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GI II Final DF > IBD Mcgowen > Flashcards

IBD Mcgowen Flashcards

1
Q

what diagnostic study do you use to evaluate the entire small bowel

A

magnetic resonance enterography (best answer)

CT with contrast

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2
Q

pleuritis

A

UC

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3
Q

pyoderma gangrenosum

A

UC

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4
Q

weight loss common in UC or chrons

A

chrons

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5
Q

spondyarthropathis

A

UC

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6
Q

after ____ years of IBD the recommendation for screening is what

A

8 years, is colonscopy every year

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7
Q

kidney stones can be a complication of what

A

chrons disease

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8
Q

aphthous ulcers intervening with normal mucosa, linear fissure

A

chrons

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9
Q

other IBD extraintestinal manifestations

A 
oligoarticular or polyarticular
sacroiliitis
episcleritis
hepatitis
sclerosing cholangitis
thromboembolic events
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10
Q

small bowel adenocarcinoma goes with which disease

A

CD

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11
Q

what before the age of 20 is associated with reduced risk of UC

A

appendectomy

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12
Q

crypt abscess on histology

A

UC

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13
Q

pt with UC symptoms what is first appropriate step for diagnosis or treatmetn

A

plain abdominal xray looking for toxic megacolon and perforation
-don’t want to do invasive procedures bc may cause perforation

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14
Q

HLA and UC

A

B27

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15
Q

UC or CD can mimic appendicitis?

A

CD

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16
Q

lead pipe is what disease and from what

A

UC, loss of haustra

17
Q

pseudopolyps

A

UC

18
Q

uveitis

A

UC

19
Q

ankylosing spondylitis

A

UC

20
Q

blood diarrhea with low abd cramping

A

UC

21
Q

colonoscopy can only get how fair up in intestine

A

terminal ileum

22
Q

indications for surgery in UC

A 
severe hemorrhage
perforation
carcinoma
toxic megacolon
fulminant colitis
invisible flat dysplasia
non-endoscopicaly reseectable dysplastic lesions
refractory disease requiring long term corticosteroids
23
Q

serology of chrons

A

ASCA

24
Q

eryhtema nodosum

A

UC

25
Q

how does meckels diverticulum present

A

young child 3 or younger
painless rectal bleeding in similar location to appendix
can develop abdominal distension and vomiting

26
Q

tenesmus

A

UC

27
Q

when have extensive terminal ileum resection what kind of diet should pt have

A

low fat
parenteral vitamin B12 1000 mcg per month
-terminal ileum is where B12 is absorbed

28
Q

lab work with chrons

  • calprotectin
  • sedimentation rate
  • albumin level
  • hemoglobin level
  • vitamin B12 level
  • what toxicity possible
A 
calprotectin- increased
sed rate- increased
albumin level- decreased
hemoglobin level- could be decreased
vitamin B12- deficiency but not toxicity, 
fat soluble toxicity possible
29
Q

what gives you a decreased risk of CRC development

A

folic acid 1 mg a day

30
Q

chrons or UC has fistulas?

A

chrons

31
Q

lab study for UC

A

P-ANCA

32
Q

does surgery cure UC

A

yes

33
Q

diffuse friability and erosions with bleeding

A

UC

GI II Final DF (9 decks)

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