Nightingale Nutrition Practice Exam

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A patient was just diagnosed with celiac disease. What foods should they avoid eating?
Correct Answer:
Pulled pork sandwich and coleslaw
Explanation:
Gluten avoidance is essential in celiac disease. The key idea is that foods containing gluten—wheat, barley, and rye—trigger an autoimmune response that damages the small intestine. A pulled pork sandwich is typically served on bread or a bun made from wheat, so it brings gluten into the meal. The pork itself is naturally gluten-free, but the bread makes the whole dish unsafe for someone with celiac disease. The other options are generally gluten-free: grilled chicken and rice, without gluten-containing sauces or ingredients, is safe; a fresh fruit salad contains no gluten; yogurt is usually gluten-free unless a flavored or mixed product includes gluten-containing additives. So the reason this choice is the one to avoid is the gluten in the bread.

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