Ch. 336 - IBD

Question 1

most common time of onset of IBD is during

Answer 1

the preadolescent/adolescent era and young adulthood

Question 2

IBD may begin as early as

Answer 2

1st yr of life

Question 3

UC vs Crohn: pANCA

Answer 3

UC

Question 4

UC vs Crohn: Smoking is a risk factor

Answer 4

Crohn

Question 5

UC vs Crohn: Smoking is protective

Answer 5

UC

Question 6

UC vs Crohn: Rectal bleeding

Answer 6

UC

Question 7

UC vs Crohn: Diarrhea, mucus, pus

Answer 7

UC

Question 8

UC vs Crohn: Abdominal pain

Answer 8

Crohn

Question 9

UC vs Crohn: Abdominal mass

Answer 9

Crohn

Question 10

UC vs Crohn: Growth failure

Answer 10

Crohn

Question 11

UC vs Crohn: Perianal disease

Answer 11

Crohn

Question 12

UC vs Crohn: Rectal involvement

Answer 12

UC

Question 13

UC vs Crohn: Pyoderma gangrenosum

Answer 13

UC

Question 14

UC vs Crohn: Erythema nodosum

Answer 14

Crohn

Question 15

UC vs Crohn: Mouth ulceration

Answer 15

Crohn

Question 16

UC vs Crohn: Thrombosis

Answer 16

UC

Question 17

UC vs Crohn: Colonic disease

Answer 17

UC

Question 18

UC vs Crohn: Ileal disease

Answer 18

Crohn

Question 19

UC vs Crohn: Backwash ileitis

Answer 19

UC

Question 20

UC vs Crohn: Stomach-esophageal disease

Answer 20

UC

Question 21

UC vs Crohn: Chronic gastritis

Answer 21

UC

Question 22

UC vs Crohn: Strictures, fissures, fistulas

Answer 22

Crohn

Question 23

UC vs Crohn: Toxic megacolon

Answer 23

UC

Question 24

UC vs Crohn: Sclerosing cholangitis

Answer 24

UC

Question 25

UC vs Crohn: Risk for cancer GREATLY increased

Answer 25

UC, increased in both but more with UC

Question 26

UC vs Crohn: Skip lesions

Answer 26

Crohn

Question 27

UC vs Crohn: Transmural involvement

Answer 27

Crohn

Question 28

UC vs Crohn: Crypt abscess

Answer 28

UC

Question 29

UC vs Crohn: Granulomas

Answer 29

Crohn

Question 30

UC vs Crohn: Linear ulcerations

Answer 30

UC

Question 31

UC vs Crohn: Localized to the colon and spares the upper GIT

Answer 31

Idiopathic chronic UC

Question 32

Fulminant colitis is defined as

Answer 32

Fever, severe anemia, hypoalb, leukocytosis, >5 bloody stools/day for 5 days

Question 33

Colon cancer is preceded by changes of mucosal dysplasia hence it is recommended that patients with UC >___ should be screened with colonoscopy and biopsies every 1-2 years

Answer 33

10 years

Question 34

Management for intractable UC and fulminant disease unresponsive to medical management

Answer 34

Colectomy

Question 35

Major complication of total colectomy for UC

Answer 35

Pouchitis

Question 36

Used to prevent pouchitis as a complication of total colectomy for UC

Answer 36

Probiotics

Question 37

UC vs Crohn: Aka regional ileitis/enteritis

Answer 37

Crohn

Question 38

UC vs Crohn: Systemic signs and symptoms

Answer 38

Crohn

Question 39

May be the only manifestation of Crohn

Answer 39

Growth failure

Question 40

UC vs Crohn: Associated with Anti-saccharomyces cervisiae, antibody to E. coli, and anti-flagellin antibodies

Answer 40

Crohn

Question 41

Most characteristic histologic finding in Crohn disease

Answer 41

Noncaseating granulomas similar to sarcoidosis

Question 42

UC vs Crohn: Partial small bowel obstruction or thumbprinting of the colon wall on plain abdominal films

Answer 42

Crohn

Question 43

UC vs Crohn: Cobblestone appearance of ulcerations

Answer 43

Crohn

Question 44

Trial of this medication may be attempted for mild terminal ileal disease or mild Crohn disease of the colon

Answer 44

Mesalamine

Question 45

Used for infectious complications and first-line therapy for perianal disease of Crohn

Answer 45

Metronidazole

Question 46

Mainstay of therapy for acute exacerbation of pediatric Crohn disease

Answer 46

Corticosteroids

Question 47

Crohn: Treatment of choice for localized disease unresponsive to medical treatment, bowel perforation, fibrosed stricture with partial obstruction, and intractable bleeding

Answer 47

Surgery