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Lesson 10 Certification Quiz

You will have two opportunities to take each lesson quiz and achieve a passing score of 80% or higher. Please make note of all incorrect answers during your first attempt so that you can apply that information during your second attempt. A reminder that an 80% or higher score on 90% of your program quizzes is one of the A-CFMP Certification Application requirements. All quiz questions will be available for practice and review within the A-CFMP Certification Lesson (once purchased).

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Question 1 of 10

1. Question
In a Jarisch–Herxheimer reaction, the cell membrane is destroyed, allowing release of endotoxins that can get into the bloodstream of patients with intestinal permeability.
- a. True. This means patients can often feel worse before getting better on antimicrobial protocols causing this reaction.
- b. False. This reaction causes patients to sometimes feel worse during antimicrobial treatment due to increased medication concentrations as a result of leaky gut.
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Question 2 of 10

2. Question
Why is re-testing so important during treatment of SIBO?
- a. It’s necessary to know whether treatment was successful.
- b. Symptom improvement occurs before breath test normalization, so early treatment discontinuation usually leads to recurrence.
- c. If symptoms don’t improve in accordance to improved test results, it suggests that there is another underlying condition.
- d. All of the above
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Question 3 of 10

3. Question
What is the minimum duration of treatment for SIBO, using a botanical protocol for hydrogen, methane or H2S?
- a. 2 weeks
- b. 3 weeks
- c. 4 weeks
- d. None of the above
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Question 4 of 10

4. Question
What is the advantage of taking botanicals over rifaximin for SIBO?
- a. They are much less expensive (provided rifaximin isn’t covered by insurance).
- b. They do not need lab monitoring, which saves the patient time, expense, and hassle.
- c. The same core protocol can be used as the foundational protocol for elevations in hydrogen, methane, and hydrogen sulfide.
- d. A & C
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Question 5 of 10

5. Question
What are the three main considerations for treating SIBO?
- a. Duration and type of treatment, retesting, and whether hydrogen, methane, or hydrogen sulfide is elevated.
- b. Past SIBO episodes, duration of treatment, and whether hydrogen, methane, or both are elevated.
- c. Whether hydrogen, methane, or both are elevated, concurrent treatment protocols of the patient, and results of stool cultures.
- d. Duration of treatment, drug allergies, and the ability of the patient to do monthly breath tests.
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Question 6 of 10

6. Question
The main idea behind the Elemental Diet is to use nutrients that are absorbed extremely high in the digestive tract.
- a. True. This is so there is nothing left over to feed bacteria in the small intestine.
- b. False. The efficacy of the Elemental Diet is due to an extremely low glucose content, which prevents many unwanted bacteria from replicating.
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Question 7 of 10

7. Question
The goal of prokinetic therapy is to move food, acid, gas and stool through and out of the digestive tract?
- a. True. Dysmotility in the small intestine can slow transit and predispose to SIBO.
- b. False. They are only used to treat constipation.
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Question 8 of 10

8. Question
What drug is added to rifaximin treatment when methane is elevated?
- a. Ciprofloxacin
- b. Neomycin
- c. Azithromycin
- d. Any of the above drugs
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Question 9 of 10

9. Question
Why is zinc used in the treatment of H2S excess SIBO?
- a. Zinc binds to endotoxins produced by bacteria.
- b. Zinc binds to H2S, reducing levels in the body.
- c. Zinc suppresses activity in the CBS and CSE enzymes.
- d. None of the above. Zinc is not used in the treatment of H2S excess SIBO.
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Question 10 of 10

10. Question
What consideration is crucial to fixing gut problems beyond diet and antimicrobials?
- a. Sleep
- b. Stress management
- c. Physical activity
- d. All of the above
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