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Lesson 6 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
Why is it important to combine multiple methodologies when performing stool tests?
- A. Using a variety of methodologies allows you to capture a wide array of data.
- B. There is no reason to combine methodologies when testing stool.
- C. Using only culture-based techniques can limit your relative abundance data.
- D. A and C
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Question 2 of 10

2. Question
True or False: With stool testing, a false negative is a bigger risk than a false positive.
- A. True. The botanical protocols used for treatment are safe and well-tolerated, so we’d rather treat a patient than miss an overgrowth.
- B. False. A false positive can lead to intensive treatment and monitoring that can be stressful for a patient and actually lead to disease.
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Question 3 of 10

3. Question
How do we define and treat insufficiency dysbiosis on a stool analysis?
- A. It is an overgrowth of yeast that does not allow for healthy amounts of bacteria, treated with antifungal botanicals.
- B. It is a deficiency of micronutrients in the diet that doesn’t allow for a fully populated microbiome, treated with diet and micronutrient supplementation.
- C. It is the lack of beneficial bacteria, treated by rebuilding beneficial bacteria with pre- and probiotics.
- D. It is an overgrowth of dysbiotic bacteria leading to malabsorption issues, treated with botanicals or antibiotics if serious.
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Question 4 of 10

4. Question
HLA-B27 is associated with which condition, microorganism, and symptoms?
- A. Ankylosing spondylitis, Klebsiella, and joint pain
- B. Celiac disease, Klebsiella, and severe gut discomfort
- C. Chronic fungal infection, Candida, and mental confusion and fatigue
- D. Alzheimer’s disease, Chlamydophila pneumoniae, and memory loss
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Question 5 of 10

5. Question
What beneficial functions does Helicobacter pylori have if acquired in infancy?
- A. It protects against the development of allergies and asthma.
- B. It decreases ghrelin and increases leptin, which helps regulate appetite.
- C. A and B
- D. None of the above.
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Question 6 of 10

6. Question
What factors influence the pathogenicity of H. pylori?
- A. Host environment
- B. Timing of acquisition
- C. Strain
- D. All of the above
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Question 7 of 10

7. Question
True or False: H. pylori should be treated in all patients if detected on a stool test.
- A. True. Continued colonization increases the risk of cancer across age groups.
- B. False. There is no evidence of benefit in children and unclear evidence in young adults for treatment.
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Question 8 of 10

8. Question
What is a common reason parasites are overlooked in many patients?
- A. Treatment of bacterial or fungal dysbiosis generally leads to the resolution of any parasitic infection.
- B. Parasites sometimes cause extra-intestinal problems without any gut symptoms.
- C. Many people believe one must travel to a third-world country to acquire parasites.
- D. B and C
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Question 9 of 10

9. Question
True or False: Dealing with Giardia and other parasites in patients is often only the first step since there are many long-term complications as a result of infection.
- A. True. Complications like cancer, gastrointestinal disorders, and arthritis can occur even after successful treatment.
- B. False. Continued complications can occur in patients, but that is a signal that the parasite was not treated effectively to begin with.
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Question 10 of 10

10. Question
What useful inflammatory marker can the comprehensive stool tests provide that a standard ova and parasite sample may not?
- A. Lactoferrin
- B. Calprotectin
- C. Lysozyme
- D. All of the above
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