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Lesson 9 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
The recommended protein intake range for athletes is 25 to 35 percent of calories.
- a. True. Athletes typically require a higher protein intake for optimal performance and recovery.
- b. False. Most athletes need over 200 grams of protein per day, which would be a range of 35 to 45 percent of calories.
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Question 2 of 10

2. Question
In healthy people, mannitol is expected to be present in urine in larger amounts, 10 to 30 percent of the oral dose, while lactulose is expected to be recovered at less than 1 percent.
- a. True. Mannitol is small enough to pass directly through the cell, which allows it to reach the urine, while lactulose is too large to pass in healthy patients.
- b. False. Neither is expected to reach the urine in healthy patients. The difference in amounts measured simply shows which gut dysfunction is leading to intestinal permeability.
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Question 3 of 10

3. Question
Which of these are NOT a potential cause of impaired intestinal permeability?
- a. Parasite infection
- b. Chronic stress
- c. Genetics
- d. Being born male or female
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Question 4 of 10

4. Question
One of the reasons for the strong tie between autoimmune disease and leaky gut is the ability of endotoxins to provoke response due to molecular mimicry.
- a. True. Bacterial endotoxins often have antigenic sites similar to human tissue antigens, leading to attack of bacteria and native tissue.
- b. False. Endotoxins provoke immune response by seeding antigenic sites on human tissue cells.
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Question 5 of 10

5. Question
When should a clinician test for intestinal permeability?
- a. Since intestinal permeability is a byproduct of underlying pathologies, removing those is more important than direct testing.
- b. Since it is so common, it should be a standard test for all new patients.
- c. It should be tested after a positive diagnosis of SIBO.
- d. It should only be tested if breath tests are inconclusive and a patient has persistent gut issues.
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Question 6 of 10

6. Question
What are the components of the female athlete triad?
- a. Calorie deficiency, insomnia, and irregular menstrual cycles.
- b. Insomnia, weight gain, and irregular periods.
- c. Skin problems, menstrual changes, and fatigue.
- d. Calorie deficiency, menstrual changes, and osteopenia/osteoporosis.
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Question 7 of 10

7. Question
What molecule(s) does Cyrex Array 2 measure immune reactivity to?
- a. Lipopolysaccharide
- b. Occludin/zonulin
- c. Actomyosin
- d. All of the above
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Question 8 of 10

8. Question
What is the primary method used to test for intestinal permeability in clinical practice?
- a. Lactulose/Mannitol Permeability Assay
- b. Intestinal Antibody Assay
- c. Antigenic Permeability Screen
- d. A and C
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Question 9 of 10

9. Question
What recommendations for pre-workout nutrition should be given for patients looking to build muscle and lean out, respectively?
- a. Muscle building: High protein, low carb. Lean out: Protein and fat-based meal.
- b. Muscle building: Consume carbs 30 to 45 minutes pre-workout. Lean out: Fast.
- c. Muscle building: Consume carbs 30 to 45 minutes pre-workout. Lean out: Consume carbs 30 to 45 minutes pre-workout.
- d. Pre-workout meals have much less importance than post-workout for both muscle building and leaning out.
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Question 10 of 10

10. Question
What is the primary role of zonulin?
- a. Regulating plasticity of tight junctions
- b. Holding tight junctions together
- c. Regulating the opening and closing of tight junctions
- d. Regeneration of intestinal epithelium
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