560I- Functional Medicine Final exam Latest
Update 2024-2025 Actual Exam from Credible
Sources with 190 Questions and Verified Correct
Answers Golden Ticket to Guaranteed A+
Verified by Professor
A defect in which regulatory system is indicated by finding the pattern of very high
glutamic acid and very low glutamine in a plasma amino acid profile for a 4 year old boy
with severe hyperactivity?
A.) SN1-SN2 transporter
B.) Zinc fingers
C.) Catecholamine synthesis
D.) Dimethylselenide formation - CORRECT ANSWER: A.) SN1-SN2 transporter
A DMSA provocation test would usually be done to assess what problem?
A.) Trace element loss due to renal retention deficit
B.) Toxic element exposure
C.) Hypothyroidism due to iodine malabsorption
D.) Bone loss due to calcium deficiency - CORRECT ANSWER: B.) Toxic element
exposure
A genetic defect in what metabolic area is suggested by a specific pattern in the
laboratory report shown here?
A.) Detoxification systems Phase II glycine conjugation
B.)Thyroid conversion of indican to thyroxin
C.) Vitamin B12 utilizing enzymes for converting phenylpropionate to succinate
D.) Gastric enzymes that degrade tricarboxylic acids - CORRECT ANSWER: A.)
Detoxification systems Phase II glycine conjugation
,A laboratory report that shows a pattern of low range levels for multiple trace elements
suggests what underlying physiological failure?
A.) Insufficient gastric acid output
B.) Insufficient thyroid gland function
C.) Overactive adrenal hormone output
D.) Overactive serotonin output by chromaffin cells - CORRECT ANSWER: A.)
Insufficient gastric acid output
A laboratory report that shows low levels of which fatty acid is of greatest concern
regarding neurological development in a 2 year old child?
A.) DHA
B.) LA
C.) GLA
D.) AA - CORRECT ANSWER: A.) DHA
A patient can have normal serum vitamin B12, but still show elevated urinary
methylmalonate because
A. Methylmalonate causes anemia from folic acid deficiency.
B.) The folate trap prevents proper methylation.
C.) Methylmalonate metabolism requires intra-cellular activity of vitamin B12.
D.) Vitamin B12 promotes the formation of methylmalonate. - CORRECT ANSWER: C.)
Methylmalonate metabolism requires intra-cellular activity of vitamin B12.
A patient who had a lab result showing high urinary tricarballylatewould be a candidate
for which nutrient supplementation?
A.) Folic acid
B.) Niacin
C.) Magnesium
D.) N-acetylcysteine\nNone - CORRECT ANSWER: C.) Magnesium
,A patient who has been on SSRI medications for 2-3 years is most likely to have a
deficiency of which amino acid?
A.) Tryptophan
B.) Gamma-aminobutyric acid
C.) Phenylalanine
D.) Glutamic acid - CORRECT ANSWER: A.) Tryptophan
A patient who shows a pattern of low levels for threonine, glycine and serine is a
candidate for what type of specific amino acid supplementation
A.) Glutathione precursor
B.) Positively charged side chain
C.) Acid-yielding
D.) Branched-chain - CORRECT ANSWER: A.) Glutathione precursor
A patient who shows steadily falling levels of erythrocyte arachidonic acid after initial
normal levels were found would be suspected of excessive intake of which dietary oil?
A.) Fish
B.) Borage
C.) Coconut
D.) Corn - CORRECT ANSWER: A.) Fish
A patient whose diet contains very low levels of polyphenols may have false negative
results for which test?
A.) Urinary microbial markers
B.) Stool sIgA levels
C.) Caffeine clearance
D.) Schillling test for vitamin B12 absorption - CORRECT ANSWER: A.) Urinary
microbial markers
, A patient with a low serum transferrin level is acandidate for supplementation of which
nutrient?
A.) Iron
B.) Choline
C.) Calcium
D.) Iodine - CORRECT ANSWER: A.) Iron
A patient with a low urinary N-methylnicotinamide is a candidate for which nutrient
addition?
A.) Vitamin B3
B.) Vitamin B2
C.) Vitamin B1
D.) Vitamin C - CORRECT ANSWER: A.) Vitamin B3
A patient with an elevated level of beta-hydroxyisovalerate in urine is a candidate for
which nutrient addition?
A.) Biotin
B.) Vitamin B6
C.) Folic acid
D.) Lipoic acid - CORRECT ANSWER: A.) Biotin
A patient with biotin deficiency is likely to show elevated levels of which fatty acid?
A.) Nonadecanoic
B.) Lignoceric
C.) Myristoleic
D.) Lauric - CORRECT ANSWER: A.) Nonadecanoic
A patient with chronic negative calcium balance is expected to have elevated calcium in
which specimen type?
