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Lesson 12 Certification Review Quiz

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Question 1 of 10

1. Question
What is a key role of stomach acid?
- a. Protects against cancer and infection
- b. Aids nutrient absorption
- c. Reduces bacterial overgrowth
- d. All of the above
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Question 2 of 10

2. Question
What is the first step in the algorithm for treating GERD and heartburn?
- a. Get labs in order to determine the dominant bacteria present in the patient’s gut.
- b. Reduce factors that promote bacterial overgrowth and low stomach acid.
- c. Begin a regimen of once-daily proton pump inhibitors.
- d. Start a course of low-dose botanicals to restore balance to the gut microbiome.
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Question 3 of 10

3. Question
What is a major differentiating factor for how irritable bowel syndrome (IBS) is diagnosed versus other gut pathologies?
- a. It requires referral to a specialist for testing before being diagnosed.
- b. It is a diagnosis of exclusion, when other gut pathologies are not the correct diagnosis.
- c. It can be diagnosed just from symptoms, which are different enough to be defining.
- d. None of the above.
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Question 4 of 10

4. Question
In what situation should a strict low-FODMAP or low fermentation potential diet NOT be used?
- a. When a patient is on an antimicrobial protocol
- b. When a patient is a highly active athlete
- c. When a female patient is attempting to get pregnant
- d. All of the above
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Question 5 of 10

5. Question
Due to the well-documented health risks of proton pump inhibitors (PPIs), patients transitioning to a functional medicine approach should stop taking them as quickly as possible. In most cases, this means cold turkey.
- a. True. Due to the greatly increased risk of infection, these medications prevent patients from restoring a healthy gut balance.
- b. False. While a cold-turkey approach can be taken with some patients, in others there is need to address underlying pathologies first or begin by titrating off the drug.
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Question 6 of 10

6. Question
What is the core theory behind the low fermentation potential diet?
- a. Fermented foods actually feed harmful bacteria in SIBO and thus should not be eaten by patients with gut dysbiosis.
- b. Patients eliminate all high-fiber-content foods since those are more prone to feeding overgrown bacteria.
- c. Carbohydrates with a low fermentation potential deprive overgrowing bacteria of food since they are rapidly absorbed high up in the gut.
- d. B & C
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Question 7 of 10

7. Question
It’s well documented that acid-suppressing drugs promote bacterial overgrowth.
- a. True. Acid-suppressing drugs can reduce acid in the stomach to near zero, which means the environment is much easier for bacteria to grow in.
- b. False. Since acid-suppressing drugs are primarily used in cases of too much stomach acid, they simply return pH to normal (or near-normal) levels.
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Question 8 of 10

8. Question
An HCl challenge is performed by having a patient take a 650 mg HCl capsule with every meal and titrating up every two to three days until feeling a mild burning sensation.
- a. True. At this point the dosage is reduced to the number prior to feeling burning and kept there.
- b. False. An HCl challenge involves putting a patient on a highly acidic food-centered diet for two weeks since most dysbiotic bacteria can’t use them for food.
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Question 9 of 10

9. Question
Which of the following are not part of a Functional Medicine IBS treatment?
- a. Stress management
- b. Probiotics (soil based)
- c. Humira, prescription medication
- d. Paleo diet framework
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Question 10 of 10

10. Question
What essential process does stomach acid stimulate?
- a. Peristalsis
- b. Fat absorption
- c. Release of pancreatic enzymes
- d. B & C
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