Deck 17: Food Allergies and Intolerances

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Question
Most allergies can be prevented by breastfeeding.
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Question
Allergy shots are available for food allergy treatment.
Question
Celiac disease is also called gluten-sensitive enteropathy.​
Question
The FDA requires that processed foods containing sulfites list them on the ingredients label.
Question
The only treatment for a food allergy is to eliminate the food from the diet.
Question
Celiac disease is an intolerance to soy.
Question
People experience adverse reactions to food for three primary reasons including food poisoning.
Question
Food allergies and food intolerances are both caused by an immune system response.​
Question
Food allergies are increasingly common and are an important health concern in the United States.
Question
Skin prick tests are the most accurate test for diagnosing food allergies.
Question
Most commonly,allergic reactions cause a rash,diarrhea,congestion,or wheezing.
Question
Approximately 20-30% of the general public has a food allergy to one or more foods.
Question
Histamine has been found in hard cured sausage and catsup.
Question
The incidence of food allergies is estimated to be higher in children than adults.
Question
After a food allergy is confirmed in infants and young children it will last forever.
Question
Lactose maldigestion is an uncommon disorder that only affects approximately 25% of the human population.
Question
The rate of confirmed cases of celiac disease is increasing.
Question
Symptoms associated with MSG sensitivity include migraine headaches.
Question
Celiac disease symptoms may be silent in some individuals.
Question
Allergy tests that are available through the mail are reliable for determining an individual's allergy status.
Question
​Allergic reactions most commonly cause _____.

A)​heartburn
B)skin eruptions
C)migraine headaches
D)a rapid heartbeat
E)​respiratory problems
Question
Tyramine is most likely found in _____.

A)gravy
B)baked goods
C)fruit juice
D)soy sauce
E)guacamole
Question
People experiencing anaphylactic shock can be revived by an injection of _____.

A)​insulin
B)norepinephrine
C)epinephrine
D)dopamine
E)pseudoephedrine
Question
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
The incidence of food allergies is estimated to be _____% in children and _____% in adults.

A)3; 2
B)6; 3
C)8; 9
D)12; 10
E)13; 11
Question
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
The gold standard test used to diagnose food allergies is _____.

A)​a small bowel biopsy and examination of cells for signs of damage
B)the double-blind,placebo-controlled food challenge
C)saliva testing
D)a skin prick test
E)identification of specific types of IgE
Question
​Symptoms of lactose maldigestion are due to the breakdown of undigested lactose by bacteria in the lower intestine.
Question
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 B12
D)iron and folic acid
E)​zinc and vitamin E
Question
Which test used to identify food allergies looks for 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
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)symptoms include nausea and a rash
E)is treated by the exclusion of milk and milk products
Question
Approximately 90% of all food allergies are related to the consumption of eight foods.
Question
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
Food intolerances do not produce any of the same reactions as food allergies.
Question
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
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
Approximately what percentage of children with a wheat allergy outgrow it by age 12?

A)​most children do not outgrow their wheat allergy​
B)28%
C)35%
D)52%
E)​66%
Question
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
Which food is one of the eight most common causes of food allergies?

A)​rice
B)beans
C)pineapple
D)spinach
E)eggs
Question
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
How is celiac disease treated?

A)gluten-free diet
B)lactose-free diet
C)immunotherapy
D)epinephrine
E)antihistamine
Question
​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
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
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
Food intolerance reactions _____.

A)​directly involve the immune system
B)are due to a missing or abnormal enzyme
C)produce none of the same reactions as food allergies
D)are caused by reduced oxygen supply to the heart and other body tissues
E)​are less common than food allergies
Question
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
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
Symptoms of non-celiac gluten sensitivity include _____.

A)joint pain
B)flushing
C)a rapid heartbeat
D)nausea
E)​weight loss
Question
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 remove from her diet because of her celiac disease?

A)potato chips
B)bread
C)quinoa
D)tofu
E)eggs
Question
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
According to the Food Allergen Labeling and Consumer Protection Act of 2004,_____.​

A)​prepackaged foods can not 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 website
Question
Which food has been linked to food intolerance reactions?

A)corn
B)garlic
C)rice
D)chocolate
E)cucumbers
Question
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.
Due to Carlota's 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
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)salvia testing
Question
A food allergen is almost always a _____.

A)phytochemical
B)fat
C)complex carbohydrate
D)simple sugar
E)protein
Question
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
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
Which food most likely contains gluten?

A)milk
B)quinoa
C)pizza
D)popcorn
E)grits
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​anaphylactic shock
Question
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
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
food allergy​
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​food intolerance
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​antibodies
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​immune system
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​food allergen
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​celiac disease
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​histamine
Question
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​double-blind,placebo-controlled food challenge
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Deck 17: Food Allergies and Intolerances
1
Most allergies can be prevented by breastfeeding.
False
2
Allergy shots are available for food allergy treatment.
False
3
Celiac disease is also called gluten-sensitive enteropathy.​
True
4
The FDA requires that processed foods containing sulfites list them on the ingredients label.
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5
The only treatment for a food allergy is to eliminate the food from the diet.
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6
Celiac disease is an intolerance to soy.
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7
People experience adverse reactions to food for three primary reasons including food poisoning.
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8
Food allergies and food intolerances are both caused by an immune system response.​
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9
Food allergies are increasingly common and are an important health concern in the United States.
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10
Skin prick tests are the most accurate test for diagnosing food allergies.
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11
Most commonly,allergic reactions cause a rash,diarrhea,congestion,or wheezing.
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12
Approximately 20-30% of the general public has a food allergy to one or more foods.
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13
Histamine has been found in hard cured sausage and catsup.
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14
The incidence of food allergies is estimated to be higher in children than adults.
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15
After a food allergy is confirmed in infants and young children it will last forever.
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16
Lactose maldigestion is an uncommon disorder that only affects approximately 25% of the human population.
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17
The rate of confirmed cases of celiac disease is increasing.
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18
Symptoms associated with MSG sensitivity include migraine headaches.
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19
Celiac disease symptoms may be silent in some individuals.
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20
Allergy tests that are available through the mail are reliable for determining an individual's allergy status.
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21
​Allergic reactions most commonly cause _____.

