Celiac Disease Fitz and Leik

Question 1

159. Celiac disease is also called all of the following
     except:

A. gluten-induced enteropathy.
B. celiac sprue.
C. sprue.
D. small bowel malabsorption syndrome.

Answer 1

D. small bowel malabsorption syndrome.

Question 2

160. All of the following characterize celiac disease except that:

A. it is a temporary immunological gluten
disorder.
B. it affects more often people of northern European
ancestry.
C. it causes diffuse damage to the proximal small
intestinal mucosa with malabsorption of
nutrients.
D. it is often misdiagnosed as irritable bowel disease.

Answer 2

A. it is a temporary immunological gluten

disorder.

Question 3

161. Celiac disease’s classic presentation can include all of the following except:

A. weight loss, chronic diarrhea, and muscle
wasting.
B. flatulence and abdominal distension.
C. as growth restriction when diagnosed in children
younger than 2 years old.
D. reported egg intolerance.

Answer 3

D. reported egg intolerance.

Question 4

162. The most accurate serological markers to diagnose celiac sprue are:

A. ESR and CRP.
B. IgA endomysial and IgA tTG antibodies.
C. mucosal biopsies of the terminal ileum.
D. H. pylori IgG antibodies.

Answer 4

B. IgA endomysial and IgA tTG antibodies.

Question 5

163. Patients with celiac disease present with similar
     signs and symptoms of all of the following
     conditions except:

A. acute appendicitis.
B. small bowel bacterial overgrowth.
C. cow’s milk intolerance.
D. tropical sprue.

Answer 5

A. acute appendicitis.

Question 6

164. Which of the following would be an acceptable food choice, using standard products, for a person with celiac disease?

A. beer and popcorn
B. vegetarian pizza
C. steak with mashed potatoes
D. chicken nuggets

Answer 6

C. steak with mashed potatoes

Question 7

165. An 8-year-old girl is diagnosed with celiac disease. When counseling her parents, you advise that the child should:

A. consume whole grains, especially wheat, oats,
and barley.
B. carefully plan exercise to minimize symptoms.
C. avoid intake of semolina, spelt, and rye.
D. avoid birthday parties or other gatherings that
could expose the child to offending foods.

Answer 7

C. avoid intake of semolina, spelt, and rye.

Question 8

547. A 14-year-old boy is brought in by his mother who reports that her son has been
     complaining for several months of recurrent bloating, stomach upset, and occasional
     loose stools. She reports that he has difficulty gaining weight and is short for his age.
     She has noticed that his symptoms are worse after eating large amounts of crackers,
     cookies, and breads. She denies seeing blood in the boy’s stool. Which of the
     following conditions is most likely?
     A) Amebiasis
     B) Malabsorption
     C) Crohn’s colitis
     D) Celiac disease

Answer 8

D) Celiac disease Celiac disease is also known as celiac sprue.

Patients should avoid foods containing gluten, which causes malabsorption (diarrhea, gas, bloating,
and abdominal pain). Foods to avoid are wheat, rye, and barley. Oats do not damage the mucosa in celiac disease. Antigliadin IgA and IgG are elevated in almost all patients (90%).

Question 9

563. All of the following foods are best avoided by individuals with celiac sprue except:
A) Rice cereal
B) Blueberry muffins
C) Organic wheat bread
D) Rye bread

Answer 9

A) Rice cereal Patients can eat any food except those that contain the protein gluten. Foods containing wheat, barley, and rye should be avoided.