Inflammatory Bowel Disease

Question 1

Is ulcerative colitis typically more left sided or right sided?

Answer 1

Left sided

Question 2

Peak ages for inflammatory bowel diseases

Answer 2

Bi-modal

Peaks at 20s and 50s

Question 3

Ulcerative colitis always involves this area of the GI tract

Answer 3

Rectum

Question 4

Which, UC or Crohn’s, is associated with granulomas/abscesses?

Answer 4

Crohn’s

Question 5

General medication approach specifically useful in high risk patients with Crohn’s disease/ulcerative colitis

Answer 5

Top-down approach

Question 6

Which GI condition is associated with pyoderma gangrenosum?

Answer 6

Inflammatory bowel diseases

UC or Crohn’s

Question 7

Which, UC or Crohn’s, can be found anywhere in the GI tract?

Answer 7

Crohn’s

Question 8

Two symptoms of UC

Answer 8

Bleeding

Diarrhea

Question 9

Extraintestinal manifestations of Crohn’s disease and ulcerative colitis

Answer 9

Urinary - Calcium oxalate kidney stones (more Crohn’s)

Skin - Erythema nodosum, pyoderma gangrenosum

Eyes - uveitis, iritis, conjunctivitis

Question 10

Which, UC or Crohn’s, is only found in the colon?

Answer 10

UC

Question 11

This inflammatory bowel disease can often first present with fistulas in the skin leaking stool

Answer 11

Crohn’s disease

Question 12

Is Crohn’s associated full thickness or mucosal damage to the GI tract?

Answer 12

Full thickness

Question 13

Potential complication of ulcerative colitis that can lead to free air seen under the diaphragm on x-ray

Answer 13

Toxic megacolon that ruptures

Question 14

Which, UC or Crohn’s, is associated with superficial cryptitis/edema?

Answer 14

UC

Question 15

Patients with ulcerative colitis and this other condition are at a much higher risk of cancer

Answer 15

Primary sclerosing cholangitis

Question 16

Which, UC or Crohn’s, is typically only linked with mucosal lining damage of the GI tract (rather than full thickness)?

Answer 16

UC

Question 17

Best drugs for short-term improvement of symptoms in a patient with Crohn’s disease/ulcerative colitis

Answer 17

Steroids

(prednisone/budesonide)

Question 18

Three symptoms of Crohn’s

Answer 18

Pain

Abscess

Fistula

Question 19

Which, UC or Crohn’s, is always seen in a continuous pattern?

Answer 19

UC

Question 20

IBD medication that’s contraindicated in pregnancy

Answer 20

Methotrexate

Question 21

Which, UC or Crohn’s, has more risk of malignancy?

Answer 21

UC

(chronic inflammatory change = high risk of malignancy)

Question 22

Best/most aggressive class of medications for treating Crohn’s disease/ulcerative colitis

Answer 22

Biolgics

Question 23

Three types of Crohn’s disease (and associated symptoms if you can)

Answer 23

Inflammatory - Pain, tenderness, diarrhea

Obstruction - Cramps, distension, vomiting

Fistulization - Diarrhea, damage to skin, air/feces in urine

Question 24

Which, UC or Crohn’s, is associated with skip lesions?

Answer 24

Crohn’s

Question 25

Classic radiographic finding with ulcerative colitis

Answer 25

Drainpipe/leadpipe colon

(smooth, no haustra)