Module 22: Advanced Blood Chemistry

Exam: Part 1

1
Passed the Part 1 Exam.

It’s time to fully review and put your learning to the test!

Below you’ll find a list of open-book, comprehensive, multiple-choice questions related to this 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.

If you are unsuccessful after your third attempt, please contact us for assistance.

 

#1: Cardiac-related inflammation and oxidative stress markers are:
#2: CRP above 3.0 mg/L indicates ________ risk for cardiovascular disease.
#3: C-Reactive Protein _________ during systemic inflammation.
#4: Low hs-CRP is associated with sudden cardiac death and peripheral arterial disease.
#5: CRP cannot be lowered.
#6: Consume anti-inflammatory foods and herbs to support lowering CRP.
#7: High homocysteine can damage artery linings.
#8: __________ measures how quickly red blood cells settle at the bottom of a test tube that contains a blood sample.
#9: __________ measures damage of the ApoB protein subunit on the surface of LDL due to oxidative modification.
#10: Elevated OxLDL increases risk of developing metabolic syndrome.
#11: __________ is a prostaglandin-like compound from free radical oxidation of arachidonic acid.
#12: This HDL pattern is the most protective.
#13: The most desirable LDL pattern is __________.
#14: Apoliprotein B (ApoB) is the major protein found in cholesterol.
#15: High levels of ApoB are a sign of small, dense LDLs.
#16: High levels of ApoB are desirable.
#17: Low levels of Lp(a) increase risk of heart attack, stroke, blood clots, fatty build-up in veins artery coronary bypass.
#18: Lp-PLA2 greater than 200 increases the risk of CHD events.
#19: Statins lower Lp(a).
#20: The ‘Tool Box’ for vascular integrity includes__________.
#21: Myeloperoxidase is an inflammatory enzyme and specific marker of vascular inflammation.
#22: Too much ___________ protein in the blood increases your risk of a heart attack.
#23: Trimerhylamine N-oxide (TMAO) levels can be decreased by taking choline, lecithin, and L-carnitine.
#24: High levels of TMAO decreases the risk of heart disease, heart attack, stroke, and atherosclerosis.
#25: High levels of Aminoterminal Pro-bran Natriuretic Peptide (NT-proBNP) is linked to a higher risk of heart and blood vessel disease.
#26: NT-proBNP is released in response to changes in pressure inside the heart.
#27: ____________ images the coronary arteries and detects plaque buildup.
#28: __________ high-resolution ultrasound used to identify plaque in the carotid arteries in the neck.
#29: ADMA (Asymmetric Dimethylarginine) can reduce the production of nitric oxide.
#30: Global Risk Score is a tool to rate risk of developing heart disease or having a heart attack within the next 10 years.
#31: Markers for acute myocardial infarction testing are _________.
#32: Acute Myocardial Infarction Testing (troponin and CK-MB) is the test of choice for acute MI.
#33: Anti-nuclear antibodies (ANA) attack the nucleus and a trigger for autoimmune disorders.
#34: A positive ANA test means definite Lupus or other autoimmune condition.
#35: Infection, malignancy, and certain medications can cause a false-positive ANA.
#36: Fluorescent Anti-Nuclear Antibodies (FANA) Testing is performed by viewing under a microscope to determine the pattern and intensity of the fluorescence.
#37: There is only one test to confirm Lupus.
#38: _______ is found in 30% of people with lupus and suggests more serious lupus, such as lupus nephritis.
#39: _______ is found almost exclusively in people with lupus.
#40: Anti-U1rnp antibodies is not specific to lupus.
#41: ________ main antibodies found in primary Sjogren’s syndrome.
#42: _______ usually found in people with drug-induced lupus.
#43: _______ is 97% specific for Rheumatoid Arthritis.
#44: Cyrex Labs Array 5 is the Autoimmune Screening Panel.
#45: Cyrex Array 5 antibodies test by itself is not diagnostic for any condition or disease.
#46: Dr. Ritamarie Loscalzo has a ‘5 Part Framework for Reversing Autoimmunity’.
#47: The 5 steps to reversing autoimmunity are __________.
#48: Urea Breath Test, Stool Antigen Test, ELISA Serology, and Endoscopic Biopsy test for _______.
#49: _______ detects Hepatitis A as soon as 2 weeks but disappears within 3-12 months.
#50: Test that identifies a current or past Hepatitis B infection within a few weeks.
#51: This test determines whether the Hepatitis C virus is present and how much.
#52: ALT, AST, ALP, bilirubin, albumin, total protein, Prothrombin Time, GGT, LD, Alpha-fetoprotein tests are useful when evaluating hepatitis.
#53: Epstein Barr virus (EBV) is also known as human herpesvirus 4.
#54: Tests to identify EBV are _____.
#55: Monospot test confirms the presence of EBV infection.
#56: Chronic Activated EBV is diagnosed based on symptoms, a clinical exam, high EBV DNA in the blood which persists for at least 3 months.
#57: The ___________ virus causes sores or blister in or around the mouth or genitals.
#58: Tests to identify herpes are:
#59: _________________ is caused by varicella zoster virus and is also known as shingles.
#60: ______ is the most sensitive test for confirming herpes zoster.
#61: Cytomegalovirus (CMV) is a herpes-type virus and can cause unexplained jaundice or anemia.
#62: _______ identifies primary CMV infection when paired with low IgG.
#63: PCR detects active rubella infections directly from the rash.
#64: The most common test(s) for lyme disease is _______.
#65: Many people get false negative lyme disease tests because the recommended two-tier testing is not performed.
#66: ELISA Lyme Disease testing tests for multiple strains of Borrelia.
#67: ELISA for Lyme Disease only detects Borrelia burgdorferi B31.
#68: Lyme Immunofluorescent Assay is designed to detect Borrelia burgdorferi specific antibodies, IgA, IgM, and IgG in human serum.
#69: _________ Lyme disease testing is more sensitive and specific for Lyme disease, especially in early or late stage when antibody levels are very low.
#70: ________ can detect lyme infections at multiple stages of illness and reduces inconsistencies in reading and interpreting bands.
#71: Advanced inflammatory markers are __________.
#72: ________ an acute phase responder in the immune system, is involved with autoimmune disorders, and may only appear in serum or spinal fluid for a very short period of time at the onset of an illness.
#73: _________ tests for complement proteins C3 and C4 consumed by the inflammatory process.
#74: Cytokines are small soluble proteins that mediate communication between cells.
#75: Cytokines only affect non-immune cells.
#76: Interleukins is a group of cytokines that regulate immune functions and inflammation.
#77: IFN-g is important in response to ______ infections.
#78: ____________ evaluates oxidative damage to lipids and DNA.
#79: Repeated cycles of lipid peroxidation cannot cause serious damage to cell membranes.
#80: Repeated cycles of lipid peroxidation can cause serious damage to cell membranes.
#81: The most commonly used lipid maker of oxidative stress is malondialdehyde (MDA).

 

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