Deck 17: Food Allergies and Intolerances

Question 1

After a food allergy is confirmed in infants and young children ,  it will last forever.

Answer 1

False

Question 2

Most commonly, allergic reactions cause a rash, diarrhea, congestion, or wheezing.

Answer 2

True

Question 3

The rate of confirmed cases of celiac disease is increasing.

Answer 3

True

Question 4

Skin prick tests are the most accurate test for  the diagnosis of  food allergies.

Question 5

Histamine  is  found in hard cured sausage and catsup.

Question 6

Food allergies and food intolerances are both caused by an immune system response.

Question 7

Celiac disease  can be difficult to diagnose because the  symptoms may be silent in some individuals.

Question 8

Allergy shots are available for food allergy treatment.

Question 9

Celiac disease is an intolerance to soy.

Question 10

The only treatment for a food allergy is to eliminate the food  that causes allergy  from the diet.

Question 11

Most allergies can be prevented by breastfeeding.

Question 12

Celiac disease is also called gluten-sensitive enteropathy.

Question 13

Exposure to trace amounts of an allergen in nuts, fish, and shellfish can cause  anaphylactic shock .

Question 14

People with lactose maldigestion should avoid the consumption of dairy products such as milk, ice cream ,  and cottage cheese.

Question 15

The FDA requires that processed foods containing sulfites list them on the ingredients label.

Question 16

Allergy tests that are available through the mail are  most  reliable for determining an  individual's  allergy status.

Question 17

Symptoms associated with MSG sensitivity include migraine headaches.

Question 18

The incidence of food allergies is estimated to be higher in children than adults.

Question 19

Wild rice and cornmeal are rich in gluten.

Question 20

Food poisoning is one of the primary reasons  for experiencing  adverse reactions in the body.

Question 21

The incidence of food allergies is estimated to be _____% in children and _____% in adults.

A) 3; 2
B) 4 ;  1
C) 8; 9
D) 12; 10
E) 13; 11

Question 22

People experiencing anaphylactic shock can be revived by an injection of _____.

A) insulin
B) norepinephrine
C) epinephrine
D) dopamine
E) pseudoephedrine

Question 23

Celiac disease _____.

A) occurs in genetically susceptible people exposed to certain environmental triggers early in life
B) can be easily diagnosed with a blood test
C) is an intolerance to soy
D) has symptoms  such as  nausea and a rash
E) is treated by the exclusion of milk and milk products

Question 24

Food intolerances do not produce any of the same reactions as food allergies.

Question 25

Approximately what percentage of children with a wheat allergy outgrow it by age 12?

A) M ost children do not outgrow their wheat allergy
B) 28%
C) 35%
D) 52%
E) 66%

Question 26

A substance released during an allergic reaction that causes dilation of blood vessels is _____.

A) sulfite
B) histamine
C) nitrate
D) MSG
E) phytate

Question 27

Which food can generally be consumed by people with lactose maldigestion?

A) hard cheese
B) ice cream
C) cottage cheese
D) milk
E) yogurt with added milk solids

Question 28

The gold standard test used to diagnose food allergies is _____.

A) a small bowel biopsy and examination of cells for signs of damage
B) a  double-blind, placebo-controlled food challenge
C) saliva testing
D) a skin prick test
E) identification of specific types of IgE

Question 29

Which food is one of the eight most common causes of food allergies?

A) rice
B) beans
C) pineapple
D) spinach
E) eggs

Question 30

Symptoms of lactose maldigestion are due to the breakdown of undigested lactose by bacteria in the lower intestine  and by fluid accumulation .

Question 31

Symptoms associated with _____ sensitivity include dizziness, sweating, flushing, a rapid heartbeat, and a ringing sound in the ears.

A) sulfite
B) nitrate
C) histamine
D) MSG
E) tyramine

Question 32

The presence of _____ in wine has been blamed for the headaches associated with drinking wine.

A) histamine
B) serotonin
C) tryptophan
D) MSG
E) lysine

Question 33

Approximately 90% of all food allergies are related to the consumption of eight foods :  nuts, eggs, wheat, milk,  peanuts, soy, shellfish, and  fish .

Question 34

The FDA prohibits the use of sulfite _____.

A) in wine
B) on fresh fruits and vegetables
C) in tea
D) in hard cider
E) on dried fruit

Question 35

Which of the  following  food allergy tests identif ies  the presence of certain proteins in the blood produced by the immune system?

