IBD Qs

Don't get your bowels in an up roar. I will post answers from this article as soon as I can from So. Calif.
http://www.nursingcenter.com/prodev/ce_article.asp?tid=274692

1.
Which of the following is not a common symptom of IBD?
1. weight gain
2. abdominal pain
3. fatigue
4. GI bleeding

2.
Which of the following statements is correct about IBD?
1. Signs and symptoms are confined to the bowel.
2. Inflammation is uncommon.
3. Most patients with IBD are diagnosed in childhood.
4. It can affect most organ systems.

3.
Ulcerative colitis affects the
1. colon.
2. terminal ileum.
3. entire GI tract.
4. small intestine.

4.
Crohn's disease most often affects the
1. colon.
2. terminal ileum.
3. mouth.
4. stomach.

5.
Which statement about IBD is correct?
1. IBD is more common among males than females.
2. IBD is more common among black patients than whites.
3. About 15% of patients with IBD have a first-degree relative with IBD.
4. Most manifestations of IBD are extraintestinal.

6.
Which of the following statements is correct about EMs?
1. Most IBD patients have at least one EM.
2. Gastrointestinal symptoms always precede EMs.
3. EMs don't necessarily follow the same pattern of exacerbation and remission as GI symptoms.
4. EMs are most commonly associated with Crohn's disease confined to the small intestine.

7.
An example of an EM is
1. abdominal pain.
2. ankylosing spondylitis.
3. diarrhea.
4. fever.

8.
The most common oral manifestation of IBD is
1. aphthous ulceration.
2. lip swelling.
3. fissures.
4. gingivitis.

9.
The most common EMs associated with IBD are
1. osteoporosis and osteopenia.
2. pyoderma gangrenosum.
3. mouth lesions.
4. arthritis and arthralgia.

10.
Arthritis associated with IBD usually
1. is asymmetrical.
2. involves more than six joints.
3. causes progressive joint destruction.
4. flares up when bowel symptoms are in remission.

11.
Which of the following statements is correct about ankylosing spondylitis?
1. It's a well-known complication of corticosteroid use.
2. It may accompany ulcerative colitis but not Crohn's disease.
3. It's a chronic inflammatory disease of the axial skeleton.
4. It's treated with bisphosponates.

12.
A dual-energy X-ray absorptiometry scan may be indicated to check for
1. osteoporosis and osteopenia.
2. ankylosing spondylitis.
3. erythema nodosum.
4. renal complications.

13.
Erythema nodosum is characterized by
1. swollen tissue near the anus.
2. pus-filled abscesses.
3. painful, purplish nodules and pustules.
4. small, tender, reddened nodules under the skin.

14.
Which of the following statements is correct about pyoderma gangrenosum?
1. It's a common EM.
2. It's characterized by lesions confined to the back, arms, and abdomen.
3. It can leave disfiguring scars.
4. It's usually associated with Crohn's disease.

15.
To treat pyoderma gangrenosum, the provider may first prescribe
1. an immune modulating drug.
2. a topical corticosteroid.
3. a systemic corticosteroid.
4. an antibiotic.

16.
Fistulae are characterized by
1. areas of infection containing enteric organisms.
2. swollen tissue near the anus.
3. tunnels of inflamed tissue connecting the bowel to other internal organs.
4. inflammation of the uveal tract.

17.
Infliximab may be used to treat
1. abscesses.
2. fistulae.
3. skin tags.
4. pyoderma gangrenosum.

18.
Which EM can lead to blindness?
1. progressive uveitis
2. photophobia
3. episcleritis
4. conjunctivitis

19.
Primary sclerosing cholangitis is diagnosed by
1. cholangiography.
2. colonoscopy.
3. biopsy.
4. fecal occult blood testing.

20.
Pulmonary disease associated with IBD generally responds to
1. antibiotics.
2. corticosteroids.
3. iron supplementation.
4. surgery.

21.
Amyloidosis associated with Crohn's disease can lead to
1. portal hypertension.
2. renal insufficiency.
3. fibrosing inflammation of the bile ducts.
4. chronic bronchitis.

22.
The gold standard for diagnosing IBD is
1. endoscopy and biopsy.
2. erythrocyte sedimentation rate.
3. perinuclear antineutrophil cytoplasmic antibody test.
4. fecal occult blood test.

23.
Which of the following confirms Crohn's disease?
1. positive ASCA
2. elevated C-reactive protein
3. granuloma in the biopsy specimen
4. decreased erythrocyte sedimentation rate

24.
The first-line treatment for IBD is
1. infliximab.
2. oral prednisone.
3. cyclosporine.
4. 5-ASA.

25.
When moderate-to-severe symptoms first start, the provider may order
1. 5-ASA.
2. a corticosteroid.
3. an immune modulating agent.
4. a biological response modifier.

26.
Short-term adverse effects of oral prednisone include
1. weight loss.
2. dyspnea.
3. GI bleeding.
4. mood swings.

27.
Infliximab is a
1. corticosteroid.
2. immune modulating agent.
3. biological response modifier.
4. salicylate.

28.
Which of the following may be used to treat acute phases of disease that don't respond to I.V. steroids?
1. hydrocortisone
2. prednisone
3. cyclosporine
4. budesonide

29.
Which of the following is considered a cure for ulcerative colitis?
1. resection of small intestine
2. long-term infliximab therapy
3. endoscopy
4. total colectomy

30.
Teach a patient taking a corticosteroid to
1. stop taking the drug immediately if he has adverse reactions to it.
2. take the drug on an empty stomach.
3. wear a medical-alert tag.
4. use sunscreen to prevent sun damage.

31.
Tell the patient to undergo blood testing to screen for bone marrow suppression if he's taking
1. 5-ASA.
2. infliximab.
3. hydrocortisone.
4. mercaptopurine.