Duodenal Biopsy Shows Villous in Medicine / Internal Medicine — 24yo Woman | Gastroenterology | SMLE Q#11149
SMLE Question #11149
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 24-year-old woman is evaluated for 6 months of chronic bloating, intermittent diarrhea, and unintentional weight loss. Symptoms are worse after eating breads and some cereals. Examination shows mild pallor and angular cheilitis. Upper endoscopy with duodenal biopsy shows villous atrophy with crypt hyperplasia. She is advised to avoid dietary gluten. Which of the following foods should she avoid to prevent symptom exacerbation?
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