Food Sensitivities & Immunology Basics Flashcards
7 cards from real CLT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Food Sensitivities & Immunology Basics flashcards as text
Which of the following chemical mediators is a lipid-derived eicosanoid released from arachidonic acid during food sensitivity reactions?
Answer: Prostaglandin E2
Prostaglandin E2 is synthesized from arachidonic acid via the COX pathway and contributes to vasodilation, pain, and inflammation in food sensitivity reactions.
In LEAP dietary therapy, the Phase 1 'LEAP diet' is constructed based on MRT results by:
Answer: Eating only the least reactive foods identified by MRT
Phase 1 of the LEAP diet includes only the foods that showed the least reactivity on MRT, providing an anti-inflammatory dietary baseline.
Leukotrienes released during a food sensitivity reaction are significant because they:
Answer: Are 100–1000 times more potent than histamine at causing bronchoconstriction
Cysteinyl leukotrienes (LTC4, LTD4, LTE4) are extremely potent bronchoconstrictors and play a key role in respiratory symptoms of food reactions.
A delayed food sensitivity reaction appearing 3–72 hours after ingestion is most consistent with which immunological mechanism?
Answer: Non-IgE-mediated mediator release and cellular inflammation
Delayed food sensitivity reactions reflect non-IgE pathways including IgG, IgA immune complexes, T cell responses, and direct mediator release that build over hours to days.
Which of the following is a preformed mediator stored in granules and released immediately upon immune cell activation?
Answer: Histamine
Histamine is preformed and stored in mast cell and basophil granules, enabling its immediate release within seconds of cell activation.
The Th1/Th2 balance is clinically relevant in food sensitivities because an overactive Th2 bias:
Answer: Enhances IgE class switching and atopic sensitization
A Th2-dominant immune environment favors IL-4/IL-13 production, which promotes IgE synthesis and increases susceptibility to allergic sensitization.
MRT results are reported as a percentage change in cell volume. A result showing >20% change is typically interpreted as:
Answer: Highly reactive — avoid during initial phases
Foods producing greater than 20% volume change are classified as highly reactive on MRT and are excluded from the initial LEAP diet.