6. Inflammatory Bowel Diseases ibd.

***) All of the following about Crohn's disease are true, except:

1. May involve the esophagus

2. Is a transmural inflammation

3. Does not predispose to malignancy

4. Causes a characteristic cobble stones appearance of the mucosa

5. Perforation may occur

Answer: C* Does not predispose to malignancy

***) Concerning Crohn's disease, all the following are true, except:

1. It is a chronic transmural granulomatous inflammation

2. It involves the terminal ileum only

3. It commonly presents an abdominal mass, bloody diarrhea and anemia

4. Internal fistula is common

5. Commonly associated with perianal suppuration

Answer: B* It involves the terminal ileum only

***) In ulcerative colitis all of the following are true, except:

1. Arthritis may be present

2. Rectum is usually not involved

3. Steroids are used in the treatment

4. It is a pre-malignant condition

5. Toxic megacolon may occur

Answer: B* Rectum is usually not involved

***) Which of the following is true about ulcerative colitis:

1. D-penicillamine is an effective treatment

2. Rectum is involved in most cases

3. Fistula formation is a common problem

4. Skin lesion is characteristic

5. Inflammation involves all the layers of the colon even in early stages

Answer: B* Rectum is involved in most cases

***) Systemic complications of ulcerative colitis include all of the following, except:

1. Ankylosing spondylitis

2. Sclerosing cholangitis

3. Keratoderma blenorrhagica

4. Episcleritis

5. Pericarditis

Answer: C* Keratoderma blenorrhagica

***) Recognized complications of ulcerative colitis include all of the following, except:

1. Cholangitis

2. Arthropathy

3. Toxic megacolon

4. Increased incidence of carcinoma of colon

5. Erythema marginatum

Answer: E* Erythema marginatum

***) Complications of ulcerative colitis include:

1. Increased incidence of carcinoma of colon

2. Pyoderma gangrenosum

3. Arthropathy

4. Cholangitis

5. All of the above

Answer: E* All of the above

***) Definite diagnosis of inflammatory bowel diseases by:

1. History

2. Clinical and rectal examination

3. Colonoscopic findings

4. Abdominal ultrasound

5. Histopathology

Answer: C* Colonoscopic findings

***) All of the following symptoms are associated with ulcerative colitis, except:

1. Heartburn

2. Bloody diarrhea

3. Abdominal pain

4. Fatigue

5. Weight loss and anemia

Answer: A* Heartburn

***) All of the following investigations are beneficial in the diagnosis of ulcerative colitis, except:

1. Stool studies

2. Upper endoscopy

3. Colonoscopy

4. Abdominal X-Ray

5. Serologic studies (ANCA)

Answer: D* Abdominal X-Ray

***) All of the following complications are associated with ulcerative colitis, except:

1. Pyoderma gangrenosum

2. Uveitis

3. Primary sclerosing cholangitis

4. Vitamin B₁₂ deficiency

5. Renal stones

Answer: E* Renal stones

***) In long standing ulcerative colitis, all are seen except:

1. Shortening of bowel

2. Contracted, thickened mesentery

3. Large lymph nodal mass

4. Dull and grayish serosal surface

5. Perforation with abscesses along mesenteric margins

Answer: B* Contracted, thickened mesentery

***) Cigarette smoking is a risk factor for all of the following, except:

1. Emphysema

2. Peripheral vascular disease

3. Ischemic heart disease

4. Ulcerative colitis

5. Cancer of bladder

Answer: D* Ulcerative colitis

***) 70 years old male presented abdominal pain; on examination he has irregularly irregular pulse and bloody diarrhea. He gives history of CVA, peripheral vascular disease and MI. You must think of: Q2012

1. Ulcerative colitis

2. Pancreatitis

3. Inferior MI

4. Acute mesenteric ischemia

5. Diverticulitis

Answer: D* Acute mesenteric ischemia