POST-TEST FOR UNIT 4: Clinical Nutrition and Heavy Metal Detoxification for Biological Dentistry

Transcription

1 POST-TEST FOR UNIT 4: Clinical Nutrition and Heavy Metal Detoxification for Biological Dentistry This is a printable version of the Unit 4 Test for IAOMT Accreditation. It is for your records only. To achieve credit, you MUST TAKE THIS TEST ONLINE AT Clinical Nutrition for the Biological Dentist article by Rehme: 1. Acid is present in the mouth for approximately after sugar consumption. A. 0 minutes because sugar does not create acidic conditions B. 5 minutes C. 10 minutes D. 20 minutes Clinical Nutrition for the Biological Dentist article by Rehme: 2. Dental symptoms of celiac disease include. A. swollen gums, bleeding during flossing, and excessive saliva B. discolored teeth, loss of enamel, and/or canker sores C. increased tooth decay and tooth sensitivity D. A & B E. all of the above 3. In the 1880 s, Dr W. D. Miller proposed that tooth decay was caused by. A. the tooth worm B. excess alcohol C. acid fermentation D. green bile 4. Dr. Weston Price, in his worldwide survey of ethnic peoples, described remarkably consistent deficits in health and skeletal development among groups that lived with access to the trade diet, as opposed to related groups that lived under their traditional, native conditions. He ascribed these deficits primarily to. A. lack of educational opportunities B. lack of nutrients and nutrient density in the trade diet C. corrupt trading partners D. depletion of native soils Unit 4 Test; Page 1

2 5. The early and mid-twentieth century was a time of interesting discoveries in clinical nutrition, with dentists making many key contributions. The lessons of the time seem to be forgotten among most dentists, but that knowledge is. A. buried deep in obscure journal B. kept secret by secret societies C. alive and well, underlying modern concepts in nutrition D. truly forgotten 6. Dr. Harold Kristal discovered that diet could strongly influence the acid-alkaline balance of a person s metabolism. His key conclusion was. A. no one diet would be ideal for everyone B. the South Beach/Paleo debate was a false dichotomy C. the Mediterranean diet would enhance tanning D. dietary choice should be by prescription only 7. When a patient s periodontal disease fails to come under control, despite compliance with the dentist s recommendations and apparent efforts at home care, the underlying reason can sometimes be found. A. in the stars B. by yelling at them to brush more C. in specific nutritional deficiencies D. by blaming the government 8. Most people know that sugar causes tooth decay, but they don t know how that happens. What is a simple, understandable bit of information that we can tell dental patients that they can use to reduce their risk of tooth decay? A. How often they expose their mouths to sugar is more important than how much sugar they eat. B. Sugar and other simple carbs depress their hypothalamic-parotid axis, thereby reducing the fluid flow through dentinal tubules. C. Sucrose, and especially high fructose corn syrup (HFCS), promote triglyceride formation in the liver. D. The excess fructose exposure from sugar and HFCS is a factor in obesity, insulin resistance, and type 2 diabetes. Unit 4 Test; Page 2

3 9. A convenient medium for evaluating the body s acid-alkaline status is to measure ph of. A. hair B. bile C. stool D. saliva 10. Dr. Weston Price, in his surveys of primitive populations, found evidence to debunk this contemporary theory as a necessary preventive for tooth decay. A. oral prophylaxis B. oil pulling C. ovo-lacto vegetarianism D. oral radiographs 11. Price found that modern diets were deficient in minerals relative to primitive diets and also critically deficient in. A. fiber B. finger food C. physical effort D. fat soluble vitamins 12. Steinman and Leonora exposed rats to high and low sugar diets and the administration of chemicals like urea and produced alterations in dentinal fluid movement. They ascribed these effects to which mechanism? A. biofilm-sited fermentation B. anaerobic metabolism C. a hypothalamic/parotid hormonal axis D. all of the above Heavy Metal Detoxification for Biological Dentistry article by Kall & Just: 13. Some of the FDA approved pharmaceutical drugs used for mercury challenge testing are. A. BAL and Penicillamine B. DMPS and DMSA C. Dimaval and Dimercaprol D. A & B E. all of the above Unit 4 Test; Page 3

