THERAPEUTIC NUTRITION AND SUPPLEMENTS IN PRACTICE Certification Exam. Print clearly. Answers will receive no marks if non-legible. Spelling counts.

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Name: Date: Email: Phone #: Mailing Address: THERAPEUTIC NUTRITION AND SUPPLEMENTS IN PRACTICE Certification Exam This certification exam is open book. Print clearly. Answers will receive no marks if non-legible. Spelling counts. 80% is a passing mark. If you do not pass, certification will not be granted and you will be required to rewrite the exam for certification (for an additional fee of $40). The mark value is indicated for each question. Be sure to provide enough information to satisfy the requirements. Do not provide more information than is needed. You will receive notice of your exam results within 1 month of us receiving the completed exam and subsequently your certificate will be mailed to you. Please keep a copy of your exam until your certificate has been received. Please write the name you would like to show on your certificate. You may submit the exam the following ways: o Email: info@joshgitalis.com o Mail/In-Person: 116 Portland Street, Toronto, ON M5V2N5 Total Mark /75 1

1. What 3 components make up an enzyme? (3) 1. 2. 3. 2. Give an example of a condition due to a single nutrient deficiency, and indicate the nutrient. (2) 3. Give an example of a condition due to a multiple nutrient deficiency. (1) 4. Give 2 reasons why someone might need to take a supplement as opposed to just eating food and why? (4) 5. Give 2 conditions/diseases where vitamin A would be beneficial. (2) 6. Which 2 groups of components make up the vitamin E family? (2) 7. What is the danger with stopping high-dose vitamin C supplementation completely? (2) 2

8. Which B-vitamin helps to regenerate glutathione, and thus helps to prevent cataract formation? (1) 9. Which B-vitamin has been shown to be highly effective at decreasing cholesterol? (1) 10. Your client has heart disease and high homocysteine levels. Which 3 nutrients would you use to help bring down homocysteine levels? (3) 11. Circle one. True or false. The darker your skin, the more easily you can obtain Vitamin D from sun exposure. (1) True or false. The active vitamin D 3 (Cholecalciferol) obtained in supplement form, is the most bioactive form of vitamin D in the body. (1) 12. Describe the danger with only using folic acid when there s a B12 deficiency. (2) 13. Name 2 nutrients that are lipotropic (decreases fat accumulation in the liver) agents. (2) 14. Which 2 minerals are necessary for proper muscle contraction and relaxation? (2) 1. 3

15. List and describe the 2 main steps in mineral absorption. (4) 16. Fill in the blank. Which nutrient needs to be balanced with the one shown for maintaining health? (3) Calcium with Sodium with Zinc with 17. Discuss who you would use therapeutic chromium with and why (by what mechanism)? (2) 18. What is the maximum dosage you could safely supplement selenium? (1) 19. EPA helps decrease whereas DHA builds. (2) 4

20. Which omega-6 fatty acid is the precursor to PG2 production and is very high in red meat? (1) 21. Which B-vitamin is the most important for adrenal health? (1) 22. In what populations would you not want to give high-dose iron supplementation? (2) 23. List 5 conditions/diseases that EPA/DHA would be indicated for. (5) 4. 5. 24. Which amino acid is the primary fuel for the digestive tract? (1) 25. Choose any 2 nutrients or foods that would increase glutathione production. (2) 26. Give 3 situations where you might use proteolytic enzymes on an empty stomach. (3) 27. What are 3 supplements that could improve immunity? (3) 1. 2. 3. 28. Which organ contains the most CoQ10 and which drug depletes this nutrient? (2) 5

29. List 1 flavonoid and discuss how it can be used. (2) 30. List 2 situations you could use melatonin. (2) 31. List 4 foods that contain good bacteria. (4) 4. 32. List the 2 main types of fiber and describe 2 possible situations you might use fiber therapeutically. (4) 3 should not be taken by pregnant women in amounts above 5,000 IU due to the risk of birth defects. (1) 34. What food would you recommend a client consume on a regular basis if they have cancer? (1) 6