IBD Mcgowen

Question 1

what diagnostic study do you use to evaluate the entire small bowel

Answer 1

magnetic resonance enterography (best answer)

CT with contrast

Question 2

pleuritis

Answer 2

UC

Question 3

pyoderma gangrenosum

Answer 3

UC

Question 4

weight loss common in UC or chrons

Answer 4

chrons

Question 5

spondyarthropathis

Answer 5

UC

Question 6

after ____ years of IBD the recommendation for screening is what

Answer 6

8 years, is colonscopy every year

Question 7

kidney stones can be a complication of what

Answer 7

chrons disease

Question 8

aphthous ulcers intervening with normal mucosa, linear fissure

Answer 8

chrons

Question 9

other IBD extraintestinal manifestations

Answer 9

oligoarticular or polyarticular
sacroiliitis
episcleritis
hepatitis
sclerosing cholangitis
thromboembolic events

Question 10

small bowel adenocarcinoma goes with which disease

Answer 10

CD

Question 11

what before the age of 20 is associated with reduced risk of UC

Answer 11

appendectomy

Question 12

crypt abscess on histology

Answer 12

UC

Question 13

pt with UC symptoms what is first appropriate step for diagnosis or treatmetn

Answer 13

plain abdominal xray looking for toxic megacolon and perforation
-don’t want to do invasive procedures bc may cause perforation

Question 14

HLA and UC

Answer 14

B27

Question 15

UC or CD can mimic appendicitis?

Answer 15

CD

Question 16

lead pipe is what disease and from what

Answer 16

UC, loss of haustra

Question 17

pseudopolyps

Answer 17

UC

Question 18

uveitis

Answer 18

UC

Question 19

ankylosing spondylitis

Answer 19

UC

Question 20

blood diarrhea with low abd cramping

Answer 20

UC

Question 21

colonoscopy can only get how fair up in intestine

Answer 21

terminal ileum

Question 22

indications for surgery in UC

Answer 22

severe hemorrhage
perforation
carcinoma
toxic megacolon
fulminant colitis
invisible flat dysplasia
non-endoscopicaly reseectable dysplastic lesions
refractory disease requiring long term corticosteroids

Question 23

serology of chrons

Answer 23

ASCA

Question 24

eryhtema nodosum

Answer 24

UC

Question 25

how does meckels diverticulum present

Answer 25

young child 3 or younger painless rectal bleeding in similar location to appendix can develop abdominal distension and vomiting

Question 26

tenesmus

Answer 26

UC

Question 27

when have extensive terminal ileum resection what kind of diet should pt have

Answer 27

low fat parenteral vitamin B12 1000 mcg per month -terminal ileum is where B12 is absorbed

Question 28

lab work with chrons - calprotectin - sedimentation rate - albumin level - hemoglobin level - vitamin B12 level - what toxicity possible

Answer 28

``` calprotectin- increased sed rate- increased albumin level- decreased hemoglobin level- could be decreased vitamin B12- deficiency but not toxicity, fat soluble toxicity possible ```

Question 29

what gives you a decreased risk of CRC development

Answer 29

folic acid 1 mg a day

Question 30

chrons or UC has fistulas?

Answer 30

chrons

Question 31

lab study for UC

Answer 31

P-ANCA

Question 32

does surgery cure UC

Answer 32

yes

Question 33

diffuse friability and erosions with bleeding

Answer 33

UC