IBD IBD Diagnosis and Imaging 2

Question 1

The 'string sign of Kantor' on barium follow-through indicates which Crohn's disease complication?

Accepted Answer

Fibrostenotic stricture of the terminal ileum

Answer

Active mucosal ulceration

Answer

Fistula formation

Answer

Mesenteric lymphadenopathy

Question 2

Which endoscopic scoring system is most widely used to assess Crohn's disease activity?

Accepted Answer

Crohn's Disease Endoscopic Index of Severity (CDEIS)

Answer

Mayo Score

Answer

Baron Score

Answer

Schroeder Score

Question 3

On MR enterography, which finding indicates active transmural Crohn's disease inflammation?

Accepted Answer

Mural hyperenhancement and increased T2 signal (mural edema)

Answer

T1 hypointense signal only

Answer

Loss of haustra formation

Answer

Absent mucosal folds

Question 4

Wireless capsule endoscopy in IBD is CONTRAINDICATED in which situation?

Accepted Answer

Known or suspected small bowel stricture

Answer

Active rectal bleeding

Answer

Prior abdominal surgery

Answer

Iron deficiency anemia

Question 5

The Harvey-Bradshaw Index (HBI) is a clinical tool used to measure disease activity in which IBD condition?

Accepted Answer

Crohn's disease

Answer

Ulcerative colitis

Answer

Microscopic colitis

Answer

Pouchitis

Question 6

Which laboratory finding is most characteristic of active Crohn's disease affecting the terminal ileum?

Accepted Answer

Vitamin B12 deficiency and macrocytic anemia

Answer

Elevated direct bilirubin

Answer

Hypercalcemia

Answer

Elevated amylase