IBD

Question 2

What is Crohn’s disease?

Answer 2

A chronic inflammatory bowel disease that affects the lining of the digestive tract.

Question 3

What is ulcerative colitis?

Answer 3

A chronic inflammatory bowel disease that causes inflammation and ulcers in the colon and rectum.

Question 4

True or False: Crohn’s disease can affect any part of the gastrointestinal tract.

Answer 4

True

Question 5

True or False: Ulcerative colitis can affect the entire digestive tract.

Answer 5

False

Question 6

Fill in the blank: Crohn’s disease may lead to _______ due to inflammation of the bowel.

Answer 6

malabsorption

Question 7

What are common symptoms of Crohn’s disease?

Answer 7

Diarrhea, abdominal pain, weight loss, and fatigue.

Question 8

What are common symptoms of ulcerative colitis?

Answer 8

Bloody diarrhea, abdominal pain, and urgency to defecate.

Question 9

Multiple Choice: Which of the following is a complication of Crohn’s disease? A) Toxic megacolon B) Fistulas C) Colon cancer

Answer 9

B) Fistulas

Question 10

Multiple Choice: Which of the following is a complication of ulcerative colitis? A) Fistulas B) Strictures C) Toxic megacolon

Answer 10

C) Toxic megacolon

Question 11

What is a distinguishing feature of Crohn’s disease compared to ulcerative colitis?

Answer 11

Crohn’s disease can affect the entire thickness of the bowel wall.

Question 12

What is a distinguishing feature of ulcerative colitis compared to Crohn’s disease?

Answer 12

Ulcerative colitis is limited to the mucosal layer of the colon.

Question 13

True or False: Both Crohn’s disease and ulcerative colitis have periods of remission.

Answer 13

True

Question 14

Fill in the blank: Patients with ulcerative colitis are at increased risk for _______ cancer.

Answer 14

colon

Question 15

What is the primary method for diagnosing Crohn’s disease?

Answer 15

Endoscopy or colonoscopy.

Question 16

What is the primary method for diagnosing ulcerative colitis?

Answer 16

Colonoscopy.

Question 17

Multiple Choice: Which medication class is commonly used to treat both Crohn’s disease and ulcerative colitis? A) Antibiotics B) Corticosteroids C) Antidepressants

Answer 17

B) Corticosteroids

Question 18

What dietary changes might help manage symptoms of Crohn’s disease?

Answer 18

Low-fiber diet and avoiding trigger foods.

Question 19

What dietary changes might help manage symptoms of ulcerative colitis?

Answer 19

Low-residue diet during flare-ups.

Question 20

True or False: Smoking is considered a risk factor for Crohn’s disease.

Answer 20

True

Question 21

True or False: Smoking is considered a risk factor for ulcerative colitis.

Answer 21

False

Question 22

What role do probiotics play in the management of inflammatory bowel diseases?

Answer 22

Probiotics may help maintain gut flora and support remission.

Question 23

What is the significance of the ‘skip lesions’ in Crohn’s disease?

Answer 23

Skip lesions are areas of inflammation separated by healthy tissue.

Question 24

What is the typical age of onset for Crohn’s disease?

Answer 24

Between 15 and 35 years old.

Question 25

What is the typical age of onset for ulcerative colitis?

Answer 25

Between 15 and 30 years old.

Question 26

Fill in the blank: The _______ score is often used to assess the severity of ulcerative colitis.

Answer 26

Mayo

Question 27

What is the primary goal of treatment for both Crohn's disease and ulcerative colitis?

Answer 27

To induce and maintain remission.

Question 28

True or False: Surgery can be a curative treatment for Crohn's disease.

Answer 28

False

Question 29

True or False: Surgery can be a curative treatment for ulcerative colitis.

Answer 29

True

Question 30

Maintenance therapy of ulcerative colitis

Answer 30

Lifelong, de-escalation if stable disease with evidence of mucosal healing PO aminosalicylate +/- PR aminosalicylate If severe and frequent relapses add thiopurine: azathioprine, mercaptopurine

Question 31

Mng of mild to moderate ulcerative colitis

Answer 31

1. 5 ASA- Proctitis: PR, L sided or extensive: PO plus PR 2. Add CS PR or PO

Question 32

Mng of moderate to severe ulcerative colitis

Answer 32

PR/PO aminosalicylate PO CS

Question 33

Mng of acute severe ulcerative colitis

Answer 33

1. IV CS 2. Salvage therapy, colectomy

Question 34

Maintenance treatment of Crohn's disease

Answer 34

Lifelong Thiopurines (azathioprine, mercaptopurine) daily if frequent relapses and CS dependent Methotrexate once a week

Question 35

Mng of mild to moderate Crohn's disease

Answer 35

If limited: CR budesonide Colonic disease: PO CS

Question 36

Mng of moderate to severe Crohn's disease

Answer 36

PO systemic CS plus immunomodulator/ anti TNF alpha Abs

Question 37

Mnf of severe Crohn's disease

Answer 37

Hospitalisation Surgical consult IV systemic CS