GI 9 - Inflammatory Bowel Disease

Question 1

mucosa inflammation involving only the colon. Starts in rectum and may extend proximally in a continuous fashion to involve part or all of colon

Answer 1

Ulcerative colitis

Question 2

What is ulcerative colitis? How does it spread?

Answer 2

mucosa inflammation involving only the colon. Starts in rectum and may extend proximally in a continuous fashion to involve part or all of colon

Question 3

Patchy inflammation involving any segment of the gastrointestinal tract from the mouth to the anus

Answer 3

Crohn’s Disease

Question 4

What is Crohn’s disease? Where does Crohn’s disease occur?

Answer 4

Patchy inflammation involving any segment of the gastrointestinal tract from the mouth to the anus

Question 5

proctosigmoiditis refers to:

Answer 5

Ulcerative Colitis

Confined to rectosigmoid region

Question 6

left-sided colitis refers to:

Answer 6

Ulcerative Colitis

that extends to splenic flexure

Question 7

extensive colitis refers to:

Answer 7

Ulcerative Colitis

Extends more proximally (beyond splenic flexure)

Question 8

friability and erosions

Idiopathic inflammatory condition involving mucosal surface of colon

Answer 8

Ulcerative colitis

Question 9

Frequency of BM, Rectal bleeding, Cramps
Abdominal pain, Fecal urgency, Tenesmus – urge to go! Fever Wt change, Extraintestinal manifestations are all symptoms of:

Answer 9

Ulcerative colitis

Question 10

ANCA is a good test for:

ASCA is a good test for:

Answer 10

ANCA - Ulcerative colitis

ASCA - Crohn’s disease

Question 11

In acute colitis, the diagnosis is readily established by __ with biopsy

Answer 11

sigmoidoscopy

Question 12

sigmoidoscopy sees Edema, friability, mucous, and erosions

Answer 12

Ulcerative colitis

Question 13

Don’t do which imaging test for Ulcerative colitis?

Answer 13

Barium enema. Little utility in evaluating ulcerative colitis

Question 14

__ – means the whole colon is involved.in UC

Answer 14

Pancolitis

Question 15

Patients gets surgery for UC and then comes down with what?

Answer 15

Pouchitis

Question 16

Treatment for Severe UC

Answer 16

Methylprednisolone

Question 17

X-ray shows the colon is much wider in one area

Answer 17

Toxic Megacolon

Question 18

Cigarette smoking

Strongly associated with development of ___

Answer 18

Crohn’s disease

Question 19

What is ileitis?

Answer 19

involve small bowel only, only the ileum

Question 20

What is ileocolitis?

Answer 20

% involve small bowel and colon, most often terminal ileum and adjacent proximal ascending colon

Question 21

Most Crohn’s disease cases are considered

Answer 21

Ileocolitis

Question 22

If a patient has Fistulas, they have __

Answer 22

Crohn’s disease

Question 23

Most common presentation & often seen in patients with ileitis or ileocolitis. Low-grade fever and malaise. Weight loss. Loss of energy. Diarrhea (typically nonbloody and often intermittent). Cramping or steady RLQ or periumbilical pain

Answer 23

Chronic Inflammatory Disease

Question 24

Narrowings found in small bowel are called __ and are associated with __ because __

Answer 24

String sign. Associated with Crohn’s dis because only Crohn’s affects small bowel.

Question 25

Sinus tracts that penetrate through the bowel and form __ to a number of locations

Answer 25

Fistulas (fistulaization)

Question 26

Granulomas seen in 25%; highly suggestive of

Answer 26

Crohn’s disease

Question 27

Tender abdominal mass with fever and leukocytosis

Answer 27

Abscess

Question 28

2 drugs for Fistulas

Answer 28

Metronidazole and Cipro

Question 29

8 or more years of Crohn’s colitis is called

Answer 29

Carcinoma

Question 30

5 reasons for Malabsorption

Answer 30

Bacterial overgrowth 
Fistulas
Strictures
Jejunal inflammation
Surgical resections

Question 31

Rule out ___ with Crohn’s disease

Answer 31

Lactose intolerance

Question 32

Main treatment for Crohn’s disease

Answer 32

Well-balanced diet.

Question 33

Drug for severe Crohn’s disease

Answer 33

Prednisone