Inflammatory Bowel Disease

Question 1

Medication that can be given in Crohn’s disease?

Answer 1

Sulfasalazine

Question 2

Eye clinical feature that can present in UC?

Answer 2

AU- Anterior Uveitis

Question 3

histological examination of her bowel, crypt abscesses are seen what is indicated

Answer 3

UC

Question 4

passed more than 6 stools, rectal bleeding UC

Answer 4

hospital admission
IV steroids

Question 5

passed less than 6 stools, rectal bleeding UC

Answer 5

Topical Rectal Aminosalicylates

Question 6

Crohn rectal bleeding or nah

Answer 6

nah

Question 7

Acute version of UC, where you would not find crypt abscess in histological exam

Answer 7

Infectious colitis

Question 8

histological examination of her bowel, increased goblet cells are seen what is indicated

Answer 8

Crohns

Question 9

increased goblet cells

Answer 9

crohns

Question 10

crypt abscesses

Answer 10

ulcerative collitis

Question 11

first line investigation for inflammatory bowel disease.

Answer 11

A faecal calprotectin would be an appropriate first line investigation for inflammatory bowel disease.

Question 12

What is given to induce remission of Crohn’s disease?

Answer 12

Glucocorticoids (oral, topical or intravenous) are generally used to induce remission of Crohn’s disease

Question 13

If a patient with ulcerative colitis has had a severe relapse or >=2 exacerbations in the past year they should be given either……

Answer 13

oral azathioprine or oral mercaptopurine to maintain remission

Question 14

A 23-year-old student is admitted due to a two-week history of bloody diarrhoea. He is normally fit and well and has not been abroad recently. His CRP is raised at 56 on admission.

Answer 14

UC

Question 15

2 week bloody diarrhoea and raised CRP, what and why

Answer 15

UC
2 week so not gastroenteritis
Raised CRP so not IBS
Between IBD, blood is seen so it’s UC

Question 16

UC what can you see in the endoscopy?

Answer 16

Ulcerative colitis - pseudopolyps seen on endoscopy