| Pathophysiology | Symptoms and risks | Diagnosis and Treatment | Gluten Free Eating | Fun Facts | 
|---|---|---|---|---|
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					  an autoimmune disorder					 
					 What is celiac disease classified as? | 
					  a) malnutrition which then causes all the other complications 
					 One of the major effects of celiac disease is: a) malnutrition b) weight loss c) delayed development d) two or more of the above answers | 
					  b) it has symptoms similar to other digestive diseases					 
					 Why is diagnosis of celiac disease so difficult? a) it takes a long time to get test results back b) it has similar symptoms to other digestive diseases c) people don't go in for testing d) testing is too expensive | 
					  c) coconut flour cupcakes with icing - icing usually has food colouring in it					 
					 Where is gluten found? a) almonds b) flax c) coconut flour cupcakes with icing d) baby cookies | 
					  f) all of the above					 
					 Which foods or products can contain gluten? a) lipstick b) lunch meat c) prescription drugs d) beer f) all of the above g) none of the above | 
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					  d) all of the above					 
					 What causes celiac disease? a) genetic factors b) environmental factors c) immunologic factors d) all of the above | 
					  c) fatigue, DH, osteoporosis, diarrhea					 
					 Some of the most common symptoms in adults are: 1. seizures & migranes 2. arthritis 3. fatigue 4. dermatitis herpetiformis 5. osteoporosis 6. anxiety and depression 7. diarrhea a) 1,3,4,5,7 b) 2,3,4,6,7 c) 3,4,5,7 d) 3,5,6,7 | 
					  a) IgA - immunoglobin A, which is secreted by T lymphocytes					 
					 What does a blood test look for in celiac diagnosis? a) IgA b) TG c) gliadin d) EMA | 
					  a) cream based soups					 
					 What soups should be avoided? a) cream based soups b) vegetable soups c) broths d) all soups | 
					  A) tax deductions - gluten free food is considered within Canada to be a medical expense.					 
					 What 'perks' do Canadians with celiac disease get? a) tax deductions - gluten free food is considered a 'medical expense' b) free emergency room visits c) unemployment benefits, as celiac disease is a disability d) none of the above | 
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					  d) HLA DQ2 & DQ8					 
					 Which genes are linked to celiac disease? a) HLA DQ2 b) HLA DQ6 c) HLA DQ8 d) a & c e) b & c | 
					  d) involves no damage to the small intestine					 
					 Gluten sensitivity: a) has the same risks factors as celiac disease b) has the same immune response as celiac disease c) is treated with medication, where as celiac disease is not d) involves no damage to the small intestine | 
					  d) a, b, c					 
					 How does late diagnosis affect the patient? a) they can suffer from malnutrition and all the problems that nutrient deficiencies cause b) they are more at risk for developing another autoimmune disorder c) they are at risk of developing GI tract cancers d | 
					  c) should only be used by those who absolutely need it					 
					 A gluten free diet a) causes weight loss b) can be used by anyone c) should only be used by those who absolutely need it d) has many health benefits | 
					  c) pregnancy and childbirth					 
					 Celiac Disease can be triggered after: a) a car crash b) overexposure to wheat products c) pregnancy and childbirth d) you can't develop it suddenly | 
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					  b) lymphocytes T lymphocytes are coded for by HLA DQ2 and DQ8 genes 
					 What type of white blood cell secretes the immune factors that damage the intestinal cells? a) neutrophils b) lymphocytes c) basophils d) eosinophils e) monocytes | 
					  b) caucasian people (Celiac Disease Foundation) 
					 Dermatitis herpetiformis is more likely to be developed by: a) middle age people b) caucasian people c) elderly people d) Italian people | 
					  c) cutting gluten out of their diet completely					 
					 People diagnosed with celiac disease can ease symptoms by: a) taking enzyme pills b) taking immune reaction blocking medication c) cutting gluten out of their diet completely d) all of the above | 
					  d) bread, pasta, shampoo, cereal, sunscreen					 
					 Gluten can be found in: 1. bread 2. pasta 3. shampoo 4. cereal 5. sunscreen 6. ketchup a)1,2,3,4,5,6 b)1,2,4,6 c)1,2,4 d)1,2,3,4,5 | 
					  b) an autoimmune response allergic reaction: a substance entering the body is recognized as a harmful invader autoimmune response: the immune system reacts incorrectly to the body's own normal tissues 
					 Celiac disease is considered: a) a wheat allergy b) an autoimmune response c) a gluten allergy d) b & c | 
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					  d) gliadin, which is a lectin					 
					 Which glycoprotein found in gluten is responsible for the immune response that causes celiac disease? a) glucose b) lectin c) glutenin d) gliadin | 
					  b) diabetes					 
					 Celiac disease is linked to other autoimmune diseases like: a) gastrointestinal cancers b) diabetes c) down syndrome d) cystic fibrosis | 
					  d) all of the above					 
					 How is refractory celiac disease treated? a) cutting gluten out of the diet b) immunosuppressants c) steroids d) all of the above | 
					  b) 20 ppm					 
					 How much gluten does an FDA approved gluten free product contain? a) 10 ppm b) 20 ppm c) 0.50 ppm d) no gluten | 
					  c) children with the symptoms showed a significant improvement during WWII when cereal and bread were not readily available, and then relapsed after the war when exposed to the foods again.  (Wakim-Fleming, J. (2004). Celiac Disease and Malabsorptive Di 
					 What may have led to the discovery that gluten was the trigger for celiac disease? a) a doctor with celiac disease removed different food groups from his diet in many trials, and his symptoms improved when he removed grains b) it was discovered in medieva |