UC + crohns hard

Question 1

inducing remission - crohns - severe

Answer 1

• oral prednisolone
• IV hydrocortisone

Question 2

inducing remission - crohns - moderate

Answer 2

buodisonide
EEN

Question 3

maintaining remission - crohns

Answer 3

azathioprine
mercathioprine

methotrexate
inflimamab
adalimumab

Question 4

inducing remission - UC - severe

Answer 4

IV corticosteroid
IV cyclosporin

Question 5

inducing remission - UC - moderate

Answer 5

aminosalciylate 5ASA eg mesalazine
corticosteroids

Question 6

maintaining remission UC

Answer 6

aminoasalcatate
azathioprine
mercathioprine
TNF-a inhibitors
a-4/B-7 integrin inhibitor
JAK inhibitor

Question 7

high risk complication of crohns

Answer 7

renal stones

Question 8

age of crohns vs US

Answer 8

crohns:
- 15-30 + 60-80

UC:
- 15-25 + 55-65

Question 9

crohns vs UC tests and results

Answer 9

Crohns:
- serum ACE is raised
- ESR/CRP raised
- feacal calprotectin - >90%
- raised WCC
- anaemia
- low albumin
- thrombocytosis
- P-ANCA -
- kantor string sign

UC:
- anaemia
- ESR/CRP
- faecal calprotectin
- P-ANCA +
- ECG - AF
- lead pipe colon

Question 10

with what drugs do you need to measure thiopurine methyltransferase for - bone marrow suppression

Answer 10

azathioprine
mercaptopurine

Question 11

with what drugs do you need to conduct chest xray bc of risk of reactivating latent TB

Answer 11

methotrexate + biologics

Question 12

name the surgeries used in managing peri-anal fistula

Answer 12

drainage seton
fistulotomy

Question 13

common happening after crohns ileum surgery

Answer 13

• decreased vitamins, minerals and fat absorption
• presents with diarrhoea and fatty stools
• short bowel syndrome

Question 14

environmental UC aetiology

Answer 14

• milk
• medications
• NSAIDs
• oral contraceptive pill

Question 15

name of severity grading criteria

Answer 15

truelove and watts

Question 16

truelove and watts grading criteria

Answer 16

mild
- < 4 bowel movements a day
- small amount of blood
- no temperature
- no bpm>90
- na anaemia
- ESR >/= 30

moderate
- 4-6 bowel movements per day
- amount of blood between mild and severe
- no temperature
- no pulse >90
- no anaemia
- ESR </= 30

severe
- 6+ bowel movements per day
- visible blood
- temperature >37.8
- pulse >90
- anaemia ,10g/100mL
- ESR > 30

Question 17

truelove and watts grading criteria severe temperature level

Answer 17

> 37.8

Question 18

truelove and watts grading criteria severe pulse rate

Answer 18

> 90

Question 19

truelove and watts grading criteria severe anaemia level

Answer 19

10/100mL

Question 20

truelove and watts grading criteria severe ESR rate

Answer 20

> 30

Question 21

pancrotocectomy types

Answer 21

• ilostomy
• ileo-anal anastomosis