Gluten-Free: An Introduction to Celiac Disease

~ Exam ~

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1. Celiac Disease can best be defined as:

  a. A disease in which the patient has a physiological reaction to sugar and must monitor blood sugar levels.

  b. A disease in which the patient must not eat any type of grain because it will hurt their intestines.

  c. A disease in which the patient must not eat anything related to or touched by gluten.

  d. A disease that causes overgrowth of the villi in the large intestine.


2. A patient with Celiac Disease goes out to lunch with friends from the office. Which of the following foods is probably the safest to eat?

  a. Peach slices in a bowl

  b. Garden salad with croutons

  c. Chocolate cake

  d. Crispy chicken nuggets


3. A patient arrives at your clinic with an ankle injury. While taking his medical history, you notice that some of his chronic conditions might point to the need for a Celiac Disease screen. Which of the following is not included in your list of reasons to screen for Celiac Disease?

  a. First degree relative has Celiac Disease

  b. History of chickenpox as a child

  c. Chronic diarrhea

  d. Itchy, blistering rash on knees and elbows


4. The skin disease associated with Celiac Disease is:

  a. Dermatitis Glucaformis

  b. Dermatitis Pancreitis

  c. Dermatitis Herpetiformis

  d. Dermatitis Ankylosis


5. What is one reason that Celiac Disease is so often misdiagnosed?

  a. It is undetectable.

  b. There are no known screens for it.

  c. It is a multisystem disease that mimics other diseases.

  d. It only affects newborn babies.


6. A patient needs to be screened for Celiac Disease. What is the first step?

  a. X rays are taken to determine bone age.

  b. MRI screen is ordered to examine the pituitary gland.

  c. Celiac Urinalysis screen is ordered to check hormone levels.

  d. Celiac Comprehensive Panel blood screen is ordered.


7. At this time, what is the gold standard for diagnosis once screens are found positive?

  a. Endoscopy of the small intestine

  b. Biopsy of the esophagus

  c. Colonoscopy of the large intestine

  d. Biopsy of the liver


8. Which of the following is not usually a member of the care team for the patient with Celiac Disease?

  a. Urologist

  b. Dietician

  c. Gastrointestinal specialist

  d. Support group


9. A person with Celiac Disease makes her first trip to the grocery store since her diagnosis. She is unable to remember which grains she needs to stay away from on her gluten free diet. What acronym can you give her to help her remember?

  a. GREEN

  b. RED

  c. BLUE

  d. BROWN


10. In terms of living with Celiac Disease, which of the following choices is a myth?

  a. Labels always need to be read for sources of gluten.

  b. Cross contamination is always an issue, even if the ingredients are gluten free.

  c. Gluten can be found in lip balms and shampoos.

  d. Gluten is only found in pastries, cakes, and cookies.