A) a urine analysis
B) the double-blind, placebo-controlled food challenge
C) saliva testing
D) a skin prick test
E) identification of specific types of IgE

Question 36

Which food additive can cause anaphylactic shock and bring on an asthma attack in sensitive people?

A) aspartame
B) sodium nitrite
C) sulfite
D) sodium benzoate
E) MSG

Question 37

Tyramine is most likely found in _____.

A) gravy
B) baked goods
C) fruit juice
D) soy sauce
E) guacamole

Question 38

During the double-blind, placebo-controlled food challenge, _____.

A) only the care provider knows whether a suspected offending food or a placebo is being tested
B) only the patient knows whether a suspected offending food or a placebo is being tested
C) neither the patient nor the care provider knows whether a suspected offending food or a placebo is being tested
D) both the patient and the care provider know whether a suspected offending food or a placebo is being tested
E) medical supervision is not needed

Question 39

Care should be taken to ensure adequate intake of _____ if milk and dairy product intake  is restricted.

A) calcium and vitamin D
B) calcium and vitamin C
C) magnesium and vitamin B 12
D) iron and folic acid
E) zinc and vitamin E

Question 40

Children and adults with a severe allergy to peanuts, nuts, fish, or _____ will likely have to eliminate the food from their diet for their lifetime.

A) cow ' s milk
B) eggs
C) shellfish
D) soy
E) wheat

Question 41

Which treatment of food allergies shows promise for diminishing or eliminating a  person's  sensitivity to specific food allergens such as those in peanuts, milk, eggs, and peaches?

A) dopamine injections
B) antihistamines
C) epinephrine shots
D) allergy shots
E) immunotherapy

Question 42

In the United States, a  " gluten-free, " " without gluten, " " no gluten, "  or  " free of gluten "  label on a food package means that _____.

A) the food contains no gluten
B) individuals with certain disorders do not have to read the ingredient labels
C) the food contains less than 10 parts per million of gluten
D) the food contains less than 20 parts per million of gluten
E) the food contains less than 30 parts per million of gluten

Question 43

Symptoms of lactose intolerance include _____.

A) a runny nose and cough
B) hives or a rash
C) abdominal pain, bloating, and diarrhea
D) swelling of the face and hands
E) asthma and congestion

Question 44

Carlota is a 35-year-old who has just been diagnosed with celiac disease. She also has a life-threatening allergy to peanuts and tree nuts. She has not had a problem eliminating peanuts and tree nuts from her diet, but she is concerned that she will have a difficult time modifying her diet to treat her celiac disease. In addition to these dietary concerns, she has recently noticed that when she eats ice cream or cottage cheese ,  she experiences terrible abdominal pain, bloating, and flatulence. She has made an appointment with her health care provider to determine the type of problem with which she is dealing.
Which food should Carlota  include in her  diet  to  prevent  triggering  celiac disease?

A) cornmeal
B) soy sauce
C) vegetarian meat substitutes
D) wheat starch
E) brown rice syrup

Question 46

Which food has been linked to food intolerance reactions?

A) corn
B) garlic
C) rice
D) chocolate
E) cucumber

Question 47

Carlota is a 35-year-old who has just been diagnosed with celiac disease. She also has a life-threatening allergy to peanuts and tree nuts. She has not had a problem eliminating peanuts and tree nuts from her diet, but she is concerned that she will have a difficult time modifying her diet to treat her celiac disease. In addition to these dietary concerns, she has recently noticed that when she eats ice cream or cottage cheese ,  she experiences terrible abdominal pain, bloating, and flatulence. She has made an appointment with her health care provider to determine the type of problem with which she is dealing.
Carlota most likely experienced _____ before she modified her diet to treat her celiac disease.

A) nausea and vomiting
B) a rapid heart rate, night sweats, and flushing
C) weight gain, bloating, and frequent urination
D) diarrhea, weight loss, cramps, fatigue, and anemia
E) numbness in the arms, legs, or fingers

Question 48

The gold standard diagnostic test for celiac disease is _____.

A) identification of specific types of IgE
B) a small bowel biopsy and examination of cells for signs of damage
C) the double-blind placebo-controlled food challenge
D) a skin prick test
E) sal iv a  testing

Question 49

Which  of these  food s  contain s  gluten?

A) milk
B) quinoa
C) pizza
D) popcorn
E) grits

Question 50

According to the Food Allergen Labeling and Consumer Protection Act of 2004, _____.

