IBD

Question 1

which only affects large colon?

Answer 1

UC

Question 2

which one has skip lesions?

Answer 2

crohns

Question 3

goblet cells and granulomas?

Answer 3

(in skip) crohns

Question 4

which one do you get bloody diarrhoea?

Answer 4

uc

Question 5

which increases chance of colon cancer ?

Answer 5

UC

Question 6

Weight loss, abdominal pain and NON BLOODY diarrhoea?

Answer 6

crohns

Question 7

no inflammation beyond submucosa? crypt abcesses

Answer 7

uc

Question 8

crypt abcesses?

Answer 8

uc

Question 9

when would you get a drainpipe colon in UC?

Answer 9

in long standing disease

Question 10

which associated with pyoderma gangrenosum and erythema nodosum?

Answer 10

crohns

Question 11

What is recommended to induce remission in UC?

Answer 11

rectal (topical) mesalazine then if that doesn’t work oral aminosalicylates e.g. mesalazine

Question 12

second line for remission of UC?

Answer 12

oral prednisolone

Question 13

severe UC treatment?

Answer 13

treated in hospital with intravenous steroids

Question 14

to maintain remission of UC? school

Answer 14

oral aminosalicytes eg mesalazine

azathioprine and mercaptopurine (AZA MER)

Question 15

is methotrexate recommended in UC?

Answer 15

no

Question 16

advice re smoking in crohns?

Answer 16

patients should be strongly advised to stop smoking

Question 17

crohns remission, first line?

Answer 17

steroids (kitchen)

Question 18

what is an elemental diet?

Answer 18

liquid diet

Question 19

which drugs can be used second line to glucocorticoids but are not as effective?

Answer 19

5ASA like mesalazine

Question 20

which drugs can be used as add on but not as mono therapy?

Answer 20

azathioprine or mercaptopurine

Question 21

for maintaining remission in crohns, stopping smoking is a priority

Answer 21

y

Question 22

first line remission for crohns (garden

Answer 22

azathioprine and mercaptopurine

Question 23

what is used second line?

Answer 23

methotrexate

Question 24

what drug is used in refractory disease and fistulating crohns?

Answer 24

infliximab

Question 25

which drugs is often used to treat peri anal disease?

Answer 25

metronidazole

Question 26

why do fistula, ulcers and strictures occur in crohns?

Answer 26

full thickness disease. inflammation in all layers, down to the serosa

Question 27

what is the most common extra intestinal feature of crowns and IBD?

Answer 27

arthritis