IBD

Question 1

Bloody diarrhoea more common

Abdominal pain in the left lower quadrant

Tenesmus

Answer 1

Ulcerative Colitis

Question 2

Diarrhoea usually non-bloody

Weight loss more prominent

Upper gastrointestinal symptoms, mouth ulcers, perianal disease

Abdominal mass palpable in the right iliac fossa

Answer 2

Crohns

Question 3

Primary sclerosing cholangitis more commonly associated with this IBD

Answer 3

UC

Question 4

Gallstones are more common in this IBD secondary to reduced bile acid reabsorption

Answer 4

Crohns

Question 5

Complications include:
Bowel obstruction, fistula, colorectal cancer

Answer 5

Crohns

Question 6

Colorectal cancer risk is higher in this IBD

Answer 6

UC

Question 7

Lesions may be seen anywhere from the mouth to anus

Skip lesions may be present

Answer 7

Crohns

Question 8

Inflammation always starts at rectum and never spreads beyond ileocaecal valve

Continuous disease

Answer 8

UC

Question 9

Histology shows:
- inflammation in all layers from mucosa to serosa
- increased goblet cells
- granulomas

Answer 9

Crohns

Question 10

Histology shows:
- No inflammation beyond submucosa
- inflammatory cell infiltrate in lamina propria
- crypt abscesses
- depletion of goblet cells
- infrequent granulomas

Answer 10

UC

Question 11

Endoscopy appearance:
Deep ulcers
skip lesions - ‘cobble-stone’ appearance

Answer 11

Crohns

Question 12

Endoscopy appearance:
Widespread ulceration
psuedopolyps

Answer 12

UC

Question 13

Radiology findings:
- strictures: ‘Kantor’s string sign’
- proximal bowel dilation
- ‘rose thorn’ ulcers
- fistulae

Answer 13

Crohns

Question 14

Radiological Findings:
- Barium enema
- loss of haustrations
- superficial ulceration
- ‘pseudopolyps’
- ‘drainpipe colon’ in chronic disease

Answer 14

UC