IBD - McGowan

Question 1

What is a string sign associated with?

Risk for developing what?

Answer 1

Crohn’s

Kidney stones

Question 2

What is MPO-ANCA?

Associated with what?

Answer 2

P-ANCA

UC

Question 4

What cancer is associated with Crohn’s?

Answer 4

Small bowel adenocarcinoma (rare)

Question 6

What causes painless rectal bleed in a 3 yr old child?

Answer 6

Meckel’s

Question 7

What elevated lab value may show UC?

Answer 7

Fecal calprotectin

Question 8

If patient has IBD for 8 years or longer they are at high risk of colon cancer, what imaging must be performed to monitor it and how often?

Answer 8

Colonoscopy every year

Question 9

What is the best way to evaluate the entire small bowel?

Why?

Answer 9

Magnetic resonance enterography

Colonoscopy cannot reach small intestine

Question 10

In a pt with IBD, what decreases the risk of CRC development?

Answer 10

Folic acid

5-ASA therapy

Question 12

Does diet affect the course of IBD?

Answer 12

No

Question 14

In Crohn’s disease what is often respected?

What must be given parenterally in that case?

Answer 14

TI

B12

Question 16

What type of fistual is a enterovesical?

Answer 16

Small bowel to bladder

Question 17

What is a major indication for surgery w/UC?

Answer 17

Toxic megacolon

Invisible flat dysplasia

Question 19

What condition shows NO inflammation?

Answer 19

IBS

Question 20

What associations does UC have with other conditions?

Important laundry

Answer 20

HLA-B27
Pyoderma gangrenosum 
Uveitis 
Erythema nodosum 
Ankylosing spondylitis (bamboo spine)
PSC

Question 24

What association has a reduced risk for UC development?

Answer 24

Appendectomy before age 20 for acute appendicitis

Question 26

What causes tenesmus, bloody diarrhea with lower abdominal cramping?

Answer 26

UC

Question 27

what disease is ASCA (+)?

Answer 27

Crohn’s