SBA SQA

Question 1

What condition is UC commonly associated with

Answer 1

Primary sclerosing cholangitis

Question 2

Symptoms of PSC

Answer 2

Patchy inflammation
Fibrosis
Strictures in intra and extra hepatic bile ducts

Question 3

What is the name of the at home bowel screening tests

Answer 3

faecal immunochemical test

Question 4

Common treatment and preventative medication for peptic ulcers

Answer 4

omeprazole- proton pump inhibitor

Question 5

The most common extra intestinal feature of both cd and uc

Answer 5

Arthritis
Episcleritis is more common in cd

Question 6

What is seen on endoscopy for ulcerative colitis

Answer 6

Red raw mucosa
Depletion of goblet cells
Neutrophils migrate to form crypt abscesses

Question 7

Barium enema for uc would show

Answer 7

Loss of haustrations
Superficial ulceration
Pseudopolyps
Long standing disease

Question 8

Crohns is linked to a defect in what gene

Answer 8

NOD 2

Question 9

Extra intestinal manifestations of inflammatory bowel disease - A PIE SAC

Answer 9

Aphthous ulcers
Pyoderma gangrenosum
Iritis
Erythema Nicosia
Sclerosing cholangitis
Arthritis
CLUBBING

Question 10

what would appendicular abscess present with

Answer 10

• swinging fever
• common complication of acute appendicitis

Question 11

typical crohns presentation

Answer 11

young pt with diarrhoea, apthous ulcers endscopy shows transmural inflammation and non caseating granulomas

Question 12

medication to induce remission for crohns patients

Answer 12

prednislone

Question 13

most commonly affected site of crohns

Answer 13

terminal ileum and parts of colon

Question 14

what other things other than abdominal can link to crohns

Answer 14

peri anal abscess

Question 15

flare up tx of crohns involves

Answer 15

iv oral steroids

Question 16

colonoscopyu for UC will reveal

Answer 16

continuous inflammation with an erythematous mucosa, loss of haustral markings, and pseudopolyps.

Question 17

biopsy for UC will reveal

Answer 17

loss of goblet cells, crypt abscess, and inflammatory cells (predominantly lymphocytes).

Question 18

barium enema for UC will reveal

Answer 18

lead-piping inflammation (secondary to loss of haustral markings), thumb-printing (a marker of bowel wall inflammation), and pseudopolyps (due to areas of ulcerating mucosa adjacent to areas of regenerating mucosa).

Question 19

systemic features of UC

Answer 19

Uveitis/episcleritis, arthritis/arthralgia, pyoderma gangrenosum/erythema
nodosum, mouth ulcers

Question 20

Differentials for fresh bright blood in poo

Answer 20

Diverticulitis, UC, Crohns, haemorrhoids, anal fissure , colorectal cancer

Question 21

Features of hemorrhoids

Answer 21

• bright red bleeding
• discomfort / pain
• pruritus ani
• pain on passing stools
• mucus in poo

Question 22

Two types of hemorrhoids and how they can present

Answer 22

Internal - arise internally, are painless covered in mucus , can prolapse

External - form at the anal opening , painful covered with skin

Question 23

Non - surgical and surgical tx of hemorroids

Answer 23

Non- surgical = stool softeners, high fibre diet , adequate

Surgical = band ligation, haemorrhoidectomy , sclerotherapy

Question 24

chylamdia is treated with

Answer 24

Azithromycin