4 Heavy Metal Detoxification for Biological Dentistry article by Kall & Just: 14. Some natural ways of inducing mercury excretion include. A. sweating and eating sulphur-containing foods B. taking chlorella, taurine, or selenium C. avoiding fibrous foods D. A & B E. all of the above Chelation: Harnessing and Enhancing Heavy Metal Detoxification review by Sears: 15. According to the 2013 scientific review by Sears, peptides chelate both essential and toxic elements as they are sequestered, transported, and excreted. A. insulin and calcitonin B. glutathione and insulin C. glutathione and metallothionein D. calcitonin and metallothionein 16. Metallic mercury exposure from dental amalgam leads to. A. slowly accumulating tissue levels, each with a different half-life of elimination B. slowly accumulating tissue levels, with no elimination C. slowly declining tissue levels, as the fillings finish gassing out D. slowly declining tissue levels, as kidney function improves with time 17. Natural detoxification, or cellular excretion, begins with Phase I activation, an oxidative process necessary to excrete organic molecules, but not. A. non-polar dipoles B. lipopolysaccharides absorbed from the gut C. ionic elements like Hg2+ D. cross-linked collagen sheets 18. Phase II conjugation, where Phase I products are linked to a transport molecule like glutathione, depends upon transferase enzymes which are. A. subject to genetic variation that can affect their rate of action B. subject to rapid mutation C. subject to examination by the Human Genome Project D. none of the above Unit 4 Test; Page 4

5 19. In phase III of cellular excretion, MRPs and OATs are. A. prototype GMO cereals B. small transport molecules that shuttle in and outside of mitochondrial membranes C. membrane-bound transport proteins that move conjugated phase II products into or out of cells D. none of the above 20. There are several ways that mercury can cripple the body s ability to excrete it. Among them, mercury that is emitted from dental amalgams and swallowed can downregulate cellular excretion by. A. plugging up the pores in the villi B. provoking intestinal inflammation, which down-regulates phase III transport in all cells C. binding endotoxins, which are necessary for antigen recognition D. interfering with circadian rhythms and rapid eye movement during sleep 21. Clinical tests for mercury in the body use easily obtainable materials like hair, blood, and urine. None of the tests can. A. definitively measure total body toxic burden, especially in slowly exchanging tissues like the brain B. improve on the old stool test C. definitively predict each other s results D. improve on sound clinical judgment 22. Methods that are advocated for natural detoxification, including good nutrition, intestinal cleansing, the use of certain herbs, etc., have in common which well-known metabolic effect? A. appetite suppression in obese subjects B. increased cardiac ejection fraction C. up-regulation of phase II activity in the liver D. increased intestinal motility Unit 4 Test; Page 5

6 23. Chelation therapy is a medical procedure for actively removing toxic elements from the blood stream with pharmaceutical agents. A major difference between chelation and natural detox is. A. chelation must be administered by medical doctors B. chelation uses a urinary pathway of excretions C. chelation does not discriminate between toxic and nutritional elements D. all of the above 24. For many years, some IAOMT members have used Jerome mercury analyzers to measure mercury vapor levels in their patients mouths. This test is useful for. A. demonstrating and documenting the presence of mercury vapor when amalgams are present B. diagnosing mercury toxicity C. selling unnecessary procedures D. supporting lawsuits against dental manufacturers 25. The fact that there are many different detox protocols promoted by many different doctors indicates. A. none of them know what they are talking about B. patients should randomly pick one protocol and stick with it C. there is a wide menu of possible interventions, with no apparent one-size-fits-all solution D. these patients will get better if we just leave them alone To achieve credit, you MUST TAKE THIS TEST ONLINE AT Unit 4 Test; Page 6