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Lesson 17 Certification Review Quiz

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Question 1 of 10

1. Question
Why would hydrogen levels be very low in the presence of methane or hydrogen sulfide excess SIBO?
- a. It would never be low. It would always be elevated in this pattern.
- b. It may be low due to the competitive gas model in which hydrogen is consumed by methanogens and/or hydrogen sulfide producers.
- c. A low level of hydrogen across the entire test means the test was not collected properly.
- d. None of the above
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Question 2 of 10

2. Question
If a patient is constipated, Crohn’s disease can be ruled out since it is characterized by diarrhea (often bloody) and loose stools.
- a. True. Regardless of the location of disease in the GI tract, Crohn’s invariably presents with bloody and/or frequent loose stools.
- b. False. It is not unusual for Crohn’s patients to present with constipation, especially if the disease is in the terminal ileum.
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Question 3 of 10

3. Question
The core botanical protocol does not have a detrimental effect on beneficial bacteria, so it is safe to stay on it for nearly indefinite periods, if needed.
- a. True. These therapies are safe for good gut bacteria and can therefore continue being used until retesting shows desired results.
- b. False. Though its effect is less than broad-spectrum antibiotics, it can still reduce levels of beneficial bacteria.
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Question 4 of 10

4. Question
It is good clinical practice to check serum immunoglobulins when running a Cyrex 3X and Cyrex 4 food sensitivity panel.
- a. True. Assessing immune system function and immunoglobulin production helps with interpretation and validity of the test results.
- b. False. An immunoglobulins test is not needed in order to interpret the Cyrex test results and ends up being too much work and time for the patient to get.
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Question 5 of 10

5. Question
What treatment agent can be used after the core botanical protocol for SIBO, if it is ineffective?
- a. Rifaximin
- b. Ciprofloxacin
- c. Fluconazole
- d. All of the above
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Question 6 of 10

6. Question
What is the dominant symptom of methane-predominant SIBO?
- a. Diarrhea
- b. Insomnia
- c. Constipation
- d. B & C
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Question 7 of 10

7. Question
How many medications are used in combination for Blasto therapy in the protocol advocated by the Centre for Digestive Diseases in Australia?
- a. Two
- b. Three
- c. Four
- d. One, no combination therapy indicated
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Question 8 of 10

8. Question
Why is the Great Plains Organic Acids Test preferable to the Genova Organic Acids Test when a patient has a behavioral disorder, depression, or anxiety?
- a. Because it is cheaper, it can be ordered more frequently to track treatment
- b. Because it has markers for inflammation
- c. Because it has more markers of metabolites that affect neurotransmitters and other aspects of brain chemistry
- d. None of the above
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Question 9 of 10

9. Question
What should be done if phenylacetate levels are extremely high in a young child on a urine organic acids test?
- a. Tell the patient to stop eating high oxalate foods
- b. Nothing, because high levels could be from dysbiosis
- c. Refer the patient to a specialist for inherited disorders to rule out PKU if behavioral issues are also present
- d. None of these, because this is not a marker that is tested on the organic acids test
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Question 10 of 10

10. Question
Botanical protocols for children are often shorter than they are for adults.
- a. True. Pediatric protocols are usually shorter since kids tend to respond faster than adults.
- b. False. Pediatric patients have more sensitive guts so they need lower doses of botanicals, which leads to longer treatment protocols.
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