IFMCP Test (General questions from all the modules in preparation the IFM 2024 IFMCP exam) Questions With 100% Correct Answers!! What are the coenzymes needed for desaturase metabolism of omega 3 PUFAs (correct answer) zinc, magnesium, ascorbate, niacin, and pyridoxine List the steps in the Omega -3 pathway (correct answer) ALA to Stearidonic acid to Eicosatetranoic acid to Eicosapentaenoic acid (EPA) to Docosapentaenoic acid to Docosahexaenoic acid (DHA) List the steps in the Omega -6 pathway (correct answer) Linoleic acid (LA) to GLA to Dihomogamma -linolenic acid to AA to Adrenic acid to Docosopentaenoic acid What vitamin deficiency leads to food intolerance because it is essential for maintaining integrity and function of all mucosal surfaces. (correct answer) Vitamin A. It can be corrected with dietary supplements, 10,000+ international units a day What vitamin enhances host defenses against cancer, enhances host defense against infection, up regulates antimicrobial peptides, and dampens inflammatory cytokines production? (correct answer) Vitamin D list natural treatments that are insulin sensitizers (correct answer) Vanadium, Chromium, Alpha Lipoic Acid, Cinnamon, Magnesium (not citrate) Homocysteine needs a methyl group to eventually become what? (correct answer) SAMe The body's methyl donor Tyrosine is methylated and becomes what? (correct answer) Dopamine and norepinephrine Tryptophan is methylated and eventually becomes what (correct answer) Serotonin and melatonin Why does histamine need a methyl group? (correct answer) To get broken down Which vitamins are involved in folate metabolism to 5MTHF (correct answer) Pyridoxine (B6) and riboflavin (B2) Which cofactor which uses 5MTHF to synthesize, is involved in the tryptophan to serotonin pathway and the tyrosine to dopamine pathway and the arginine to nitric oxide pathway? (correct answer) BH4 (Tetrahydrobiopterin) What does methionine synthase recycle? (correct answer) Methionine synthase is needed to recycle homocysteine to Same What is methionine synthase blocked by and what is a clue to dysfunction (correct answer) Blocked by alcohol and a clue to dysfunction is elevated MCV What are the clinically elevated SNPs involved in methionine synthase (correct answer) MTRR A66G and MTRRC524T What mineral is a carrier of homocysteine (correct answer) Zinc What vitamins need to be supported in a person with methionine synthase SNP defects (correct answer) Zinc, B12, 5 -MTHF If a patient has a methionine synthase SNP and their high homocysteine is not budging what supplement should be considered (correct answer) Betaine in the form of TMG What are the two functions of COMT (correct answer) Breakdown catecholamines, takes part in estrogen metabolism What is the clinically relevant SNP for COMT (correct answer) COMT V158M How does the Val/Val allele affect COMT function (correct answer) Up regulated so it will break down catecholamines faster How does the Val/Met allele affect COMT function (correct answer) This is normal How does the met/met allele affect COMT function? (correct answer) It is down regulated so it will not break down catecholamines as well should you give a woman with the Val/Val snp aspirin for CVD protection (correct answer) No, there is an 85% increase risk of CVD with aspirin Should you give a woman with the Val/Val COMT allele vitamin E for CVD protection? (correct answer) No, there is an increase risk of CVD with vitamin E in a woman with the Val/Val SNP Should you give a woman with the met/met allele aspirin for CVD protection? (correct answer) Possibly, there is a 40% decrease risk of CVD with ASA Should you give a woman with the met/met allele for COMT vitamin E for CVD protection? (correct answer) Possibly, there is a decreased risk of CVD with vitamin E and women with the met/met allele
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