GIT 2

Question 1

Crohn’s disease has ……. of a genetic basis than UC.

Answer 1

More

Question 2

A gene associated with Crohn’s disease

Answer 2

NOD2

Question 3

A 22 y old patient, presented to the ER CO/ intermittent diarrhea, fever and abdominal pain. On macroscopic examination, there was cobblestone appearance of the mucosa, deep fissures and fistulas. There was also adhesions of the covering serosa. What is the most likely diagnosis?

Answer 3

Crohn’s disease

Question 4

Extra intestinal manifestations of IBD

Answer 4

Uveitis.
Migratory polyarthritis.
Sacroiliitis.
Erythema nodosum.
Ankylosing spondylitis.
Primary sclerosing cholangitis.

Question 5

Painful, tender, bright red and bilateral symmetrical nodules

Answer 5

Erythema nodosum

Question 6

The most common areas affected in Crohn’s disease

Answer 6

Terminal ileum + cecum

Question 7

Creeping fat is a characteristic of?

Answer 7

Crohn’s disease

Question 8

Non caseating granulomas are a characteristic of?

Answer 8

Crohn’s disease

Question 9

A 22 y old patient, presented to the ER CO/ bloody diarrhea with abdominal cramping and pain. Macroscopic examination of the colon biopsy reveals congested mucosa with broad based ulcers and pseudopolyps. There was NO fissures or fistulas. The most likely diagnosis is?

Answer 9

Ulcerative colitis

Question 10

Toxic megacolon is more common in?

Answer 10

UC

Question 11

Crypt abscess is more common in?

Answer 11

UC

Question 12

Malignant risk is more in?

Answer 12

UC

Question 13

Primary symptom of IBD

Answer 13

Bloody diarrhea of > 6 months

Question 14

Paneth cell metaplasia is seen in

Answer 14

CD + UC

Question 15

Architectural distortion is more in?

Answer 15

UC

Question 16

Perianal fistula

Answer 16

CD