1.    Which are essential considerations for a probiotic supplement?

    a)    Will it survive the manufacturing process?
    b)    Does the function define its identity?
    c)    Does it have a minimum of CFUs?
    d)    A and C
    e)    A and B

2.     Aloe Vera, Glutamine and Butyrate:

    a)    All have mucilaginous properties
    b)    All support the growth of the good bacteria
    c)    Are all anti-inflammatories
    d)    None of the above
    e)    All of the above

3.    Dysbiosis can cause a sulfur deficiency

    a)    By preventing the absorption of the mineral in to the bloodstream
    b)    By converting sulfur to hydrogen sulphide gas
    c)    By allowing sulfur to bind with fiber and be excreted
    d)    All of the above
    e)    None of the above

4.    All probiotic supplement companies

    a)    Use human microflora
    b)    Include prebiotics in their products
    c)    Must show proper manufacturing standards
    d)    All of the above
    e)    None of the above

5.    Which of the following strain are helpful to prevent necrotizing enterocolitis in premature babies?

    a)    B. breve, B. infantis L. casei, B. longum and L.Rhamnosus
    b)    B. breve, B.infantis B. bifidum, B. longum and L.Rhamnosus
    c)    B. breve, B.infantis B. bifidum, B. Lactis and L.Rhamnosus
    d)    B. breve, B.infantis L. acidophilus, B. longum and L.Rhamnosus

6.    N-acetyl Glucosamine

    a)    Is a monosaccharide derived from glucose
    b)    Helps to calm the gut mucosa
    c)    Helps with ulcers
    d)    All of the above

7.    Which of the following helps peristalsis?

    a)    Triphala
    b)    Slippery Elm
    c)    Prune Powder
    d)    Quercetin

8.    Exorphins

    a)    Are opioid-like peptides from food
    b)    Are opioid-like peptides from microbes
    c)    Require specific strains of bacteria to be degraded
    d)    All of the above
    e)    None of the Above

9.    The nocebo effect is

    a)    Feeling nothing when receiving a placebo
    b)    Feeling worse when receiving the placebo
    c)    The result when there is a mistake with the placebo effect
    d)    The term used when there is a positive result when no placebo was taken

10.    Lactobascillus bacteremia

    a)    Is caused by taking too many probiotics
    b)    Occurs most often with Lactobacillus Casei
    c)    Is rarely fatal in itself
    d)    All of the above
    e)    None of the above

11.    When taking supplements, as a general rule...

    a)    Start them on all supplements all at once
    b)    Make sure they are stable on one supplement before adding another
    c)    Start them at a lower dose and work up to the maximum
    d)    A and B
    e)    B and C

12.     In a protocol it is best

    a)    To rule out minor fixes first
    b)    Fill out the questionnaire first and do the food journal later
    c)    Always have the client fill out the forms before you meet
    d)    Tell the client what you are looking for on the food journal

13.    Client Type II

    a)    Needs to start on high does probiotics right away
    b)    May need to start on a supplement for the gut lining first
    c)    Should start on an elimination diet right away
    d)    B and C
    e)    A and B

14.    Client Type I

    a)    Does not need a probiotic supplement
    b)    Must start with the steps to good digestion
    c)    Can have symptoms cause by stress
    d)    B and C
    e)    A and C

15.    Food sequencing is a method for

    a)    Preparing only certain foods per meal
    b)    Eating specific foods for breakfast, lunch and dinner
    c)    Eating the foods on a plate in a specific order
    d)    None of the above
    e)    All of the above

16.    Which of the following strain will help those with Diabetes

    a)    L. Plantarum, L Rhamnous, B. Lactis
    b)    L. Reuteri, L Rhamnous, B. Lactis
    c)    L. Casei, L Rhamnous, B. Bifidum
    d)    L. Plantarum, L Acidophilus, B. Lactis

17.    Pouchitis

    a)    Is a condition where the colon knots up into pouches
    b)    Occurs in people with IBS
    c)    Is an inflammation of an ileal puch
    d)    All of the above
    e)    None of the above

18.    Which of the following statements is true about Ulcerative Colitis?

    a)    Constipation is a symptom
    b)    It’s a condition of where there are lower amounts of good bacteria in the colon
    c)    It’s characterized by inflammation and ulceration of the inner lining of the colon
    d)    A and C are correct
    e)    B and C are correct

19. Histidine decarboxylase

a) Requires B6 to convert histadine to histamine
b) Regulates histamine in the body
c) Exists at the level of .3 - 1.0 ng/ml
d) None of the above

20. Histamine intolerance is connected to the gut because:

    a)    Antibiotics raise histamine levels
    b)    Because histamine cause hormonal fluctuations
    c)    Because bacteria strains are involved in regulating histamine levels
    d)    All of the above

21. Oxidative stress is an issue for intestinal health because:

a) Good bacteria do not like oxygen
b) Bad bacteria cause free radical damage
c) B vitamins are depleted by free radical
d) None of the above

22. Which of the following is true:

a) Some vitamins support all strains of beneficial bacteria
b) Vitamin A and folic acid help maintain immune tolerance
c) Gut bacteria produce calcium and magnesium
d) Iron increase bifidus bacteria