Cardiometabolic 1 Final Quiz Part 1
The essay questions in this quiz correspond to a case study that is based on information you encountered in this module. Please read the case study thoroughly and submit a text answer below each question. You will initially be rewarded full points for each question so you can proceed in your certification sequence. Once one of our staff reviews your essays, you will be awarded final points as well as feedback on your response.
Case Study:
47 year old female
CC: Elevated cholesterol panel.
Sx: This woman feels “out of whack” since moving away from her keto diet. She experiences an afternoon energy dip, is slow to rise in the morning, has low libido, and gains weight easily. She has gained 7 pounds in 3 months after incorporating carbs into her diet again.
Hx:
- She had been eating a low carb ketogenic diet for the past three years to lose weight and stabilize her blood sugar.
- As a result of her keto diet, the woman lost 30 plus pounds and had a fasting blood glucose in the 80-90 range. She was surprised to see her cholesterol levels so high at her initial testing.
- Due to her elevated cholesterol panel you recommended some cardiometabolic supplements and a Mediterranean diet; she was on this protocol for three months before retesting her levels. Upon retesting, her cholesterol only lowered 7 points.
Other:
- Her blood sugar is now out of range due to the incorporation of a diet that is lower in saturated fat and higher in carbs than her previous diet. Her hsCRP level has also increased.
Her moods are up and down, she feels swollen all over, and is disheartened that the expensive supplements and dietary changes you recommended did not lower her cholesterol.
Pertinent Lab Work for Case Study:
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Question 1 of 7
1. Question
20 point(s)Prompt:
Please review Case Study and answer the following as best as you are able. We recommend opening the Case Study in a separate tab so it can be easily referenced while you complete these questions.
- What were your original diet and supplement recommendations to this woman (prior to the second round of lab testing that still shows elevated TC, LDL, ApoB)
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 2 of 7
2. Question
10 point(s)- Since diet and supplements have not improved this woman’s total cholesterol, LDL, ApoB, hsCRP, or blood sugar levels; what condition would you suspect she has?
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 3 of 7
3. Question
20 point(s)- How would you describe the condition you believe this woman has to her? Please include information about the functional physiology of this condition, diagnostic criteria, and describe the possible causes of her elevated cholesterol.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 4 of 7
4. Question
15 point(s)- Would you continue this woman on all of her prior supplements? If so, how would you convince this woman the necessity of staying on them even though they hadn’t affected her cholesterol or inflammation levels positively.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 5 of 7
5. Question
15 point(s)- What new supplement recommendations would you make for this woman based on her most recent labwork? Please provide supplement recommendations as well as a detailed rationale for why you are choosing each and which lab marker you expect to benefit from the treatment.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 6 of 7
6. Question
10 point(s)- What is your dietary recommendation for this woman going forward? Would you recommend any modifications to help her get over the hurdle of overindulgence as she shifts into a new diet? Please be specific about your recommendations.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 7 of 7
7. Question
10 point(s)- Are there any lifestyle recommendations you would make for this woman? If so, which? Please describe in detail.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.