ACLM PRACTICE Q&A MODULE 2026
FULLY RESOLVED QUESTION SET
◉Early sleep. Answer: Increased peripheral skin temp, decreased
core temp (low point 2-3 hours before waking)
Predominantly slow wave (restorative sleep)
Decreased BP and sympathetic tone
◉Throughout sleep. Answer: Restoration and repair
◉Late sleep. Answer: Mid to awakening
Decreased peripheral skin temp, increased core temp
Longer REM periods
Increasing BP
◉awakening. Answer: Cortisol spike
◉food and sleep. Answer: Skipped, late or low carb bfast leads to
diminished cortisol
Eating dinner too early may contribute to falling asleep too early
,Shift carbs based on how late/early someone is sleeping
◉Behavior induced insufficient sleep syndrome (BIISS). Answer:
Inadequate sleep for functional performance
Voluntary restriction of sleep
Longer sleep duration on weekends
◉Chronic insomnia. Answer: Most common sleep disorder
Difficulty initiating and or maintaining sleep
Daytime consequences
Adequate sleep opportunity
Ongoing for at least 3 months and at least 3 times per week
Associated with
- fatigue
- concentration/memory issues
- decreased motivation
◉OSA. Answer: obstructive sleep apnea
◉restless leg syndrome (RLS). Answer: a neurological disorder
characterized by uncomfortable feelings in the legs, producing a
strong urge to move them
, ◉What are major nutrition studies. Answer: Intervention or large
prospective cohort studies published in high impact journals
◉High impact nutrition studies. Answer: Large sample size
Published in high impact journals
◉Seminal studies. Answer: Demonstrate evidence of disease
reversal/remission
◉Supportive of lifestyle medicine tx. Answer: Disease treatment or
cost savings
◉Dietary portfolio for treatment of hupercholesterolemia. Answer:
High impact study
Very low sat fat that is high in plant sterols, soy protein , almonds,
viscous fibers
Results: decrease in LDL by 28.6% which was not statistically diff
from tx with 20 mg levastatin
◉DASH (Dietary Approaches to Stop Hypertension) diet. Answer:
High impact nutrition study
Those in the combination diet reduced their blood pressure more
than control and vegetable diet
FULLY RESOLVED QUESTION SET
◉Early sleep. Answer: Increased peripheral skin temp, decreased
core temp (low point 2-3 hours before waking)
Predominantly slow wave (restorative sleep)
Decreased BP and sympathetic tone
◉Throughout sleep. Answer: Restoration and repair
◉Late sleep. Answer: Mid to awakening
Decreased peripheral skin temp, increased core temp
Longer REM periods
Increasing BP
◉awakening. Answer: Cortisol spike
◉food and sleep. Answer: Skipped, late or low carb bfast leads to
diminished cortisol
Eating dinner too early may contribute to falling asleep too early
,Shift carbs based on how late/early someone is sleeping
◉Behavior induced insufficient sleep syndrome (BIISS). Answer:
Inadequate sleep for functional performance
Voluntary restriction of sleep
Longer sleep duration on weekends
◉Chronic insomnia. Answer: Most common sleep disorder
Difficulty initiating and or maintaining sleep
Daytime consequences
Adequate sleep opportunity
Ongoing for at least 3 months and at least 3 times per week
Associated with
- fatigue
- concentration/memory issues
- decreased motivation
◉OSA. Answer: obstructive sleep apnea
◉restless leg syndrome (RLS). Answer: a neurological disorder
characterized by uncomfortable feelings in the legs, producing a
strong urge to move them
, ◉What are major nutrition studies. Answer: Intervention or large
prospective cohort studies published in high impact journals
◉High impact nutrition studies. Answer: Large sample size
Published in high impact journals
◉Seminal studies. Answer: Demonstrate evidence of disease
reversal/remission
◉Supportive of lifestyle medicine tx. Answer: Disease treatment or
cost savings
◉Dietary portfolio for treatment of hupercholesterolemia. Answer:
High impact study
Very low sat fat that is high in plant sterols, soy protein , almonds,
viscous fibers
Results: decrease in LDL by 28.6% which was not statistically diff
from tx with 20 mg levastatin
◉DASH (Dietary Approaches to Stop Hypertension) diet. Answer:
High impact nutrition study
Those in the combination diet reduced their blood pressure more
than control and vegetable diet
