GI/ Allergy Test 1

32 Questions | Total Attempts: 108

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GI/ Allergy Test 1

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Questions and Answers
  • 1. 
    Food allergy is:
    • A. 

      A reaction to food involving any of the major systems including skin, gastrointestinal and respiratory.

    • B. 

      An abnormal immune response to a food

    • C. 

      An IgE mediated response to a food allergen resulting in hives, asthma, or other symptoms

    • D. 

      All of the above

  • 2. 
    In non-IgE mediated allergies, gastrointestinal symptoms are always accompanied with both skin and respiratory system involvement.
    • A. 

      True

    • B. 

      False

  • 3. 
    Match the type of formula to its corresponding composition and properties:   This formula is hydrolyzed (broken down) to have peptides of shorter length.  Most infants and children would tolerate this type of formula; although, about 10% of children would react to this type of formula.
    • A. 

      Regular cow’s milk formula

    • B. 

      Partially hydrolyzed formula

    • C. 

      Extensively hydrolyzed formula

    • D. 

      Amino-acid based formula

  • 4. 
    Match the type of formula to its corresponding composition and properties:   This formula is hydrolyzed (broken down) to have peptides of longer length.  The immune system recognizes it as it resembles intact cow’s milk protein. Most infants with cow milk allergy react to this type of formula
    • A. 

      Regular cow’s milk formula

    • B. 

      Partially hydrolyzed formula

    • C. 

      Extensively hydrolyzed formula

    • D. 

      Amino-acid based formula

  • 5. 
    Match the type of formula to its corresponding composition and properties:   This formula is made from single amino acids and the immune system cannot recognize it.  This formula is 100% hypoallergenic.
    • A. 

      Regular cow’s milk formula

    • B. 

      Partially hydrolyzed formula

    • C. 

      Extensively hydrolyzed formula

    • D. 

      Amino-acid based formula

  • 6. 
    Currently the only proven therapy for both IgE and non-IgE mediated allergies is:
    • A. 

      Strict avoidance of the milk, egg, soy, wheat, fish, shellfish, peanuts and tree nuts

    • B. 

      Strict avoidance of the offending food(s)

    • C. 

      Strict avoidance of cow’s milk only + treated with corticosteroids

    • D. 

      Removing all foods from the diet and starting formula, preferably amino acid based elemental formula

  • 7. 
    An individual with soy allergy has to avoid all except for:
    • A. 

      Soy flour

    • B. 

      Soy formula

    • C. 

      Soy milk

    • D. 

      Soy oil and soy lecithin

  • 8. 
    Should corn oil be avoided in individuals with corn allergy?
    • A. 

      Yes, corn oil undergoes a combination of mechanical and solvent extractions which preserves and stabilizes the corn protein in the oil

    • B. 

      No, corn oil undergoes a combination of mechanical and solvent extractions which denatures the corn protein

  • 9. 
    All of the following are causes of short bowel syndrome EXCEPT?
    • A. 

      Hirschsprungs

    • B. 

      Radiation Cancer Treatment

    • C. 

      Necrotizing Enterocolitis

    • D. 

      Gastroschisis

    • E. 

      Volvulus

  • 10. 
    When does small bowel adaptation begin?
    • A. 

      Right after surgery

    • B. 

      24 hours after surgery

    • C. 

      1 week after surgery

    • D. 

      2 years after surgery

  • 11. 
    What are the 3 types of enteral nutrition in short bowel syndrome?
    • A. 

      TPN, breastmilk and carbohydrates

    • B. 

      Breastmilk, protein hydrolysates and amino acid based formulas

    • C. 

      TPN, breastmilk and amino acid based formulas

    • D. 

      Carbohydrates, protein hydrolysates, fats

    • E. 

      None of the above

  • 12. 
    What is the benefit of having long chain fats in the amino acid based formula?
    • A. 

      Calories

    • B. 

      Essential fatty acids

    • C. 

      Gut adaptation

    • D. 

      Reduce the growth of small bowel bacteria

  • 13. 
    Studies have shown that using an amino acid based formula will decrease the time PN is needed?
    • A. 

      True

    • B. 

      False

  • 14. 
    Survival from short bowel syndrome is better without the Ileocecal valve (ICV)?
    • A. 

      True

    • B. 

      False

  • 15. 
    All of the following are needed in regards to enteral nutrition in short bowel syndrome EXCEPT?
    • A. 

      More human case reports

    • B. 

      Multiple centers gathering enteral data

    • C. 

      Another new amino acid based formula

    • D. 

      Studies with larger numbers of participants

  • 16. 
    Which of the following shows the fat breakdown of Neocate Infant formula?
    • A. 

      50% LCT 50% MCT

    • B. 

      95% LCT 5% MCT

    • C. 

      67% LCT 33% MCT

    • D. 

      100% LCT 0% MCT

  • 17. 
    All of the following items are in the Neocate Infant starter kits EXCEPT:
    • A. 

      Rebate coupon

    • B. 

      Coupon for a free can of Neocate

    • C. 

      Symptom Diary

    • D. 

      Neocate ordering card

  • 18. 
    What is the main difference between the nutrition composition of Neocate One+ and Neocate Junior?
    • A. 

      Neocate One+ has more protein than Neocate Junior

    • B. 

      Neocate One+ is better for patients with multiple food allergies

    • C. 

      Neocate Junior has extra vitamins, minerals, and protein for patients with malabsorptive conditions

    • D. 

      Neocate Junior has extra vitamins, minerals, and fat for patients with malabsorptive conditions

  • 19. 
    How many calories are in one scoop of Neocate Infant?
    • A. 

      30

    • B. 

      22

    • C. 

      20

    • D. 

      24

  • 20. 
    What are the indications for the Neocate products?
    • A. 

      Cow and soy milk allergy

    • B. 

      Multiple food protein intolerance

    • C. 

      Food allergy induced GERD and EE

    • D. 

      Any condition in which an amino acid-based diet is required

    • E. 

      All of the above

  • 21. 
    Neocate Nutra will only be indicated for infants when launched.
    • A. 

      True

    • B. 

      False

  • 22. 
    Which of the following states have mandated state legislation for amino acid-based formula coverage?
    • A. 

      Rhode Island

    • B. 

      Delaware

    • C. 

      Minnesota

    • D. 

      Washington

  • 23. 
    Which of the following studies can be used to promote the use of Neocate in children with a general cow milk allergy?
    • A. 

      “Role of food protein intolerance in infants with persistent distress attributed to reflux esophagitis”

    • B. 

      “Efficacy and safety of hydrolyzed cow milk and amino acid-derived formulas in infants with cow milk allergy”

    • C. 

      “Challenge confirmation of late onset reactions to extensively hydrolyzed formulas in infants with multiple protein intolerance”

    • D. 

      “Food protein-induced enterocolitis to casein hydrolysate formulas”

  • 24. 
    Which of the following symptoms is NOT associated with gastroesphageal reflux (GER)?
    • A. 

      Crying, irritability

    • B. 

      Regurgitation

    • C. 

      Diarrhea

    • D. 

      Poor feeding

  • 25. 
    Which of the following signs and symptoms has been reported ONLY in GERD and not GER?
    • A. 

      Regurgitation

    • B. 

      Hiatal hernia

    • C. 

      Irritability

    • D. 

      Bloody stools