ALU 301 Chapter 2 Quiz Flashcards
The mainstay of treatment for acute mild-moderate ulcerative colitis is:
Protein Pump Inhibitor
5 aminosalicylate compounds
Immunomodulators
Biologic agents
5 aminosalicylate compounds
All of the following statements regarding Crohn’s disease are correct EXCEPT:
- it involves inflammation of all layers of the bowel wall
- it can involve nearby lymph nodes
- the most common presenting symptom is a fistula
- skip lesions are often seen on endoscopy
The most common presenting symptom is a fistula
Which of the following statements regarding the cancer risk with ulcerative colitis is/are correct?
A - The premalignant lesion is usually a polyp
B - The duration of the disease is a risk factor
C - A colectomy is recommended when dysplasia is present
A only
A & B only
B & C only
A, B, & C are all correct
B & C only
Deep linear ulcerations that are separated by normal mucosa within the large intestine are:
- skip lesions
- bowel ischemia
- celiac sprue
- diverticulitis
skip lesions
Ulcerative colitis disease severity is often determined by:
- Age
- Recurrence
- Endoscopy
- Laboratory findings
Endoscopy
All of the following statements regarding ulcerative colitis are correct EXCEPT:
- It involves inflammation of all layers of the intestinal wall
- It manifests only in the large intestine
- The most common presenting symptom is rectal bleeding
- Physical findings can be non-specific
It involves inflammation of all layers of the intestinal wall
Which of the following can contribute to the development of inflammatory bowel disease?
A - history of alcoholism
B - genetic susceptability
C - environmental factors
A only
C only
A & B only
B & C only
B & C only
Serologic markers used in the diagnosis of inflammatory bowel disease include:
A - Alpha-fetoprotein (AFP)
B - Perinuclear Antineutrophil Cytoplasmic antibodies (P-ANCA)
C - Anti-saccharomyces Cerevisiae antibodies (ASCA)
A only
C only
A & B only
B & C only
B & C only
The most common extra-intestinal manifestation of inflammatory bowel disease is:
- uveitis
- fatty liver
- arthritis
- pyoderma gangrenusum
Arthritis
Potential etiologies of inflammatory bowel disease include all of the following EXCEPT:
- genetic susceptability
- impaired immune regulation
- appendectomy in childhood
- environmental factors
appendectomy in childhood
Which of the following statements regarding the treatment of inflammatory bowel disease is/are correct?
A - oral corticosteroids are commonly used to treat mild disease
B - 5 aminosalcylate based compounds are the mainstay treatment for severe disease
C - proctocolectomy eliminates the risk of colon cancer in those with ulcerative colitis
B only
C only
A & B only
A, B, & C are correct
C only
Which of the following could contribute in the development of inflammatory bowel disease?
A - use if NSAID’s
B - smoking
C - genes
A only
A & C are correct
B & C are correct
A, B, & C are all correct
A, B, and C are all correct
All of the following are common symptoms of ulcerative colitis EXCEPT:
- rectal bleeding
- abdominal cramping
- fecal urgency
- fever
Fever
Which of the following are classic characteristics of Crohn’s Disease?
A - skip lesions
B - inflammation of all layers of the bowel wall
C - bright red blood in stool
A only is correct
A & B are correct
B & C are correct
A, B, and C are correct
A & B are correct
Which laboratory testing should be included to assist in clinical diagnosis and monitoring of inflammatory bowel disease?
A - complete blood count (CBC)
B - erythocyte sedimentation rate (ESR)
C - estimated glomeruler filtration rate (eGFR)
A & B are correct
A & C are correct
B & C are correct
A, B, and C are correct
A & B are correct
