Quizzes Flashcards
In the Medical Symptom Questionnaire or MSQ, a red flag would be any number equal to or higher than
30
Based on the new (not old) functional medicine tree, the core clinical imbalances that must be restored are
Assimilation (Digestive, absorptive, and microbiological imbalances)
Defense and Repair (Immune and inflammatory imbalances)
Energy (Oxidation-reduction imbalances and mitochondropathy)
Biotransformation and Elimination (Detoxification)
Communication (Hormonal and neurotransmitter imbalances)
Transport (Circulatory)
Structural integrity (Imbalances from cellular membrane function to the musculoskeletal system)
True or False? According to the Textbook of Functional Medicine, low-carbohydrate, low-fat diets should be recommended to everyone.
False
On the bottom section of the FM matrix, there is a list of Modifiable Personal Lifestyle Factors. In this section, the FM practitioner would write
Select one:
a.
The current and modifiable lifestyle factors of the patient
b.
The past and modifiable lifestyle factors of the patient
c.
The recommended lifestyle interventions
d.
All of them
e.
None of them
The current and modifiable lifestyle factors of the patient
True or False? According to the Textbook of Functional Medicine, millions of variations of genes, called single nucleotide polymorphisms (SNPs), exist within the gene pool.
True
FM questionnaires are important tools to assess patient symptoms and concerns. Which forms does the patient complete?
MSQ Diet, nutrition, lifestyle journal Stress questionnaire Toxin exposure questionnaire Sleep questionnaire
The ABCDs of the Functional Medicine Evaluation includes which of the following?
Anthropometrics (e.g., weight, height, blood pressure, temperature, etc.)
Clinical indicators (e.g., vision, smell, skin appearance, hair distribution, etc.)
Diet and lifestyle assessments (e.g., toxin exposure, exercise, diet and nutrition, etc.)
Biomarkers and labs (e.g., protein, fats, carbohydrates, minerals, vitamins, and phytonutrients)
Take a look at the Phytonutrient Spectrum Foods handout. To incorporate more phytonutrients, functional medicine recommends a minimum daily servings of whole plant foods. How much?
9-13
By definition, phytonutrients can be obtained from
Fruits, Herbs, Spices, Vegetables, Nuts, Legumes, Whole grains, Seeds
One of the most important goals of functional medicine is to
Select one:
a.
Restore balance in the patient’s environment, lifestyle, and physiological processes
b.
Diagnose the condition or disease
c.
Match the diagnosis with the correct DOSE of a pharmaceutical drug
d.
Match the diagnosis with the correct FORM of a pharmaceutical drug
e.
Match the diagnosis with the correct TYPE of pharmaceutical drug
f.
c, d, and e
Restore balance in the patient’s environment, lifestyle, and physiological processes
The tendency of organisms to maintain stability/balance is called _______.
Homeostasis
By definition, SNPs need to occur in at least _________ of the population.
1%
Principles of functional medicine include the following (please choose ALL that apply).
There will be a 10% penalty for each incorrect answer.
Select one or more:
a.
The understanding of the biochemical individuality of each patient
b.
The realization that FM is science-based
c.
The importance of a disease-centered approach
d.
The search for a dynamic balance between external and internal factors in a patient’s body, mind, and spirit
e.
The understanding that body systems and organs are unique and separate from each other
f.
The definition of health as simply the absence of disease
g.
The promotion of organ reserve to enhance health and lifespan
a.
The understanding of the biochemical individuality of each patient
d.
The search for a dynamic balance between external and internal factors in a patient’s body, mind, and spirit
g.
The promotion of organ reserve to enhance health and lifespan
T/F. All SNPs cause deleterious effects.
False
Which two of the following statements apply to the field of epigenetics?*
Select one or more:
a.
Comprises some “omic” fields, e.g., pharmacogenomics, nutrigenomics, proteomic, metabolomics, etc.
b.
Characterized by single nucleotide polymorphisms (SNPs), which occur in 10% of the population
c.
Characterized by single nucleotide polymorphisms (SNPs), which occur in 1% of the population
d.
Characterized by single nucleotide polymorphisms (SNPs), which occur in 0.1% of the population
e.
Defined as changes in gene expression caused by mechanisms other than changes in the underlying DNA sequence (e.g., via DNA methylation)
a.
