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Lesson 22 Certification Review Quiz

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Question 1 of 10

1. Question
What are the three basic categories of HPA axis function assessment?
- a. Salivary cortisol levels, medication history, and sleep assessment
- b. Signs, symptoms, and history; laboratory tests; and perceived stress questionnaires
- c. Signs and symptoms, laboratory tests, and medication history
- d. Salivary cortisol levels, sleep and stress questionnaires, and laboratory tests
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Question 2 of 10

2. Question
What method of cortisol testing captures information on over 50 percent of cortisol production in a 24-hour period?
- a. Urine cortisol testing
- b. Four-point saliva testing
- c. Cortisol awakening response
- d. A free cortisol test within 60 minutes of waking
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Question 3 of 10

3. Question
What important micronutrient(s) for skin health are primarily found in animal products?
- a. Zinc
- b. Vitamin A
- c. Selenium
- d. All of the above
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Question 4 of 10

4. Question
What is cortisol-to-DHEA ratio an indicator of?
- a. Catabolism vs. anabolism
- b. Cortisol metabolism
- c. Sleep disturbances
- d. A & C
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Question 5 of 10

5. Question
Exclusive breastfeeding is recommended for how long in newborns?
- a. 3 months
- b. 6 months
- c. 12 months
- d. 18 months
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Question 6 of 10

6. Question
Even though symptoms are important, nearly all HPA dysfunction patterns can be seen in lab testing.
- a. True. With the proper combination of DUTCH, salivary cortisol, and DHEA testing, it is possible to diagnose patients.
- b. False. Since cortisol signaling issues can be tissue-specific, not just systemic, you can’t necessarily detect them in saliva, blood, and urine.
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Question 7 of 10

7. Question
What is an advantage of using perceived stress questionnaires?
- a. They help identify the presence and source of significant stress.
- b. They make patients more likely to realize it’s a real problem.
- c. They can be diagnostic of HPA dysfunction.
- d. A & B
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Question 8 of 10

8. Question
What is a primary advantage of DUTCH testing?
- a. The only test scientifically correlated with disease
- b. Captures cortisol awakening response
- c. Differentiates between free and total cortisol
- d. All of the above
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Question 9 of 10

9. Question
Cortisol awakening response measures cortisol levels at what times?
- a. 30 minutes, two hours, and four hours post-waking
- b. At waking and 30, 45, and 60 minutes post-waking
- c. At waking and one hour and two hours post-waking
- d. At waking, four hours post-waking, and at bedtime
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Question 10 of 10

10. Question
You should test your female patients for the following conditions if they are experiencing infertility.
- a. Thyroid disorders
- b. Cardiovascular disease
- c. Nutrient imbalances
- d. Both A and C
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