Ch. 36 GI - Book/2

Question 1

UC is less common in people who

Answer 1

smoke

Question 2

CD and smoking

Answer 2

increases the risk for developing severe disease

Question 3

sx of DD

5

Answer 3

1. cramping of lower abdomen
2. diarrhea
3. constipation
4. distention
5. flatulence

Question 4

risk factors and theories of cause of IBDs include

4

Answer 4

1. genes
2. environment
3. alterations in epithelial cell barrier function
4. altered immune response to intestinal microflora

Question 5

most common areas for CD

2

Answer 5

1. distal small intestine

2. proximal large colon

Question 6

diverticular disease is associated with
3
-increased
-abnormal
-alterations

Answer 6

1. increased intracolonic pressure
2. abnormal neuromuscular function
3. alterations in intestinal motility

Question 7

what meds are used for tx of serious UC

3

Answer 7

1. thioprine agents
2. immunodulatory agents
3. vedolizumad

Question 8

idiopathic inflammatory disorder that affects any part of the GI tract from mouth to anus

Answer 8

CD

Question 9

rectum aka

Answer 9

proctitis

Question 10

diverticula

Answer 10

herniations or saclike outpouchings of the mucosa and submucosa through the muscle layers in the sigmoid colon

Question 11

uncomplicated DD is tx with

2

Answer 11

1. bowel rest

2. analgesia

Question 12

imaging of the small intestine is used in dx what

Answer 12

CD

Question 13

complicated diverticulitis includes

5

Answer 13

1. abscess
2. fistula
3. obstruction
4. bleeding
5. perforation

Question 14

what often relieves symptoms of DD

2

Answer 14

1. increase fiber

2. probiotics

Question 15

DD common associated finding is

Answer 15

thickening of the circular muscles and shortening of the longitudinal muscles surrounding the diverticula

Question 16

what may cause large amounts of watery diarrhea in UC

2

Answer 16

1. loss of absorptive mucosal surface

2. rapid colonic transit time

Question 17

effective for initial therapy for CD

Answer 17

immunomodulatory (anti-TNF)

Question 18

UC mucosal destruction and inflammation causes

3

Answer 18

1. bleeding
2. cramping pain
3. urge to defecate

Question 19

most common sx of CD

Answer 19

diarrhea

Question 20

chronic inflammatory disease that causes ulceration of the colonic mucosa

Answer 20

UC

Question 21

asymptomatic diverticular disease

Answer 21

diverticulosis

Question 22

diverticulosis is

Answer 22

asymptomatic diverticular disease

Question 23

UC that involve the entire colon sx

7

Answer 23

1. abdominal pain
2. fever
3. elevated pulse rate
4. frequent diarrhea
5. urgency
6. bloody stool
7. crampy pain

Question 24

what type of stool is common in UC

Answer 24

frequent diarrhea with passage of small amounts of blood and purulent mucus

Question 25

CD aka | 3

Answer 25

1. granulomatous colitis 2. ileocolitis 3. regional enteritis

Question 26

diverticula most common location

Answer 26

sigmoid colon

Question 27

bleeding and cramping pain from anus

Answer 27

UC

Question 28

UC complications include | 3

Answer 28

1. fissures 2. hemorrhoids 3. perirectal abscess

Question 29

chronic relapsing IBDs | 2

Answer 29

UC | CD

Question 30

component of therapy for CD

Answer 30

stop smoking

Question 31

predisposing factors for DD | 7

Answer 31

1. older age 2. genes 3. obesity 4. smoking 5. diet 6. lack of physical activity 7. medications (aspirins)

Question 32

if the diverticula become inflamed or abscesses form, what can develop 3

Answer 32

1. fever 2. leukocytosis 3. tenderness of the LLQ

Question 33

CD typical lesion is a

Answer 33

granuloma with a cobblestone appearance

Question 34

most common site for skip lesions of CD | 2

Answer 34

1. ascending colon | 2. transverse colon

Question 35

urge to defecate is to

Answer 35

UC

Question 36

sx of CD | 4

Answer 36

1. diarrhea 2. rectal bleeding 3. weight loss 4. abdominal pain

Question 37

UC

Answer 37

chronic inflammatory disease that causes ulceration of the colonic mucosa

Question 38

diverticula can occur where

Answer 38

anywhere in GI tract, particularly in weak points in the colon wall

Question 39

CD inflammation begins and spread with

Answer 39

begins in the intestinal submucosa and spreads with discontinuous transmural involvement (skip lesions)

Question 40

if CD involved the ileum what may the patient be

Answer 40

anemic as a result of malabsorption of vitamin B12

Question 41

frequent diarrhea with small amounts of blood and purulent mucus

Answer 41

UC

Question 42

UC common location | 2

Answer 42

rectum | sigmoid colon

Question 43

UC mucosa is

Answer 43

hyperemic and may appear dark red and velvety

Question 44

UC mild to mod disease is tx with | 2

Answer 44

5-aminosalicyclate therapy followed by steroids

Question 45

definitive tx for CD

Answer 45

none

Question 46

hypoalbuminemia is a sx of

Answer 46

CD

Question 47

the primary lesion of UC begins with

Answer 47

inflammation at the base of the crypt of Lieberkuhn in the large intestine

Question 48

biomarkers for CD

Answer 48

none

Question 49

CD

Answer 49

idiopathic inflammatory disorder that affects any part of the GI tract from mouth to anus

Question 50

herniations or saclike outpouchings of the mucosa and submucosa through the muscle layers in the sigmoid colon

Answer 50

diverticula

Question 51

UC lesions appear around what age

Answer 51

20-40 yrs old

Question 52

the course of UC consists of

Answer 52

intermittent periods of remission and exacerbation

Question 53

what medications can cause DD | 2

Answer 53

1. aspirin | 2. non-steroidal anti inflammatory drugs

Question 54

CD - fistulae may form in the

Answer 54

perianal area

Question 55

ulcerations of CD can produce

Answer 55

fissures that extend inflammation into lymph tissue

Question 56

diverticulitis

Answer 56

represents inflammation

Question 57

cause of diverticular disease is

Answer 57

unknown

Question 58

disease begins in the rectum and extends proximally to the entire colon

Answer 58

UC