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IFMCP Test (General Questions from all the modules in preparation the IFM IFMCP Exam) Questions with Correct Detailed Answers || Already Graded A+ <LATEST VERSION>

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IFMCP Test (General Questions from all the modules in preparation the IFM IFMCP Exam) Questions with Correct Detailed Answers || Already Graded A+ &lt;LATEST VERSION&gt; What nutrients have been shown to help maintain healthy structure and function of mucosal cells and...

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  • November 14, 2024
  • 307
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • ifmcp test
  • already graded a
  • latest version
  • general questions from all the modules
  • questions with correct detailed answers

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IFMCP Test (General Questions from all
the modules in preparation the IFM
2024-2025 IFMCP Exam) Questions with
Correct Detailed Answers || Already
Graded A+
<LATEST VERSION>




What nutrients have been shown to help maintain healthy structure and function of
mucosal cells and promote normal intestinal permeability? - ANSWER ✔ L-
glutamine, N-acetyl-D-glucosamine, Gamma-linoleic acid (GLA)


In the Omega-6 cascade, what enzyme converts DGLA to AA and what inhibits
that conversion? - ANSWER ✔ Delta-5-desaturase
EPA blocks metabolism of AA by inhibiting delta 5 desaturase.
(insulin upregulates it)


What are dietary sources of GLA? - ANSWER ✔ Borage, black currant seed,
evening primrose


In the omega 3/6 cascade, what inhibits the delta-6-desaturase enzyme? -
ANSWER ✔ Age, alcohol

,What are dietary sources of ALA? - ANSWER ✔ Flax, walnut, soy, chia, hemp
If using seeds, Chia may be more efficiently converted to EPA than flax


How much ALA is converted to EPA and DHA? - ANSWER ✔ • 5-10%
converted to EPA (D6D, D5D)
• 2-5% converted to DHA (D6D, D5D, B-oxidation)
- Higher conversion rate to DHA in women
About 12% retroconversion of DHA back to EPA


What is the main vegetarian source of DHA? - ANSWER ✔ Algae


What are dietary sources of Linoleic acid that should be reduced? - ANSWER ✔
Sunflower, safflower, peanut, most vegetable oils


If supplementing with GLA, what must be taken with it to inhibit conversion to
AA? - ANSWER ✔ EPA
• Inhibit production of Arachidonic Acid
• Inhibit enzymes of AA cascade
• Stimulate resolvin production
• Monotherapy with either GLA, EPA, ALA may induce imbalance of PUFA


In the omega-3 pathway, what vitamins and minerals are coenzymes for
desaturase metabolism of omega-3 PUFAs? - ANSWER ✔ Zinc, magnesium,
ascorbate, niacin, and pyridoxine

,What recommendations should be given to modulate desaturase production and
move it toward the Omega-3 pathway - ANSWER ✔ - Lower insulin & glucose
- Avoid/Reduce ETOH, glucocorticoids


How quickly does CRP respond as an acute phase reactant? - ANSWER ✔
Increases as much as 100X within 24-48 hours


What are some acute phase reactants with a rapid increase? - ANSWER ✔ • CRP:
as much as 100X within 24-48 hours
• Serum amyloid A
• Plasma glutathione


In what contexts is the WBC an acute phase reactant? - ANSWER ✔ • Infection
• Inflammation
• Allergic reactions
• Etiology by subclass (obtain differential)
- Neutrophilia: acute bacterial infection
- Lymphocytosis: acute viral infection
- Monocytosis: chronic infection, inflammation
- Eosinophilia: allergic, parasitic


In what contexts is the hs-CRP an acute phase reactant? - ANSWER ✔ • For
chronic conditions - MOST of the time
• Metabolic conditions and non-acute rheumatologic flares
• Assessment of risk in cardiovascular disease with other compounding risk factors
present

, • When you want to assess for "low-grade" inflammation
• If result came back above > 3mg/L, consider doing regular CRP at that time


In what conditions is ferritin likely to be elevated as an acute phase reactant? -
ANSWER ✔ Elevated with inflammatory conditions, liver disease, RA,
hyperthyroidism and some types of cancer


What effects do we see with fibrinogen as an acute phase reactant? - ANSWER ✔
- Increases blood viscosity
- High levels increase ESR
- Increases typically occur several days after injury/infection
- Baseline levels predict future risk of MI & stroke
• Increased with atherosclerosis, smoking, inactivity, excessive alcohol
supplemental estrogen


Which interleukins are involved in an acute phase response? - ANSWER ✔ IL-1,
IL-6, IL-8


What role do complement levels play as inflammatory markers? - ANSWER ✔
Complement levels decrease with certain types of inflammation (SLE), while
complement split products (C3a, C4a) can increase with specific inflammatory
conditions.


When other markers like ESR and ANA are negative, what serum cytokine can be
used to predict or determine presence of systemic inflammatory disease? -
ANSWER ✔ IL-6

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