INSTRUCTIONS Crohn disease: Recognition is key
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Crohn disease: Recognition is key
General Purpose: To provide information on the diagnosis and management of CD. Learning Objectives: After reading the preceding article and taking this test, you should be able to: 1. Identify the epidemiology, signs and symptoms, and complications of and risk factors for CD. 2. Discuss the diagnosis and the treatment of patients with CD.
- Which statement about CD is accurate?
- CD occurs primarily in people ages 40 to 50 years old.
- CD is an autoimmune disease.
- No familial trend has been identified for CD.
- CD is more common in the southern than in the northern part of the United States
- There is a higher incidence of CD in
- A factor that aggravates the course of CD is
- a diet lacking saturated fat.
- small, frequent meals.
- active smoking.
- Common symptoms of CD include
- pain before meals.
- weight gain.
- rectal bleeding.
- upper quadrant abdominal pain.
- Typically, CD may cause all of the following except
- fatty stools.
- fistula formation.
- Which of the following usually contributes the most to developing a working diagnosis of CD?
- family history
- pertinent clinical findings
- history of recent infection
- response to medication
- A common physical finding in CD is
- a positive McBurney sign.
- hyperactive BS.
- a positive psoas sign.
- bilateral LQ abdominal pain.
- A lab test that may be useful in differentiating CD from UC is
- liver function tests.
- a CBC.
- protein biomarkers.
- an ESR.
- First-line testing for the initial workup of CD includes
- a left lateral decubitus X-ray.
- upper and lower GI series.
- video capsule endoscopy.
- Which test is used when a diagnosis of appendicitis needs to be rapidly ruled out?
- flat and upright X-ray
- Bowel loop narrowing that may occur in CD is known as
- a positive string sign.
- skip lesion.
- Skip lesions are
- noncontinuous bowel lesions found in CD.
- precancerous lesions throughout the colon.
- classic findings of H. pylori infection.
- continuous disease involvement of the colon found in UC.
- The use of probiotics has been shown to
- control refractory diarrhea.
- reduce intestinal normal flora.
- inhibit prostaglandins.
- increase host vitality.
- Which drug suppresses T-cell activation?
- Patients receiving azathioprine must receive education about
- GI irritation and abdominal pain.
- increased susceptibility to infection and communicable disease prevention.
- dietary restrictions while taking the drug.
- increased risk of bleeding.
- Which drug category acts as antibodies to TNF?
- 5-aminosalicylic acids
- The authors suggest treating CD-associated arthritic joint pain with
- nonsteroidal anti-inflammatory drugs.
- Small areas of significant bowel narrowing are generally treated with a
- bowel resection.