Wk5 IBD

Question 1

Bloody mucoid diarrhea

tenesmus

Answer 1

Ulcerative colitis

Question 2

NONbloody diarrhea

abd pain

weight loss

perianal abcess/fistula

Answer 2

Crohn’s

Question 3

Jaundice

Answer 3

Ulcerative colitis

Question 4

TRANSmural

mouth to sigmoid

70% involves terminal ileum

Answer 4

Crohn’s

Question 5

Pathognomonic for Crohn’s:

Answer 5

Granulomas

Question 6

ASCA = ?

Answer 6

Crohn’s

Question 7

pANCA =?

Answer 7

Ulcerative colitis

Question 8

Ankylosing spondylitis

Answer 8

Ulcerative colitis

Question 9

Toxic megacolon

Answer 9

Ulcerative colitis

Question 10

Primary Sclerosing Cholangitis

Answer 10

Ulcerative colitis

Question 11

Bile salt diarrhea

gallstones

Vit B12 deficiency

Oxylate stones

Answer 11

Ileal Disease (Crohn’s)

Question 12

Greater risk for Colorectal CA, UC or Crohn’s?

Answer 12

UC

Question 13

Dysplasia seen in IBD = ?

Answer 13

colectomy

Question 14

Perianal involvement?

Answer 14

Crohn’s

Question 15

Pathcy

Answer 15

Crohn’s

Question 16

Pseudopolyps

Answer 16

Ulcerative colitis

Question 17

Crypt abcesses

Branched crypts

Answer 17

Ulcerative colitis

Question 18

Surgery is curative?

Answer 18

UC

Question 19

3 main goals of IBD tx:

Answer 19

1. Induce remission
2. Maintain remission
3. Improve quality of life

Question 20

Tx strategy used only for induction of remission and not maintenance?

Answer 20

Steroids

Question 21

Tx of IBD in pregnancy?

Answer 21

Whatever is working…EXCEPT Methotrexate!

Question 22

Major concerns with TNF-a inhibitors?

Answer 22

infection (and reactivation ie. TB)

malignancy (increased risk of lymphoma)

Question 23

Indications for UC sx

Answer 23

slide 55

Question 24

Indications for Crohn’s sx

Answer 24

Slide 57