Celiac Disease 1 Jeopardy Template

Pathophysiology	Symptoms and risks	Diagnosis and Treatment	Gluten Free Eating	Fun Facts
100 b) occurs 1 in 133 people (Celiac Foundation) What is correct pertaining to Celiac disease ? a) more prevalent in men b) occurs 1 in 133 people C) occurs 3 in 133 people d) starts at an older age	100 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	100 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	100 c) protein powder Where is gluten found? a) almonds b) flax c) protein powder d) quinoa	100 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
200 d) all of the above What causes celiac disease? a) genetic factors b) environmental factors c) immunologic factors d) all of the above	200 a) fatigue, DH, diarrhea (1,2,4) Some of the most common symptoms in adults are: 1. fatigue 2. dermatitis herpetiformis 3. seizures 4. diarrhea a) 1,2,4 b) 2,3,4 c) 1,2,3	200 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	200 a) cream based soups What soups should be avoided? a) cream based soups b) vegetable soups c) broths d) all soups	200 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
300 d) HLA DQ2 & DQ8 Human leukocyte antigen Which genes are linked to celiac disease? a) HLA DQ2 b) HLA DQ6 c) HLA DQ8 d) a & c	300 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	300 d) all of the above 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) all of the above	300 c) should only be used by those who absolutely need it It could be a major source of vitamin B and fiber, also GF foods are usually high in sugar, fat, and $$$$$ 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	300 c) pregnancy and childbirth When the body is over stimulated and becomes imbalanced it puts the body system on high alert. Celiac Disease can be triggered after: a) a car crash b) overexposure to wheat products c) pregnancy and childbirth d) you can develop it suddenly
400 b) lymphocytes body's immune response initiates, T lymphocytes What type of white blood cell secretes the immune factors that damage the intestinal cells? a) neutrophils b) lymphocytes c) eosinophils d) monocytes	400 b) caucasian people DH resembles herpes lesions but is NOT caused by the herpes virus (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	400 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	400 b) vitamins, pasta, shampoo, cereal, sunscreen - ALL Gluten can be found in: 1. vitamins 2. pasta 3. shampoo / sunscreen 4. cereal a) in 2 items b) in all items c) in 3 items	400 b) recovery takes approx six months after gf diet allergic reaction: is recognized as a harmful invader which damages the small int. causing inflammation autoimmune response: the immune system reacts incorrectly to the body's own normal tissues What is correct pertaining to celiac disease? a) a wheat allergy b) recovery takes approx six months after gf diet c) gluten intolerance d) you can eat gluten only in little amounts
500 d) gliadin, which is a lectin (protein in wheat) Which glycoprotein found in gluten is responsible for the immune response that causes celiac disease? a) glucose b) lectin c) glutenin d) gliadin	500 d) all of the above Secondary problems are where PT interventions are important What secondary problems is celiac disease linked to? a) gastrointestinal cancers b) anemia c) osteoporosis d) all of the above	500 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	500 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	500 c) children (Wakim-Fleming, J., 2004). 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 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.

Celiac Disease

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