QUIZ 4 - MSN 6204 Flashcards
Wheat allergy can be differentiated from celiac disease and glutensensitivity by:
The presence of a positive IgE test result
The presence of a positive AGA IgA test result
The presence of a positive tTg IgG test result
The presence of a positive tTg IgA test resul
The presence of a positive IgE test result
Which of the following signs and symptoms occur in celiac disease?
Diarrhea
Constipation
Vomiting
All of the above
All of the above
Fructose malabsorption is more common in which gastrointestinal conditions?
GERD and Peptic Ulcer disease
Functional dyspepsia and Crohn’s disease
IBS and GERD
Gastritis and IBS
Crohn’s disease and diverticular disease
Functional dyspepsia and Crohn’s disease (slide 8 fructose lecture)
Which of the following substances interferes with fructose absorption?
Sorbitol
Glucose
Galactose
Dextrose
Sorbitol (slide 23 fructose lecture)
Which of the following is a reason for the rising prevalence of celiac disease?
Increased frequency of C-section births
Increase in the gluten content of currently grown wheat varieties
Shortened duration of breastfeeding
All of the above
None of the above
All of the above
Ideally, an adequate dose of gluten needs to be consumed for how long prior to celiac disease testing to ensure the accuracy of the result?
6 weeks
5 weeks
4 weeks
3 weeks
2 week
6 weeks
Which of these fruits should be acceptable for a patient with fructose malabsorption to consume?
Apples, cherries and pears
Apricots, persimmons, grapes
Bananas, blueberries and fresh figs
Watermelon, mango and lychees
Plums, bananas and pears
Bananas, blueberries and fresh figs
Which of these vegetables should be acceptable for a patient with fructose malabsorption to consume?
A) Alfalfa sprouts and green beans
B) Potatoes and celery
C) Beetroot (beets) and zucchini
A and B
A and C
A and B
Fructose malabsorption causes depression as a result of:
Fermentation of fructose creates toxins that when absorbed reduce the production of melatonin
Fermentation of fructose creates short-chain fatty acids that whenabsorbed decrease the livers capacity to detoxify endotoxins and ammonia
Decreased tryptophan and folic acid absorption
All of the above
None of the above
Decreased tryptophan and folic acid absorption
Indicators of “hidden” celiac disease include:
Iron deficiency anemia
Delayed puberty
Raised liver enzymes (AST and/or ALT)
All of the above
None of the above
All of the above
Which of the following substances does not improve absorption of fructose?
Glucose
L-alanine
L-glutamine
Erythritol
L-phenylalanine
Erythritol
Nutritional deficiencies of all of the following nutrients except one are common in celiac disease. Choose the one nutrient that is not commonly impacted in celiac disease.
Calcium
Ascorbic acid
Magnesium
selenium
Zinc
Ascorbic acid
Treatment of celiac disease differs from that of gluten sensitivity in that:
It requires a strict gluten-free diet
Additional small intestinal healing measures may be required
It doesn’t require a strict gluten-free diet
Nutritional supplementation with a high-potency
multivitamin/mineral preparation is needed
Nutritional supplementation with a high-potency
multivitamin/mineral preparation is needed
Synbiotics are a combination of prebiotic and probiotic agents. This combination is supposed to:
enhance the survival of the probiotic bacteria through the upper GIT
improve implantation of the probiotic strain in the colon
have a stimulating effect on the growth and/or activities of both the exogenously provided probiotic strain(s) and the endogenous inhabitants of the bowel
Do all of the above
Do none of the above
Do all of the above
Which prebiotic has been shown to increase microbial β-glucosidase activity in the colon?
Larch arabinogalactans
Galactooligosaccharides
Fructooligosaccharides
Lactulose
Apple pectin
Fructooligosaccharides
