560I- Functional Medicine Final exam Questions With
Complete Solutions
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 Answers 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 Answers 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
Answers 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
Answers 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 Answers 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 Answers 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 Answers 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 Answers 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 Answers 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 Answers 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 Answers
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 Answers 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 Answers 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 Answers A.) Biotin
A patient with biotin deficiency is likely to show elevated levels
of which fatty acid?
A.) Nonadecanoic
B.) Lignoceric
C.) Myristoleic
Complete Solutions
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 Answers 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 Answers 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
Answers 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
Answers 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 Answers 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 Answers 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 Answers 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 Answers 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 Answers 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 Answers 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 Answers
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 Answers 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 Answers 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 Answers A.) Biotin
A patient with biotin deficiency is likely to show elevated levels
of which fatty acid?
A.) Nonadecanoic
B.) Lignoceric
C.) Myristoleic
