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

In pediatric Crohn's disease, EEN achieves remission rates comparable to corticosteroids while promoting linear growth and mucosal healing without steroid side effects.

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

Mediterranean diet patterns are associated with reduced IBD flare risk and inflammatory markers through anti-inflammatory omega-3s, polyphenols, and prebiotic fiber.

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

Low FODMAP reduces fermentable carbohydrates that cause IBS-like functional symptoms (bloating, gas, pain) in IBD patients who are in endoscopic remission but have persistent GI symptoms.

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

Vitamin D modulates innate and adaptive immunity, and deficiency is associated with increased IBD disease activity; supplementation may reduce relapse risk in deficient patients.

Question 5

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

Accepted Answer

Vitamin B12 (cobalamin)

Answer

Terminal ileal Crohn's disease impairs intrinsic factor-mediated vitamin B12 absorption, requiring intramuscular or high-dose oral B12 supplementation.

IBD - Inflammatory Bowel Disease Practice Test

IBD - Inflammatory Bowel Disease Practice Test

IBD IBD Nutrition and Lifestyle