A 15-year-old girl with type 1 diabetes has chronic bloating and iron deficiency anemia. She eats gluten daily. Her growth has slowed over the past

Question

A 15-year-old girl with type 1 diabetes has chronic bloating and iron deficiency anemia. She eats gluten daily. Her growth has slowed over the past year. Total IgA level is normal. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Order tissue transglutaminase IgA testing

Answer

Order colonoscopy as the first test

Answer

Start a gluten-free diet before testing

Answer

Use lactose breath testing as the sole evaluation

Answer

Order serum amylase screening

Celiac disease testing — USMLE Step 3 MCQ

A 15-year-old girl with type 1 diabetes has chronic bloating and iron deficiency anemia. She eats gluten daily. Her growth has slowed over the past year. Total IgA level is normal. Which of the following is the most appropriate screening recommendation?