HUN 4446 Case Study Exam 2 With Complete
Solutions
The sequela of a T-cell mediated immune response to gliadin is: - ANSWER decrease in
hormone production, decrease in surface area, and decreased enzyme production
The patient had a positice tTGA test and was diagnosed with Celiac Disease. If she
followed a strict gluten-free diet, her sign/symptoms should be abated within ___________
weeks - ANSWER 2-6
The patient also had a small bowel biopsy which revealed inflammatory infiltrate in the
lamina propria suggesting damaged mucosal cells (enterocytes). If she followed a strict
gluten-free diet, you would expect her mucosal cells (enterocytes) to recover to normal
within _________ months - ANSWER 3
Prednisolone could have the following drug-nutrient interaction: - ANSWER increased
appetite, hyperglycemia, skeletal muscle catabolism
Factors that the patient displays which increases her metabolic demand: - ANSWER
prednisolone therapy, papulovesicular rash, and small bowel inflammation
The patient is at an increased risk for the chronic diseases based on her clinical condition
if it can not be controlled with medical/nutritional therapy: - ANSWER osteoporosis;
intestinal lymphona
Solutions
The sequela of a T-cell mediated immune response to gliadin is: - ANSWER decrease in
hormone production, decrease in surface area, and decreased enzyme production
The patient had a positice tTGA test and was diagnosed with Celiac Disease. If she
followed a strict gluten-free diet, her sign/symptoms should be abated within ___________
weeks - ANSWER 2-6
The patient also had a small bowel biopsy which revealed inflammatory infiltrate in the
lamina propria suggesting damaged mucosal cells (enterocytes). If she followed a strict
gluten-free diet, you would expect her mucosal cells (enterocytes) to recover to normal
within _________ months - ANSWER 3
Prednisolone could have the following drug-nutrient interaction: - ANSWER increased
appetite, hyperglycemia, skeletal muscle catabolism
Factors that the patient displays which increases her metabolic demand: - ANSWER
prednisolone therapy, papulovesicular rash, and small bowel inflammation
The patient is at an increased risk for the chronic diseases based on her clinical condition
if it can not be controlled with medical/nutritional therapy: - ANSWER osteoporosis;
intestinal lymphona