Comprises some “omic” fields, e.g., pharmacogenomics, nutrigenomics, proteomic, metabolomics, etc.
e.
Defined as changes in gene expression caused by mechanisms other than changes in the underlying DNA sequence (e.g., via DNA methylation)
The most important congenital antecedent of illness is one’s:
Select one:
a.
Genetic heritage
b.
Gender
c.
Family history
d.
Age
e.
Nutritional status
B. Gender
True or False? The current dietary reference intakes (DRIs) recommend variable amounts of nutrients needed by a polymorphic population for optimal health.
False
The process or mechanism by which organisms achieve stability/balance is called _______.
Allostasis
As explained in the polymorphisms handout, there are several types of polymorphisms or changes in the DNA sequence. For example, mutations, deletions, insertions, inversions, and duplications. These are all different types of polymorphisms.
Within the family of polymorphisms, SNPs are examples of
Select one:
a.
Mutations
b.
Deletions
c.
Insertions
d.
Inversions
e.
Duplications
a.
Mutations
the most important developmental antecedent of illness is one’s
Select one:
a.
Genetic heritage
b.
Gender
c.
Family history
d.
Age
e.
Nutritional status
d.
Age
Define homeostasis
Tendency of organisms to maintain stability/balance
Define homeostatic load
-
Define homeodynamics
-
Define allostasis
The process or mechanism by which organisms achieve stability/balance
Define allostasic load
-
The 6 principles of func med
1- An understanding of the biochemical individuality of each patient.
2- The search for a dynamic balance between external and internal factors in a patient’s body, mind, and spirit.
3- The web-like interconnectedness of the human body, mind, and spirit.
4- The definition of health as positive vitality (not simply the absence of disease).
5- The promotion of organ reserve to enhance health span and life span.
6-
In functional medicine, health signifies full function of the body, mind, and spirit, not just the absence of disease. This concept, which was derived from the World Health Organization, is the essence of which principle of functional medicine?
Select one:
a.
Biochemical individuality
b.
Patient-centered approach
c.
Homeostasis
d.
Web-like interconnections
e.
Health as a positive vitality
f.
Promotion of organ reserve
e.
Health as a positive vitality
The statement “The difference between the maximal function of a vital organ and the level of function required to maintain an individual’s daily life” corresponds to which principle of functional medicine?
Select one:
a.
An understanding of the biochemical individuality of each patient.
b.
The importance of patient-centered approach to care as opposed to a disease-centered approach.
c.
The search for a dynamic balance between external and internal factors in a patient’s body, mind, and spirit.
d.
The web-like interconnectedness of the human body, mind, and spirit.
e.
The definition of health as positive vitality (not simply the absence of disease).
f.
Promotion of organ reserve to enhance health span and life span.
f.
Promotion of organ reserve to enhance health span and life span.
The statement “Core imbalances can influence many different body functions and systems (e.g., circulatory, respiratory, digestive, endocrine, immune, lymphatic, muscular, nervous, reproductive, respiratory, skeletal, and urinary)” corresponds to which principle of functional medicine?
Select one:
a.
An understanding of the biochemical individuality of each patient.
b.
The importance of patient-centered approach to care as opposed to a disease-centered approach.
c.
The search for a dynamic balance between external and internal factors in a patient’s body, mind, and spirit.
d.
The web-like interconnectedness of the human body, mind, and spirit.
e.
The definition of health as positive vitality (not simply the absence of disease).
f.
Promotion of organ reserve to enhance health span and life span.
d.
The web-like interconnectedness of the human body, mind, and spirit.
In a patient, one core imbalance is contributing to a plethora of disorders that are affecting multiple body systems. This captures the essence of which principle of functional medicine?
Select one:
a.
An understanding of the biochemical individuality of each patient.
b.
The importance of patient-centered approach to care as opposed to a disease-centered approach.
c.
The search for a dynamic balance between external and internal factors in a patient’s body, mind, and spirit.
d.
The web-like interconnectedness of the human body, mind, and spirit.
e.
The definition of health as positive vitality (not simply the absence of disease).
f.
Promotion of organ reserve to enhance health span and life span.
d.
The web-like interconnectedness of the human body, mind, and spirit.
