CNM EXAM. Nutrition Year 1, semester 2 2024-2025
(clinical evaluation)
What is the name of window / sign to indicate if the nail is NOT clubbed? -ANSWER
Schamroths window/ sign
If the Lanula (moon) is absent on thumb what should be investigated - ANSWER Anemia
or malnutrition (poor absorption)
What may be expected if a patients sweat smells sweet? - ANSWER Pre diabetic
TCM-What 3 body systems would need the most support after assessment tools find
signs of a weakened QI - ANSWER Immune, nervous and endocrine system
A superficial, linear tongue fissure is indicative of deficiency of which of the following -
ANSWER B Vitamins-particularly B12 and Folate. Also, it may be indicative of Iron
deficiency and low HCL and Pepsin
What is geographical tongue - ANSWER Fissures everywhere. B2 deficiency, B complex,
possible kidney weakness
What would be suspected if clients face was grey/yellow? - ANSWER Often sign of
constipation. (Green would indicate liver problems)
What would garlic breath/metallic taste indicate? - ANSWER Selenium deficiency
What is an exudate? - ANSWER material that has escaped from blood vessels during the
inflammatory process.
, What test would be indicated for a Ragland test? - ANSWER To check for adrenal
hypofunction
What does green stools indicate - ANSWER Release of toxic matter from gall bladder
Sweat that smells Oily and Fatty may indicate - ANSWER Congestion and stagnation
What is the rule of three? - ANSWER Looking for a minimum of three indications that
support your naturopathic detective work
For how many months does the nail reveal both systemic and medical history and
information on lifestyle - ANSWER 6. The growth is faster for younger children at 3
months.
What is the name of the infection around the nail, and to what can that be indicative -
ANSWER Paroncyhia. That may be indicative of stress, trauma, poor nutrition, low
immunity, or poor hygiene.
What deficiencies can wicks and hangnails be due to? - ANSWER Too little protein, lack
of B vitamins and vitamin C.
A horizontal mark on the nail could mean what? - ANSWER It shows timing of an acute
illness, or great drain on the body's resources.
What deficiencies might nail dryness be due to? - ANSWER Lowered essential fatty acid
status, vitamins A and D, or indicative of low thyroid condition
What is the most common etiology of nail Clubbing - ANS Pulmonary and cardiovascular
causes (80%)
What is koilonychia? And to what does it most commonly point - ANS Spoon nail. Can
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