1. How many people in the United States are estimated to have a food allergy?

1. 25%
2. 10%
3. 8%
4. 4%

2. Which of the following statements best defines food allergy?

1. A toxic reaction to a food borne pathogen.
2. An adverse response to a pharmacologically active food component.
3. An abnormal immunologic response to a dietary protein.
4. A host-specific metabolic disorder.

3. The most prevalent food allergy in young children is to what food?

1. Peanuts
2. Cow’s milk
3. Wheat
4. Eggs

4. The vast majority of consumers tend to ___________the percentage of people with food allergies.

1. Underestimate
2. Overestimate
3. Correctly estimate

5. More than 90 percent of all food allergies are caused by ___________.

1. 6 foods
2. 8 foods
3. 10 foods
4. 12 foods

6. The primary food allergens for older children and adults are:

1. Eggs, milk, soy, and peanuts
2. Tree nuts, milk, wheat, and eggs
3. Peanuts, tree nuts, fish, and crustacean shellfish
4. Soy, crustacean shellfish, tree nuts, and milk

7. A food’s allergenicity is reduced by cooking it.

1. True
2. False

8. Cross reactivity occurs when foods share similar proteins. Which of the following is an example of two foods that may be cross reactive?

1. Peanuts and tree nuts
2. Milk and cheese
3. Shrimp and crab
4. Strawberries and apples

9. Which of the following food additives has the potential to cause severe asthma attacks in some asthmatic people?

1. FD & C Yellow No. 5
2. MSG
3. Sulfites
4. All of the above
5. b & c only
6. a & b only

10. The measurable presence of IgE antibodies, also called _____, can be present in an individual without _____, or allergic symptoms.

1. Sensitization; clinical reactivity
2. Immunopositive; anaphylaxis
3. Sensitization; hives
4. None of the above

11. Symptoms of food allergies may occur in which of the following?

1. Respiratory system
2. Skin
3. Gastrointestinal tract
4. All of the above
5. None of the above

12. What is one type of food allergy which often requires an elimination diet?

1. Basophilic enteropathy
2. Acute gastritis
3. Chronic esophagitis
4. Eosinophilic gastroenteritis

13. The most common food allergy symptoms affect:

1. The respiratory system
2. The intestinal system
3. The skin
4. All of the above
5. None of the above

14. In IgE mediated food allergy, respiratory symptoms such as congestion, runny and/or itchy nose, sneezing, raspy cough, and/or wheezing can occur in up to 25-80 percent of patients. Based on this information, if an eight-year-old boy with chronic respiratory symptoms is brought by the parent to a dietitian for assistance in eliminating potential allergens from the child’s diet, how should the dietitian respond?

1. Develop an elimination diet to identify the culprit.
2. Rule out viral infection.
3. Refer the child to his pediatrician or a board-certified allergist for further evaluation.
4. Do nothing. Most children outgrow food allergies by age 10.

15. How many deaths per year is anaphylaxis estimated to cause?

1. 850-1,000
2. 350-500
3. 250-300
4. 150-200

16. One of the factors associated with fatal food-induced anaphylaxis is _______.

1. Allergy to peanuts or tree nuts
2. Allergy to fish or crustaceous seafood
3. Allergy to milk or eggs
4. Allergy to wheat or gluten

17. Celiac disease, or gluten-sensitive enteropathy, is an example of what type of allergic response?

1. IgE-mediated response
2. IgG-mediated response
3. Intracellular response
4. Cell-mediated response

18. Which of the following statements is NOT true of celiac disease?

1. Symptoms are often confused with irritable bowel syndrome and Chron’s disease.
2. GI symptoms often include gas, abdominal bloating and diarrhea.
3. Celiac disease can be asymptomatic which can lead to malnutrition-related complications.
4. If elimination of wheat and gluten alleviates symptoms, food containing gluten can be reintroduced after 12 weeks.
5. All of the above
6. None of the above

19. Which of the following steps may be utilized when diagnosing a food allergy?

1. Blood and/or skin prick test
2. Elimination diet
3. Food challenge test
4. All of the above
5. None of the above

20. What is the most important step that someone with a severe food allergy must take?

1. Alert family, friends, coworkers, teachers and others of the condition
2. Wear a medical-alert bracelet or necklace with the proper information
3. Always carry self-injectable epinephrine
4. Avoid the allergenic food

21. Managing a food allergy requires that the patient and/or caretakers are able to:

1. Carefully read food labels
2. Cook and prepare all foods at home
3. Avoid eating at restaurants or friends’ homes
4. All of the above
5. None of the above

22. Which of the following ingredients may contain allergenic proteins for someone with a milk allergy?

1. Albumin and tempeh
2. Caseinates and whey
3. Both a & b
4. Neither a or b

23. Which of the following Food Allergen Labeling and Consumer Protection Act (FALCPA) requirements are correct?

1. All foods containing any of the Big 8 allergens must declare the allergen.
2. Labeling must be in plain English in the ingredient list, in a separate statement, or in parentheses in the ingredient list.
3. Ingredients present in colors, flavors, or spice blends are exempt from allergen labeling.
4. All of the above
5. None of the above
6. a & b only
7. b & c only

24. Which of the following are considered high risk eating situations for someone with a food allergy?

1. Restaurants
2. Movie theaters
3. Cafeterias
4. All of the above
5. None of the above

25. The first step in managing food allergies in school settings should be:

1. banning allergenic foods.
2. not allowing children with food allergies to eat in the cafeteria.
3. establishing a lunch table that is free of allergenic foods.
4. having a food allergy action plan on file for each student with a food allergy.
5. All of the above

26. According to the American Academy of Pediatrics, an infant is considered at high risk for food allergies if:

1. the mother eats allergenic foods during pregnancy.
2. the child is not breastfed for six months.
3. the child is introduced to solids before six months of age.
4. both parents or one parent plus a sibling have food allergies.

27. Which of the following recommendations has been clinically proven to delay or prevent the onset of food allergies in high risk infants?

1. Offering solid foods after six months
2. Offering cow’s milk after one year of age
3. Offering eggs after two years of age
4. Offering peanuts, tree nuts and fish after three years of age
5. All of the above
6. None of the above

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