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GI 2 Final > IBD - McGowan > Flashcards

IBD - McGowan Flashcards

1
Q

painless rectal bleeding in a todler, abd pain distention, and vomiting

A

Meckel’s diverticulum

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2
Q

Pts with UC are at risk of developing

A
  • ankylosing spondylitis
  • primary sclerosing cholangitis
  • Multiple sclerosis
  • Toxic megacolon
  • Pyoderma gangrenosum
  • Cholangiocarcinoma
  • pleuritis
  • uveitis
  • PSC
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3
Q

Pts with Crohns are at risk of developing

A
  • kidney stones
  • Fistulas/strictures
  • fissures
  • pigmented gallstone
  • malabsorption
  • DVT
  • Colon cancer
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4
Q

what neoplasm are pt with h pylori at risk of developing

A

MALToma

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5
Q

Which IBD is associated with p-ANCA mostly

A

UC

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6
Q

Which HLA is associated with UC

A

HLA-B27

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7
Q

Which IBD mimics appendicitis

A

Crohns’s disease

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8
Q

Lead pipe appearance on Xray indicates

A

loss of haustra as seen in UC

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9
Q

Enterovesical fistula is a fistula between what two structures and disease is it associated with

A
  • Fistula between small intestine to bladder

- Associated with Crohns,

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10
Q

Segmented ulcerated mucosa of terminal ileum associated with which IBD

A

Crohns

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11
Q

Diffuse edema that is friable with mucopus and erosion limited to rectosigmoid area is associated with which IBD

A

UC

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12
Q

Best imaging modality to evaluate ENTIRE small bowel

A

Magnetic resonance enterography

Colonscopy goes up to terminal ileum

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13
Q

Development of small bowel adenocarcinoma is more associated with which IBD?

A

Crohns

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14
Q

Pt with IBD and stricturing disease (Crohns) and removal of 150cm of small bowel including terminal ileum, what kind of diet is recommended?

A
  • Low residue/ low fiber diet
  • IV B12 (no TI)
  • Avoid high fat foods ( No TI thus no bile salt absorption)
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15
Q

what drug has shown to reduce need for surgeries in pt with severe IBD

A

anti-TNF therapy

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16
Q

Removing the appendix reduces risk of developing which iBD

A

UC

17
Q

IBD Pt at risk of perforation, what modality is best to evaluate her

A

plain abd xray

18
Q

Bloody diarrhea, in an otherwise healthy individual with no past medical history or family history and who loves bbq, red meat, fast food think_

A

E coli 0157

19
Q

Pt with more than 8 yrs of IBD needs to have colonscopy how often?

A

yearly

20
Q

Pt with IBD, if colonoscopy shows flat dysplasia, best recommendation

A

total colectomy - since it’s flat, there could be more than 1 dysplasia that may not be visible and thus to prevent colon cancer, the entire colon needs to be removed

21
Q

In pts with IBD, what’s known to decrease risk of CRC development?

A

folic acid

22
Q

Indication for surgery in UC

A
  • severe hemorrhage
  • perforation
  • carcinoma
  • fulminant colitis
  • toxic megacolon if it doesnt resolve within 48-72hrs)
  • flat dysplasia
  • refractory disease requiring long term corticosteroids

GI 2 Final (11 decks)

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