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Pediatrics · Gastroenterology: celiac disease
Sample itemA child has chronic diarrhea, abdominal distension, poor growth, iron-deficiency anemia, and dermatitis herpetiformis. What disease is likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Celiac disease
Celiac disease is immune-mediated enteropathy triggered by gluten and may present with malabsorption, growth failure, anemia, and dermatitis herpetiformis. Serologic testing should occur while the child is consuming gluten.
Option by option
A. Hirschsprung disease
Hirschsprung disease presents with chronic obstruction and delayed meconium.
B. Lactose intolerance only
Lactose intolerance does not usually explain dermatitis herpetiformis or iron-deficiency pattern.
C. Acute appendicitis
Appendicitis is an acute abdominal condition.
D. Celiac disease (correct)
Correct. The malabsorption and rash pattern is strongly suggestive.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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