Inflammatory BOWEL Disease

Question 1

chronic inflammation of the bowel which relapse and remit over years

Answer 1

Inflammatory BOWEL Disease (IBD)

Question 2

characterized by episodes of inflammation limited to the mucosal layer of the colon

Answer 2

Ulcerative colitis

Question 3

almost invariably involves the rectum, and the extent often involves more proximal portions of the colon in a continuous fashion

Answer 3

Ulcerative colitis

Question 4

characterized by transmural inflammation and by skip areas of involvement

Answer 4

Crohn disease

Question 5

may lead to fibrosis and strictures. In any part of the digestive tract.

Answer 5

Crohn disease

Question 6

Genetic factors

Answer 6

Etiology / Risk factors of IBD

Question 7

Environmental factors

Answer 7

Etiology / Risk factors of IBD

Question 8

Common in non-smokers and ex-smokers

Answer 8

Ulcerative colitis

Question 9

Common in smokers

Answer 9

Crohn disease

Question 10

Associated with low-residue, high-refined-sugar diet

Answer 10

Crohn disease

Question 11

Commensal gut microbiota

Answer 11

Environmental factor
Both Ulcerative colitis and Crohn disease

Question 12

Appendicectomy protects against

Answer 12

Ulcerative colitis

Question 13

rectal bleeding + diarrhea (with mucus or blood)

Answer 13

Cardinal symptoms of Ulcerative colitis

Question 14

Some pass pellety stool due to

Answer 14

constipation upper to the inflamed rectum

Question 15

Cardinal symptoms + Tenesmus

Answer 15

Proctitis Ulcerative colitis

Question 16

Cardinal symptoms + Abdominal cramps

Answer 16

Left sided Ulcerative colitis

Question 17

Cardinal symptoms + Severe cramps + Anorexia + malaise + weight loss + systemic toxicity features

Answer 17

Extensive Ulcerative colitis

Question 18

Cardinal symptoms + fever, tachycardia, anemia, elevated ESR

Answer 18

Systemic toxicity features

Life Threatening Disease

Question 19

…… attack is the most severe

Answer 19

First

Question 20

What may provoke relapse in Ulcerative colitis (5)

Answer 20

stress, recurrent infections, gastroenteritis, antibiotics or NSAIDs

Question 21

diarrhea + abdominal pain + weight loss

Answer 21

Cardinal symptoms of Crohn disease

Question 22

Diarrhea in Crohn disease usually ……

Answer 22

watery + no blood or mucus

Question 23

Weight loss in Crohn disease is due to …..

Answer 23

eating provokes pain / malabsorption

Question 24

features of fat, protein, or vitamin deficiency

Answer 24

malabsorption

Question 25

Acute/subacute intestinal obstruction

Answer 25

ileal crohn’s disease

Question 26

presents like ulcerative colitis but rectal sparing & perianal disease presence

Answer 26

Crohn’s colitis

Question 27

rectal bleeding + diarrhea (with mucus or blood) but rectal sparing & perianal disease presence

Answer 27

Crohn’s colitis

Question 28

Many patients present with both small intestine & colonic disease.

Answer 28

Clinical features of CD

Question 29

A few present with isolated perianal disease, vomiting from jejunal strictures, or severe oral ulcerations

Answer 29

Clinical features of CD