A)​heartburn
B)skin eruptions
C)migraine headaches
D)a rapid heartbeat
E)​respiratory problems
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22
Tyramine is most likely found in _____.

A)gravy
B)baked goods
C)fruit juice
D)soy sauce
E)guacamole
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23
People experiencing anaphylactic shock can be revived by an injection of _____.

A)​insulin
B)norepinephrine
C)epinephrine
D)dopamine
E)pseudoephedrine
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24
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
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25
The incidence of food allergies is estimated to be _____% in children and _____% in adults.

A)3; 2
B)6; 3
C)8; 9
D)12; 10
E)13; 11
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26
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
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27
The gold standard test used to diagnose food allergies is _____.

A)​a small bowel biopsy and examination of cells for signs of damage
B)the double-blind,placebo-controlled food challenge
C)saliva testing
D)a skin prick test
E)identification of specific types of IgE
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28
​Symptoms of lactose maldigestion are due to the breakdown of undigested lactose by bacteria in the lower intestine.
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29
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 B12
D)iron and folic acid
E)​zinc and vitamin E
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30
Which test used to identify food allergies looks for 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
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31
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)symptoms include nausea and a rash
E)is treated by the exclusion of milk and milk products
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32
Approximately 90% of all food allergies are related to the consumption of eight foods.
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33
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
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34
Food intolerances do not produce any of the same reactions as food allergies.
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35
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
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36
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
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37
Approximately what percentage of children with a wheat allergy outgrow it by age 12?

A)​most children do not outgrow their wheat allergy​
B)28%
C)35%
D)52%
E)​66%
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38
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
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39
Which food is one of the eight most common causes of food allergies?

A)​rice
B)beans
C)pineapple
D)spinach
E)eggs
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40
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
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41
How is celiac disease treated?

A)gluten-free diet
B)lactose-free diet
C)immunotherapy
D)epinephrine
E)antihistamine
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42
​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​
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43
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
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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.
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
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45
Food intolerance reactions _____.

A)​directly involve the immune system
B)are due to a missing or abnormal enzyme
C)produce none of the same reactions as food allergies
D)are caused by reduced oxygen supply to the heart and other body tissues
E)​are less common than food allergies
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46
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
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47
Which food can be safely consumed by a person with celiac disease?

A)beer
B)buckwheat
C)barley
D)cake
E)macaroni and cheese
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48
Symptoms of non-celiac gluten sensitivity include _____.

A)joint pain
B)flushing
C)a rapid heartbeat
D)nausea
E)​weight loss
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49
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 remove from her diet because of her celiac disease?

A)potato chips
B)bread
C)quinoa
D)tofu
E)eggs
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50
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
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51
According to the Food Allergen Labeling and Consumer Protection Act of 2004,_____.​

A)​prepackaged foods can not 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 website
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52
Which food has been linked to food intolerance reactions?

A)corn
B)garlic
C)rice
D)chocolate
E)cucumbers
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53
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.
Due to Carlota's 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
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54
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)salvia testing
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55
A food allergen is almost always a _____.

A)phytochemical
B)fat
C)complex carbohydrate
D)simple sugar
E)protein
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56
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
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57
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
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58
Which food most likely contains gluten?

A)milk
B)quinoa
C)pizza
D)popcorn
E)grits
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59
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​anaphylactic shock
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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
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61
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
food allergy​
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62
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​food intolerance
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63
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
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64
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​antibodies
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65
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​immune system
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66
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
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67
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​food allergen
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68
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​celiac disease
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69
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​histamine
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70
​Match each term with the appropriate definition.
a.adverse reaction to a normally harmless substance in food that involves the body's immune system
b.body tissues that provide protection against bacteria,viruses,and other substances identified by cells as harmful
c.adverse reaction to a normally harmless substance in food that does not directly involve the body's immune system
d.substance in food that is identified as harmful by the body and elicits an allergic reaction from the immune system
e.proteins the body makes to combat allergens
f.substance released in allergic reactions that causes dilation of the blood vessels,itching,and hives
g.serious allergic reaction that is rapid in onset and can cause death
h.autoimmune disease characterized by inflammation of the small intestine lining related to genetically based intolerance to gluten
i.test used to determine the presence of a food allergy or other adverse reaction to a food
j.disorder characterized by reduced digestion of lactose due to low availability of lactase
k.term for gastrointestinal symptoms resulting from consumption of more lactose than can be digested with available lactase
​double-blind,placebo-controlled food challenge
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