IBD IBD Nutrition and Lifestyle

Question 1

Exclusive enteral nutrition (EEN) in pediatric Crohn's disease is considered equivalent to which treatment for inducing remission?

Accepted Answer

Corticosteroids

Answer

Biologics

Answer

Antibiotics

Answer

Azathioprine

Question 2

Which dietary pattern has the most evidence for reducing IBD flare risk in clinical studies?

Accepted Answer

Mediterranean diet (high fiber, omega-3s, fruits, vegetables, olive oil)

Answer

Carnivore diet (animal products only)

Answer

Low FODMAP diet as primary IBD therapy

Answer

Gluten-free diet without celiac disease

Question 3

The low FODMAP diet is most appropriately used in IBD to manage which condition?

Accepted Answer

Concurrent irritable bowel syndrome (IBS)-like symptoms in IBD remission

Answer

Active mucosal inflammation

Answer

Nutritional deficiencies from malabsorption

Answer

Corticosteroid-induced hyperglycemia

Question 4

Vitamin D deficiency in IBD patients is clinically significant because vitamin D plays which role beyond bone health?

Accepted Answer

It has immunomodulatory effects, and deficiency is associated with increased IBD disease activity and flare risk

Answer

It prevents anemia of chronic disease

Answer

It directly inhibits TNF-α production

Answer

It enhances mesalamine absorption

Question 5

Which micronutrient deficiency is most common in patients with Crohn's disease affecting the terminal ileum?

Accepted Answer

Vitamin B12 (cobalamin)

Answer

Vitamin C

Answer

Niacin

Answer

Riboflavin

Question 6

Parenteral nutrition (PN) in IBD is used primarily for which indication?

Accepted Answer

Severe malnutrition, high-output fistulas, or short bowel syndrome where enteral feeding is not tolerated

Answer

Routine supplementation during mild flares

Answer

Weight management in obese IBD patients

Answer

Pre-biologic optimization in all patients