nutrient is contraindicated for individuals on Coumadin? Magnesium Vitamin K1 Zinc Vitamin D

Vitamin K1 Coumadin - blood thinner

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

PTH

What tocotrienol isomer has demonstrated the significant cytotoxic effect on human cancer cells? Delta Gamma Alpha Beta

??? I think alpha

Which estrogen metabolite has been associated with an increased risk of breast cancer? 2-hydroxyestrone Etiocholanolone Androsterone 16-hydroxyestrone

16-hydroxyestrone

Which nutrient is necessary for angiogenesis? Selenium Copper Molybdenum Zinc

Copper Angiogenesis is the formation of new blood vessels.

Which nutrient’s mechanism of actions is as an analgesic for osteoarthritis? Vitamin C SAMe Fish Oil Selenium

SAMe

Which botanical is a phytoestrogen has demonstrated a significant reduction in hot flashes? Flavocoxid Berberine Quercetin Genistein

Genistein

What vitamin has a natural suppression on prolactin? Vitamin C Vitamin D Vitamin A Vitamin B6

Vitamin B6

What form of Vitamin B3 has been used as a therapy for the osteoarthritis? Nicotinic acid Niacinamide Inositol hexanicotinate

Niacinamide

What nutrient significantly inhibits carbohydrate-mediated tumor growth, angiogenesis, and metastasis by its effects on Galectin 3 proteins? Curcumin Quercetin Modified Citrus Pectin EGC

Modified Citrus Pectin

What is not a risk factor for osteoporosis? Obesity Onset of menopause Glucocorticoid use Smoking

Obesity

Which of the following would not be used to support detoxification pathways? NAC Quercetin Sulphoraphane EGCg

Quercetin