Gastroenterology & Hepatology — Flashcards

Flashcard 711: _____ is a relapsing-remitting inflammatory bowel disease that involves full-thickness inflammation from the mouth to the anus

Answer: Crohn's disease

Flashcard 712: _____ is the most common type of anorectal abscess

Answer: Perianal abscess

Flashcard 713: The cause of ulcerative colitis is unknown, but there is a strong _____

Answer: genetic susceptibility

Flashcard 714: Flares of ulcerative colitis: _____: < 4 stools daily, no more than small amounts of blood + no systemic disturbance + normal CRP/ESR Moderate: 4-6 stools daily + minimal systemic disturbance Severe: > 6 stools daily, visible blood + evidence of systemic disturbance

Answer: Mild

Flashcard 715: What is the management for maintaining remission in severe ulcerative colitis? _____ or mercaptopurine

Answer: Azathioprine

Flashcard 716: Which inflammatory bowel disease is associated with a "lead pipe" appearance of the colon on AXR following barium enema? _____

Answer: Ulcerative colitis → loss of haustra

Flashcard 717: Small bowel obstruction presents with _____ in complete obstruction

Answer: absolute constipation

Flashcard 718: What is the management of perianal fistulae? First-line: _____ Second-line: Surgical - fistulotomy, seton placement

Answer: Metronidazole

Flashcard 719: What is the investigation of choice for severe colitis in ulcerative colitis? _____

Answer: Flexible sigmoidoscopy

Extra: In toxic megacolon (a complication of severe colitis), the initial investigation is an abdominal X-ray.

Flashcard 720: What is the most common surgery for Crohn's disease?

Answer: Ileocecal resection is the most common surgical procedure performed for Crohn's disease, typically indicated for terminal ileitis or complications like strictures and fistulas.