Celiac Disease Exam Questions With
Complete Solutions | 100% Verified!!!
What is celiac disease? CORRECT ANSWERS serious autoimmune disorder where the
body reacts negatively to gluten
What are the characteristics of celiac disease? CORRECT ANSWERS Characterized
by genetically based sensitivity to certain sequences of amino acids in prolamin of
wheat, barley, and rye (gliadin heorein, and seclaine)
What ingredients contain prolamines CORRECT ANSWERS wheat, barley, and rye
(gliadin heorein, and seclaine)
What are prolamins? CORRECT ANSWERS Proline- and glutamine-rich storage
proteins found in endosperm of grain
Why cant celiacs have prolamin? CORRECT ANSWERS Damages the villi of the small
intestine and makes them smaller and not work well
What biochemical and nutrient issues are associated with celiac disease? CORRECT
ANSWERS Malabsorption
May result in
- lactose intolerance
- anemia
- bone disease
What vitamins/minerals get malabsorbed with Celiac disease? CORRECT ANSWERS •
Calcium
• Vitamin D
• Iron
• B-vitamins
oThiamin, riboflavin, niacin, and folate
How would a patient with celiac disease enter the NCP? CORRECT ANSWERS
Screening or referral,, most will be referral
What needs to be taken into consideration when conducting a nutrition assessment?
CORRECT ANSWERS o Weight loss over the past year
o I & O records
o Stool patterns and frequency
o Abdominal distention and bloating
o GI biopsies reveal celiac disease
o Positive tTG test
, What are some GI signs and symptoms of celiac disease? CORRECT ANSWERS •
Flatulence
• Constipation
• Bloating
• Indigestion
• Steatorrhea (fat in stool)
• Abdominal pain
Does everyone with celiac disease have GI symptoms? CORRECT ANSWERS most
newly diagnosed people don't have these symptoms
Non-GI symptoms CORRECT ANSWERS • Anemia
• Bone disease
• Dental enamel defects
• Neurological conditions
• Vitamin/mineral deficiencies
• Joint pain
• Anxiety
• Depression
• Infertility
• Miscarriage
• Delayed puberty
• Short stature
How is celiac disease medically diagnosed with the GOLD standard? CORRECT
ANSWERS Biopsy of small bowel - gold standard
How is celiac disease medically diagnosed otherwise? CORRECT ANSWERS Blood
Tests
• Immunoglobulin A (IgA)
• Antihuman tissue transglutaminase (tTG)
• IgA endomysial antibody immunofluorescence
When should initial evaluation be done? CORRECT ANSWERS before the person has
started a gluten-free diet
How is celiac disease nutritionally diagnosed? CORRECT ANSWERS Review
signs/symptoms obtained in nutrition assessment
Diagnose nutrition problems based on signs and symptoms
• Less than optimal intake of types of proteins or amino acids (gluten)
• Inadequate vitamin intake (specify)
• Inadequate mineral intake (iron)
• Inadequate fiber intake
Complete Solutions | 100% Verified!!!
What is celiac disease? CORRECT ANSWERS serious autoimmune disorder where the
body reacts negatively to gluten
What are the characteristics of celiac disease? CORRECT ANSWERS Characterized
by genetically based sensitivity to certain sequences of amino acids in prolamin of
wheat, barley, and rye (gliadin heorein, and seclaine)
What ingredients contain prolamines CORRECT ANSWERS wheat, barley, and rye
(gliadin heorein, and seclaine)
What are prolamins? CORRECT ANSWERS Proline- and glutamine-rich storage
proteins found in endosperm of grain
Why cant celiacs have prolamin? CORRECT ANSWERS Damages the villi of the small
intestine and makes them smaller and not work well
What biochemical and nutrient issues are associated with celiac disease? CORRECT
ANSWERS Malabsorption
May result in
- lactose intolerance
- anemia
- bone disease
What vitamins/minerals get malabsorbed with Celiac disease? CORRECT ANSWERS •
Calcium
• Vitamin D
• Iron
• B-vitamins
oThiamin, riboflavin, niacin, and folate
How would a patient with celiac disease enter the NCP? CORRECT ANSWERS
Screening or referral,, most will be referral
What needs to be taken into consideration when conducting a nutrition assessment?
CORRECT ANSWERS o Weight loss over the past year
o I & O records
o Stool patterns and frequency
o Abdominal distention and bloating
o GI biopsies reveal celiac disease
o Positive tTG test
, What are some GI signs and symptoms of celiac disease? CORRECT ANSWERS •
Flatulence
• Constipation
• Bloating
• Indigestion
• Steatorrhea (fat in stool)
• Abdominal pain
Does everyone with celiac disease have GI symptoms? CORRECT ANSWERS most
newly diagnosed people don't have these symptoms
Non-GI symptoms CORRECT ANSWERS • Anemia
• Bone disease
• Dental enamel defects
• Neurological conditions
• Vitamin/mineral deficiencies
• Joint pain
• Anxiety
• Depression
• Infertility
• Miscarriage
• Delayed puberty
• Short stature
How is celiac disease medically diagnosed with the GOLD standard? CORRECT
ANSWERS Biopsy of small bowel - gold standard
How is celiac disease medically diagnosed otherwise? CORRECT ANSWERS Blood
Tests
• Immunoglobulin A (IgA)
• Antihuman tissue transglutaminase (tTG)
• IgA endomysial antibody immunofluorescence
When should initial evaluation be done? CORRECT ANSWERS before the person has
started a gluten-free diet
How is celiac disease nutritionally diagnosed? CORRECT ANSWERS Review
signs/symptoms obtained in nutrition assessment
Diagnose nutrition problems based on signs and symptoms
• Less than optimal intake of types of proteins or amino acids (gluten)
• Inadequate vitamin intake (specify)
• Inadequate mineral intake (iron)
• Inadequate fiber intake