Biochemical therapies are defined as the correction of innate or acquired chemical imbalances using amino acids, vitamins, minerals, and other biochemicals naturally present in the body.
Which of the following are biochemical therapies?
Select one or more:
a.
Acupuncture
b.
Intentional relaxation
c.
Massage
d.
Meditation
e.
Moxibustion
f.
Spinal manipulation
g.
Yoga
h.
None of these are biochemical therapies
h.
None of these are biochemical therapies
The statement “The Fries hypothesis holds that chronic illness can be postponed by changes in lifestyle and that morbidity can be compressed into a much shorter period close to the time of death (i.e., the rectangularization of the morbidity curve)” corresponds to which principle of functional medicine?
Select one:
a.
An understanding of the biochemical individuality of each patient.
b.
The importance of patient-centered approach to care as opposed to a disease-centered approach.
c.
The search for a dynamic balance between external and internal factors in a patient’s body, mind, and spirit.
d.
The web-like interconnectedness of the human body, mind, and spirit.
e.
The definition of health as positive vitality (not simply the absence of disease).
f.
Promotion of organ reserve to enhance health span and life span.
f.
Promotion of organ reserve to enhance health span and life span.
True or false? Genetic uniqueness may cause an individual to require 100 times as much of a particular vitamin, mineral, or accessory nutrient as another individual for good health.
True
Which are the organs most significantly affected to changes in organ reserve as a result of age?
Select one or more:
a.
bones
b.
muscles
c.
heart
d.
pancreas
e.
liver
f.
kidneys
g.
spleen
h.
lungs
i.
small and large intestines
Heart
Kidneys
Lungs
T/F. In developed countries, we have entered a transition where causes of death are less associated with degenerative and age-related causes and more associated with infectious diseases and accidental death.
False
smokers in the contemplation stage can be given three choices to progress to the preparation stage (please choose THREE [3] answers)*:
*There will be a 10% penalty for each incorrect answer.
Select one or more:
a.
Quit for 24 hours in the next month
b.
Delay the first cigarette by an extra 30 minutes
c.
Discard all types of cigarettes immediately
d.
Stop smoking forever
e.
Reduce the number of cigarettes they smoke by three or four
Quit for 24 hours in the next month
Delay the first cigarette by an extra 30 minutes
Reduce the number of cigarettes they smoke by three or four
The type(s) or degree(s) of rapport not recommended to FM practitioners as they establish a connection with the patient is/are \_\_\_\_\_\_\_\_\_\_\_\_ . Please choose all that apply
Select one or more:
a.
Romantic
b.
Warm; good/best friends
c.
Understanding; empathy
d.
Cool
e.
Intolerant
Romantic
Warm; good/best friends
Cool
Intolerant
A patient plans on beginning an exercise routine in the next month, when he stops traveling so much. This patient is in which motivation stage?
Select one:
a.
Pre-contemplation
b.
Contemplation
c.
Preparation
d.
Action
e.
Maintenance
c.
Preparation
Healing language encompasses which of the following? Please choose ALL that apply.
Select one or more:
a.
Self-empowerment
b.
Direction
c.
Motivation
d.
Feedback
e.
All of the above
All of the above
T/F. According to the Textbook of Functional Medicine, people can change their emotional state simply by changing their focus of attention and remembering a pleasant past experience.
True
T/F. Re-telling the story that the patient told the FM practitioner is a step in the GO TO IT.
True
The GATHER phase of the GO TO IT can be facilitated by forms, such as ____________ (please choose ALL that apply). Hint - think of forms that would help the FM practitioner when they are gathering information from the patient.
Select one or more:
a.
Toxin Exposure Questionnaire
b.
Life Stress Questionnaire
c.
3-Day Diet Diary/Record
d.
Environmental Sensitivity Questionnaire
e.
Medical Symptoms Questionnaire
f.
All of the above
f.
All of the above
While doing mindfulness meditation, one should mainly focus on what aspect?
The breath
The statement “an ongoing process of helping patients feel comfortable in the clinical setting by adjusting some aspect of your external behavior through mirroring and matching key elements of the patient’s physiology, tonality, and words” defines which concept?
Select one:
a.
Rapport
b.
Pacing
c.
Self-efficacy
b.
Pacing
