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