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Lesson 7 Certification Review Quiz

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Question 1 of 10

1. Question
Intermittent fasting (IF) is a hormetic stressor, or something that leads to a positive adaptation.
- a. True. Intermittent fasting leads to hormesis by promoting a cellular repair process called autophagy.
- b. False. Intermittent fasting leads to increased cortisol release, which can impair weight loss.
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Question 2 of 10

2. Question
Who is not a good candidate for IF?
- a. Pregnant women
- b. Kids and teenagers
- c. Type 2 diabetics
- d. A & B
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Question 3 of 10

3. Question
Why can patients with SIBO have such a wide range of symptoms?
- a. Symptoms tend to change as SIBO flare-ups occur in each patient.
- b. Different types of flora can produce many different metabolites and toxins.
- c. Side effects of botanical treatment protocols are often mistaken for symptoms.
- d. All of the above.
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Question 4 of 10

4. Question
What is the primary process that contributes to SIBO in a functional medicine practice?
- a. Low stomach acid
- b. Small intestine dysmotility
- c. Disrupted gut microbiome
- d. All of the above
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Question 5 of 10

5. Question
In 2017, the North American Consensus stated that a positive hydrogen SIBO breath test was an increase of greater than 20 ppm from baseline before 90 minutes and a positive methane breath test was greater than 10 ppm at any point during the test.
- a. True.
- b. False.
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Question 6 of 10

6. Question
What are some limitations for using endoscopy to diagnose SIBO?
- a. It is not the gold standard for diagnosing SIBO.
- b. It is very invasive and costly.
- c. The endoscopy and catheter can be contaminated.
- d. B and C
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Question 7 of 10

7. Question
What are the risks for false positives and negatives with glucose and lactulose breath tests, respectively?
- a. Lactulose, greater risk of false negative; glucose, greater risk of false positive.
- b. Glucose, greater risk of false negative; lactulose, greater risk of false positive.
- c. Both tests err towards having false negatives.
- d. Both tests err towards having false positives.
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Question 8 of 10

8. Question
High levels of baseline hydrogen may indicate improper test preparation?
- a. True
- b. False
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Question 9 of 10

9. Question
Is there greater risk in over- or under-treating SIBO, and why?
- a. Undertreating. SIBO that is untreated can become drug resistant after too long.
- b. Undertreating. Both botanical and pharmaceutical treatments are quite safe.
- c. Overtreating. Treatment protocol side effects are frequent and too severe to risk in misdiagnosed patients.
- d. Overtreating. The cost of treatment protocols is very high and misuse can mean they aren’t able to afford care for their true issues.
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Question 10 of 10

10. Question
An elevated anti-vinculin or anti-CdtB antibody level on the IBS-Smart test indicates the initial cause of IBS and/or SIBO was infectious gastroenteritis.
- True.
- False.
Correct

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