A.) Erythrocytes
Update 2024-2025 Actual Exam from Credible
Sources with 190 Questions and Verified Correct
Answers Golden Ticket to Guaranteed A+
Verified by Professor
A defect in which regulatory system is indicated by finding the pattern of very high
glutamic acid and very low glutamine in a plasma amino acid profile for a 4 year old boy
with severe hyperactivity?
A.) SN1-SN2 transporter
B.) Zinc fingers
C.) Catecholamine synthesis
D.) Dimethylselenide formation - CORRECT ANSWER: A.) SN1-SN2 transporter
A DMSA provocation test would usually be done to assess what problem?
A.) Trace element loss due to renal retention deficit
B.) Toxic element exposure
C.) Hypothyroidism due to iodine malabsorption
D.) Bone loss due to calcium deficiency - CORRECT ANSWER: B.) Toxic element
exposure
A genetic defect in what metabolic area is suggested by a specific pattern in the
laboratory report shown here?
A.) Detoxification systems Phase II glycine conjugation
B.)Thyroid conversion of indican to thyroxin
C.) Vitamin B12 utilizing enzymes for converting phenylpropionate to succinate
D.) Gastric enzymes that degrade tricarboxylic acids - CORRECT ANSWER: A.)
Detoxification systems Phase II glycine conjugation
,A laboratory report that shows a pattern of low range levels for multiple trace elements
suggests what underlying physiological failure?
A.) Insufficient gastric acid output
B.) Insufficient thyroid gland function
C.) Overactive adrenal hormone output
D.) Overactive serotonin output by chromaffin cells - CORRECT ANSWER: A.)
Insufficient gastric acid output
A laboratory report that shows low levels of which fatty acid is of greatest concern
regarding neurological development in a 2 year old child?
A.) DHA
B.) LA
C.) GLA
D.) AA - CORRECT ANSWER: A.) DHA
A patient can have normal serum vitamin B12, but still show elevated urinary
methylmalonate because
A. Methylmalonate causes anemia from folic acid deficiency.
B.) The folate trap prevents proper methylation.
C.) Methylmalonate metabolism requires intra-cellular activity of vitamin B12.
D.) Vitamin B12 promotes the formation of methylmalonate. - CORRECT ANSWER: C.)
Methylmalonate metabolism requires intra-cellular activity of vitamin B12.
A patient who had a lab result showing high urinary tricarballylatewould be a candidate
for which nutrient supplementation?
A.) Folic acid
B.) Niacin
C.) Magnesium
D.) N-acetylcysteine\nNone - CORRECT ANSWER: C.) Magnesium
,A patient who has been on SSRI medications for 2-3 years is most likely to have a
deficiency of which amino acid?
A.) Tryptophan
B.) Gamma-aminobutyric acid
C.) Phenylalanine
D.) Glutamic acid - CORRECT ANSWER: A.) Tryptophan
A patient who shows a pattern of low levels for threonine, glycine and serine is a
candidate for what type of specific amino acid supplementation
A.) Glutathione precursor
B.) Positively charged side chain
C.) Acid-yielding
D.) Branched-chain - CORRECT ANSWER: A.) Glutathione precursor
A patient who shows steadily falling levels of erythrocyte arachidonic acid after initial
normal levels were found would be suspected of excessive intake of which dietary oil?
A.) Fish
B.) Borage
C.) Coconut
D.) Corn - CORRECT ANSWER: A.) Fish
A patient whose diet contains very low levels of polyphenols may have false negative
results for which test?
A.) Urinary microbial markers
B.) Stool sIgA levels
C.) Caffeine clearance
D.) Schillling test for vitamin B12 absorption - CORRECT ANSWER: A.) Urinary
microbial markers
, A patient with a low serum transferrin level is acandidate for supplementation of which
nutrient?
A.) Iron
B.) Choline
C.) Calcium
D.) Iodine - CORRECT ANSWER: A.) Iron
A patient with a low urinary N-methylnicotinamide is a candidate for which nutrient
addition?
A.) Vitamin B3
B.) Vitamin B2
C.) Vitamin B1
D.) Vitamin C - CORRECT ANSWER: A.) Vitamin B3
A patient with an elevated level of beta-hydroxyisovalerate in urine is a candidate for
which nutrient addition?
A.) Biotin
B.) Vitamin B6
C.) Folic acid
D.) Lipoic acid - CORRECT ANSWER: A.) Biotin
A patient with biotin deficiency is likely to show elevated levels of which fatty acid?
A.) Nonadecanoic
B.) Lignoceric
C.) Myristoleic
D.) Lauric - CORRECT ANSWER: A.) Nonadecanoic
A patient with chronic negative calcium balance is expected to have elevated calcium in
which specimen type?
A.) Erythrocytes
