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Lesson 4 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
An advantage of an electronic health record system like MDHQ is that:
- a. Patients can schedule and manage their own appointments.
- b. It’s a messaging platform that streamlines patient–clinician interaction.
- c. It’s a mobile app that lets patients access their data anytime.
- d. A & B
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Question 2 of 10

2. Question
What key positions should you hire if you’re just starting a functional medicine clinic?
- a. Bookkeeper
- b. Practice manager
- c. Patient navigator
- d. All of the above
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Question 3 of 10

3. Question
Antibodies to gluteomorphin and prodynorphin indicate:
- a. Casein sensitivity
- b. Gut permeability
- c. Celiac disease
- d. None of the above
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Question 4 of 10

4. Question
What antibody do many gastroenterologists in conventional medicine use to test for celiac disease?
- a. IgA
- b. Alpha-gliadin
- c. Transglutaminase-2
- d. B & C
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Question 5 of 10

5. Question
Antibodies (immunoglobulin G) to gliadin suggest:
- a. Abnormal mucosal immune response
- b. Intestinal barrier dysfunction
- c. An allergy to wheat
- d. A and B
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Question 6 of 10

6. Question
Silent celiac disease manifests without the typical enteropathy and gut symptoms.
- a. True. Silent celiac is difficult to diagnose due to fewer symptoms and many typical antigens that do not test positive.
- b. False. Silent celiac has many typical symptoms, but it requires different lab tests than Array 3 to see antigenic abnormalities.
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Question 7 of 10

7. Question
Who should get tested with Cyrex Array 3X?
- a. Anyone who tests positive for lactose intolerance
- b. Anyone who presents with fatigue or difficulty sleeping
- c. Anyone who is currently eating wheat/gluten or wants to be able to
- d. A & C
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Question 8 of 10

8. Question
Patients should avoid all wheat products for at least 30 days prior to their Array 3 test to ensure accurate results.
- a. True. Eating any wheat prior to testing can result in metabolic byproducts causing false positives.
- b. False. Eating wheat creates the antibodies that are being tested for. By avoiding wheat products, potential antibody production is not triggered.
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Question 9 of 10

9. Question
How should equivocal results be interpreted on the Cyrex Array 3?
- a. Equivocal results mean that that specific antibody should be retested.
- b. Equivocal results should be considered safe and simply monitored on subsequent visits.
- c. Equivocal results should be treated as positives.
- d. Equivocal results should signal the immediate need to refer a patient to a specialist.
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Question 10 of 10

10. Question
Can celiac disease be diagnosed just using the Cyrex Array 3X?
- a. Yes. Antibody detection is diagnostic for celiac disease.
- No. It is a screening tool and starting place for patients suspected of having celiac disease or wheat/gluten intolerance.
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