A) prepackaged foods cannot contain any of the  " big eight " foods related to allergies
B) food ingredient labels are now required to state clearly whether the food contains one or more of the big eight allergenic foods
C) food ingredient labels are now required to state clearly whether the food contains any potential food allergy
D) food manufacturers must manufacture all packaged foods containing the  " big eight "  in a separate facility to eliminate the possibility of cross - contamination
E) food manufacturers must post warnings regarding potential food allergies on their company 's  website

Question 51

Symptoms of non-celiac gluten sensitivity include _____.

A) joint pain
B) flushing
C) a rapid heartbeat
D) nausea
E) weight loss

Question 52

Carlota is a 35-year-old who has just been diagnosed with celiac disease. She also has a life-threatening allergy to peanuts and tree nuts. She has not had a problem eliminating peanuts and tree nuts from her diet, but she is concerned that she will have a difficult time modifying her diet to treat her celiac disease. In addition to these dietary concerns, she has recently noticed that when she eats ice cream or cottage cheese ,  she experiences terrible abdominal pain, bloating, and flatulence. She has made an appointment with her health care provider to determine the type of problem with which she is dealing.
Because  Carlota  has  peanut and tree nut allergy ,  she should always _____.

A) wear a medical ID bracelet (only)
B) have her  doctor's  contact information with her (only)
C) carry an EpiPen (only)
D) wear a medical ID bracelet and have her  doctor's  contact information with her
E) wear a medical ID bracelet and carry an EpiPen

Question 53

Which food  can be  safely consumed by a person with celiac disease?

A) beer
B) buckwheat
C) barley
D) cake
E) macaroni and cheese

Question 54

Carlota is a 35-year-old who has just been diagnosed with celiac disease. She also has a life-threatening allergy to peanuts and tree nuts. She has not had a problem eliminating peanuts and tree nuts from her diet, but she is concerned that she will have a difficult time modifying her diet to treat her celiac disease. In addition to these dietary concerns, she has recently noticed that when she eats ice cream or cottage cheese ,  she experiences terrible abdominal pain, bloating, and flatulence. She has made an appointment with her health care provider to determine the type of problem with which she is dealing.
The symptoms Carlota experiences following dairy consumption may be caused by _____.

A) a soy intolerance
B) lactose maldigestion
C) sulfite sensitivity
D) tyramine sensitivity
E) MSG sensitivity

Question 55

Carlota is a 35-year-old who has just been diagnosed with celiac disease. She also has a life-threatening allergy to peanuts and tree nuts. She has not had a problem eliminating peanuts and tree nuts from her diet, but she is concerned that she will have a difficult time modifying her diet to treat her celiac disease. In addition to these dietary concerns, she has recently noticed that when she eats ice cream or cottage cheese ,  she experiences terrible abdominal pain, bloating, and flatulence. She has made an appointment with her health care provider to determine the type of problem with which she is dealing.
If Carlota is unsure whether a particular food will cause her celiac disease to flare up, she should _____.

A) consult a registered dietitian
B) try a small amount of the food and see how she feels
C) look for the label  " gluten-free "  before consuming the product
D) take an antihistamine before trying the food
E) try a skin prick test

Question 56

Ingestion of food containing _____  can  cause  a  food allergy.

A) calcium
B) gluten
C) glutamine
D) potassium
E) sodium

Question 57

Carlota is a 35-year-old who has just been diagnosed with celiac disease. She also has a life-threatening allergy to peanuts and tree nuts. She has not had a problem eliminating peanuts and tree nuts from her diet, but she is concerned that she will have a difficult time modifying her diet to treat her celiac disease. In addition to these dietary concerns, she has recently noticed that when she eats ice cream or cottage cheese ,  she experiences terrible abdominal pain, bloating, and flatulence. She has made an appointment with her health care provider to determine the type of problem with which she is dealing.
 Which grain should Carlota avoid because of her celiac disease?

A) sorghum
B) amaranth
C) millet
D) corn
E) rye

Question 58

How is celiac disease treated?

A) gluten-free diet
B) lactose-free diet
C) immunotherapy
D) epinephrine
E) antihistamine

Question 59

Which of the following substances  is known to cause  the  " Chinese restaurant syndrome " ?

A) histamine
B) monosodium glutamate
C) sulfite
D) sodium nitrate
E) tyramine

Question 60

What is the best way to determine if you have a food intolerance?

A) a skin prick test
B) the double-blind, placebo-controlled food challenge
C) saliva testing
D) a urine analysis
E) identification of specific types of IgE