IBD

Question 1

What is the priority concept for IBD?

Answer 1

Inflammation (electrolyte and fluid imbalance)

Question 2

Where does water absorption occur?

Answer 2

Small intestine → large intestine

Question 3

What conditions fall under IBD?

Answer 3

Crohn’s Disease and Ulcerative Colitis

Question 4

Where can Crohn’s Disease occur?

Answer 4

Anywhere in the GI tract (mouth to anus)

Question 5

What bowel layers are affected in Crohn’s?

Answer 5

All layers (transmural)

Question 6

What is Crohn’s inflammation pattern?

Answer 6

Patchy inflammation throughout small and large bowel

Question 7

Where does Ulcerative Colitis occur?

Answer 7

Large intestine only (rectum → colon)

Question 8

What layers does UC affect?

Answer 8

Innermost layers (mucosa and submucosa)

Question 9

What is UC’s inflammation pattern?

Answer 9

Continuous and uniform

Question 10

Does IBD have periods of remission?

Answer 10

Yes, exacerbation and remission cycles

Question 11

How is IBS different from IBD?

Answer 11

IBS = nerve issue, no inflammation

Question 12

What causes IBD?

Answer 12

Genetics, immune response, environment, gut microbiome

Question 13

How does the gut microbiome relate to IBD?

Answer 13

Changes affect immune function

Question 14

Can IBD affect anyone?

Answer 14

Yes, and no cure

Question 15

Important history cues for IBD?

Answer 15

Nutrition, elimination, travel, infections, NSAID use, arthritis

Question 16

Physical symptoms during exacerbation?

Answer 16

Abdominal pain, rectal bleeding, urgency, mucous stools

Question 17

Systemic symptoms?

Answer 17

Fatigue, weakness, anemia, dehydration, weight loss

Question 18

Stool characteristics in IBD?

Answer 18

Loose, bloody, mucousy stools (20–30/day)

Question 19

Which intestines does Crohn’s affect?

Answer 19

Small and large intestines

Question 20

Which intestines does UC affect?

Answer 20

Large intestine only

Question 21

Is Crohn’s inflammation continuous?

Answer 21

No, patchy

Question 22

Is UC inflammation continuous?

Answer 22

Yes, spreads proximally

Question 23

Common Crohn’s complications?

Answer 23

Fistulas, strictures, abscesses, obstruction

Question 24

Which IBD has severe malabsorption?

Answer 24

Crohn’s Disease

Question 25

Which IBD can be cured with surgery?

Answer 25

Ulcerative Colitis

Question 26

Psychological assessment includes?

Answer 26

Mental health and understanding of illness

Question 27

Which labs show inflammation?

Answer 27

CRP, ESR

Question 28

Which labs show blood loss?

Answer 28

Hemoglobin, hematocrit

Question 29

Which labs show nutrition status?

Answer 29

Albumin, electrolytes

Question 30

Which stool test detects inflammation?

Answer 30

Fecal calprotectin

Question 31

Main diagnostic test for IBD?

Answer 31

Colonoscopy with biopsies

Question 32

Imaging tests for IBD?

Answer 32

MRI enterography, CT scan, ultrasound

Question 33

Priority hypotheses in active IBD?

Answer 33

Diarrhea, pain, GI bleeding risk

Question 34

Disease management goals?

Answer 34

Reduce inflammation, maintain remission, relieve symptoms, nutritional support

Question 35

How to manage diarrhea in IBD?

Answer 35

Reduce inflammation, promote healing, track stools, protect skin

Question 36

What should be recorded for stools?

Answer 36

Frequency, color, volume, consistency

Question 37

First-line drugs for IBD?

Answer 37

Aminosalicylates

Question 38

Which drugs suppress immunity?

Answer 38

Steroids, immunomodulators, biologics, JAK inhibitors, S1P modulators

Question 39

Are steroids lifelong therapy?

Answer 39

No, short-term only

Question 40

Is IBD drug therapy individualized?

Answer 40

Yes

Question 41

Is there one IBD diet?

Answer 41

No, individualized

Question 42

Diet recommendations for IBD?

Answer 42

Balanced diet, avoid triggers, supplements

Question 43

When is NPO needed?

Answer 43

Severe inflammation requiring bowel rest

Question 44

Do complementary therapies reduce inflammation?

Answer 44

No, but help symptoms

Question 45

How common is Crohn’s surgery?

Answer 45

<50% will need surgery

Question 46

Is surgery common in UC?

Answer 46

Less common, but can cure UC

Question 47

Why is surgery needed in Crohn’s?

Answer 47

Abscesses, fistulas, obstruction

Question 48

Common surgery for Crohn’s?

Answer 48

Bowel resection

Question 49

Surgery for severe UC?

Answer 49

Proctocolectomy with ileo-anal reservoir

Question 50

What is intestinal obstruction?

Answer 50

Blockage preventing passage of contents

Question 51

Symptoms of obstruction?

Answer 51

Nausea, vomiting, distension, no stool/flatus

Question 52

Goals of obstruction treatment?

Answer 52

Relieve obstruction, restore fluids, maintain nutrition

Question 53

Obstruction treatments?

Answer 53

NPO, NG tube, surgery if needed

Question 54

Causes of IBD pain?

Answer 54

Inflammation, fistulas, obstruction, abscesses

Question 55

How to manage IBD pain?

Answer 55

Antispasmodics, barrier cream, nutrition adjustments

Question 56

Where is GI bleeding more common?

Answer 56

Ulcerative Colitis

Question 57

What to monitor in GI bleeding?

Answer 57

Anemia, BP drop, increased HR

Question 58

What may severe GI bleeding require?

Answer 58

Blood transfusion

Question 59

Transition management goals?

Answer 59

Education, QOL, steroid-free remission, self-care, vaccines, referrals

Question 60

Positive IBD outcomes?

Answer 60

Less diarrhea, less pain, no GI bleeding

Question 61

Case study condition?

Answer 61

Ulcerative Colitis

Question 62

Case study key symptoms?

Answer 62

Bloody diarrhea, abdominal pain, dehydration, weight loss

Question 63

What do high calprotectin/CRP indicate?

Answer 63

Active inflammation

Question 64

Priority hypotheses (case study)?

Answer 64

Blood loss, UC flare, dehydration, nutrition deficit

Question 65

Priority actions (case study)?

Answer 65

Reduce inflammation, monitor bleeding, start IV fluids, monitor glucose

Question 66

Expected outcomes?

Answer 66

Less pain, less blood in stool, improved hydration