Institute of Nutritional Endocrinology (INE): Digestion: Module Exam

Digestive Mastery
Final Exam

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Below you’ll find a list of open-book, comprehensive, multiple-choice questions related to the Digestive Mastery module.

You will have 3 attempts to pass (the passing score is 80%).

If you make two unsuccessful attempts, make a note of the areas that are providing challenges for you, then reach out on an upcoming support call or use the Facebook group to find yourself a study partner.

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#1: In which part of the digestive tract does most of the absorption occur?
#2: What is the last part of the colon before the rectum?
#3: What part of the intestinal tract absorbs B12 + Intrinsic factor?
#4: What is the term for absence of HCl production in the stomach?
#5: What is the term for insufficient absorption of nutrients by the gastrointestinal tract?
#6: What part of the autonomic nervous system dominates digestion?
#7: Gastro Esophageal Reflux Disease can be caused by:
#8: In order, what are the four phases of digestion?
#9: What is NOT one of the responsibilities of the stomach?
#10: Which of the following support the pancreas and small intestine?
#11: Which of the following answers have a subset of the correct stomach secretions?
#12: Abnormal stomach secretions can be caused by:
#13: Which will soothe and heal the GI tract?
#14: The pancreas performs what function?
#15: Main functions of the digestive system include:
#16: What is an enterocyte?
#17: Abnormal pancreatic enzymes are caused by:
#18: The effect of taking bitters:
#19: What does the ileocecal valve do?
#20: Cinnamon can be useful in supporting which disorder?
#21: Which food(s) can be helpful for gut healing?
#22: What are the symptoms of pancreatic deficiency?
#23: Diet supports for the small intestine include:
#24: HCl supplementation is needed when feeling hungry an hour or two after eating.
#25: Tenderness along the outside of the thigh may be suggestive of large intestine issues.
#26: Eating under stress can cause digestive issues.
#27: When concerned about leaky gut issues, which of the following assessment(s) should be done?
#28: Symptoms of gluten intolerance can be:
#29: DHEA is sometimes used as part of a gut healing protocol.
#30: Which herb is both anti-inflammatory and carminative?
#31: Digestion is the first stage of food processing.
#32: Kale, ginger, and molasses are foods that heal your gut.
#33: Which of the following is NOT important in healing your gut?
#34: You are what you eat, digest, assimilate and do not eliminate.
#35: Nutrients important for proper digestion include:
#36: The 4 R process for gut repair includes:
#37: The Enteric Nervous System (ENS) is also referred to as the second ___________ .
#38: Constipation and depression can be symptoms of an underactive __________.
#39: The gut contains ____________ neurons - more than the spinal cord.
#40: Chronic stress or depression can lead to chronically elevated _________ levels and obesity.
#41: It is generally favorable to have a high ratio of Firmicutes microbes to Bacteriodetes microbes in the gut.
#42: The Enteric Nervous System (ENS) is:
#43: Best ways to activate the vagus nerve include:
#44: Parkinson’s and Alzheimer’s are two degenerative diseases that are linked to gut health.
#45: For maximum benefit from the Migrating Motor Complex cycle, it is best to wait _________ between meals.
#46: Which might NOT be a good dietary regime to starve the bacteria present in SIBO?
#47: Which of the following herbs is NOT an antimicrobial for SIBO management?
#48: What can cause SIBO?
#49: The liver is the largest internal organ and also the largest gland.
#50: 3 main functions of the liver are:
#51: A client presents with fatigue, headaches, low motivation, depression, bloating, poor digestion, and feeling "out of sync" with life. You suspect:
#52: Causes of liver disease include:
#53: If a client presents with symptoms of gallstones, it is necessary to surgically remove the gallbladder.
#54: Appetite is controlled by:
#55: This appetite hormone has a 24-hr circadian rhythm and is controlled by eating:
#56: This appetite hormone stimulates growth hormone and fat burning; It is secreted by waiting to eat until the stomach is growling.
#57: This can increase helpful adiponectin levels:
#58: The most abundant neuropeptide in the brain. Rats given this will crave sugar water over sex. It's primary trigger is calorie restriction and low leptin levels.
#59: This hormone is secreted by the duodenum, promotes intestinal motility, and stimulates the production of pepsin:
#60: The ultimate smooth muscle relaxer, this reduces gut motility and relaxes sphincters:
#61: Thoughts, tastes, the smell of food, and chewing activate the parasympathetic nervous system via:
#62: Gastrin is secreted by which type of cells?
#63: Activity and stress increase somatostatin release and inhibit gastric secretion and motility.
#64: Eating starchy foods with acid foods or fruits is a good example of food combining to optimize digestion.
#65: Food sequencing for optimal digestion:
#66: How should water be taken throughout the day?
#67: Herbs that stimulate the flow of bile from the liver are called:
#68: Clients without a gallbladder may be helped by:
#69: All food allergies come with extreme reactions.
#70: 3 types of elimination diets helpful for detecting food allergies in clients are:
#71: Which of these foods is NOT a COMMON allergen?
#72: Clues that a food might be a potential "trigger" or allergen for a client:
#73: When doing an elimination/provocation test for food intolerance, it is not important to list supplements the client is currently taking.
#74: Organisms that can cause dysbiosis are:
#75: A client presents with headaches, depression, itching and burning in the rectum/esophagus, IBS, sugar cravings, and muscle pains. You suspect:
#76: A difficult to remove mucilaginous protective coating that dysbiotic microorganism colonies secrete:
#77: Which is NOT a biofilm disruptor?
#78: Problems with prebiotics include:
#79: To strengthen the Migrating Motor Complex:
#80: To manage dysbiosis, herbs should be rotated monthly to prevent resistance from developing.
#81: Biofilm disruptors can be most effective when taken:
#82: When reinoculating the gut with probiotics to manage dysbiosis, clients should generally begin with:
#83: The acronym FODMAPs stands for:
#84: This condition of dysbiosis often accompanies adrenal fatigue and can be caused by a client taking too many of the wrong types of probiotics.
#85: Although this bacteria is common in the large intestine, it can cause problems in the small intestine; It has been linked to UTIs, mastitis, and obesity.
#86: When suggesting specific herbs to balance the microbiome, it is important to know which herbs a client is already using on a regular basis.
#87: Kombucha and brewer's yeast are excellent sources of probiotics and B-12 for a client with candida.
#88: A client on a yeast protocol experiencing intestinal pain may:
#89: It is important to begin reintroducting the health-promoting foods on the FODMAPs list after doing a strict low FODMAPs diet, in order to see what the client can tolerate and benefit from.
#90: For a client with dysbiosis who has a history of foreign travel, you might first suspect:
#91: Clients who have H Pylori and low stomach acid can benefit from HCl supplementation.
#92: Stool tests are best done over several days to catch all of the shedding organisms.
#93: This strain of probtiotic can help with the reduction of oxalates:
#94: Herbs that reduce gas & bloating, tone the digestive tract, increase peristalsis, and enhance digestive secretions:
#95: A client presenting with symptoms of mid-afternoon nausea, constipation, tinnitus, right shoulder pain, neck stiffness, and pseudo-Meniere’s may suffer from:
#96: Normal transit time from mouth to anus should be:
#97: Which of the following is NOT helpful for IBS symptoms?
#98: How many Americans suffer from some type of inflammatory bowel disease?
#99: Crohn’s disease usually occurs where?
#100: Persistent pain in the lower left quadrant of the abdomen may indicate:
#101: Dietary habits to improve IBD include:
#102: Which of the following is NOT a contributing factor to IBD?
#103: Eating a high carb breakfast enhances leptin signaling and athletic performance.

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