IBD

Question 1

risk of smoking in IBD

Answer 1

increased risk in crohn
decreased risk in UC

Question 2

What investigation can help differentiate between inflammatory bowel disease & irritable bowel syndrome?

Answer 2

faecal calprotectin

Question 3

What is the management for inducing remission in Crohn’s?

Answer 3

first line - glucocorticoids
second- 5-ASA drugs and azathioprine

Question 4

which disease has skip lesions

Answer 4

Crohns - skip lesions anywhere from mouth to anus

Question 5

What is the investigation of choice for perianal fistulae?

Answer 5

MRI

Question 6

What drug is used for refractory or fistulating Crohn’s disease?

Answer 6

infliximab

Question 7

what is crohns disease

Answer 7

relaspsing-remitting IBD that involves full thickness inflammation from mouth to anus

Question 8

differentials for Crohns

Answer 8

Apendicitis
UC
gastroenteritis

Question 9

Why can Crohn’s cause vitamin B12 deficiency?

Answer 9

damage to the terminal ielum causes malabsorption

Question 10

pain in right iliac, abdominal discomfort, blood in stools, diarrhoea

Answer 10

crohns

Question 11

mangement for maintaing remission in crohns

Answer 11

1. azathiprine
2. methotrexate

Question 12

typical blood test for crohns

Answer 12

B12 deficiency
raised CRP

Question 13

diagnostic investigations for crohns

Answer 13

colonoscopy and biopsy

Question 14

what is the management of perianal fistulae in a patient with crohns

Answer 14

metronidazole or ciprofloxacin (long-term antibiotics)

surgery if cant be controlled with drugs