Practice Test GeeksIBD - Inflammatory Bowel Disease Practice Test
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Knowledge Flashcards

7 cards from real IBD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Knowledge flashcards as text

  1. Which of the following extraintestinal manifestations of IBD is classified as 'independent' of disease activity?

    Answer: Primary sclerosing cholangitis

    PSC runs an independent course from IBD activity, often progressing even after colectomy, unlike type 1 peripheral arthropathy which tracks with gut inflammation.

  2. What is the recommended first-line treatment for mild-to-moderate left-sided ulcerative colitis?

    Answer: Topical (rectal) mesalamine suppositories or enemas combined with oral mesalamine

    Combined topical and oral mesalamine is more effective than either alone and is the evidence-based first-line approach for left-sided UC.

  3. A patient with Crohn's disease develops a low-output enterocutaneous fistula after surgery. What is the initial management priority?

    Answer: Optimization of nutrition, skin care, control of sepsis, and delineation of anatomy

    The SNAP approach (Sepsis control, Nutrition, Anatomy definition, Procedure) guides initial fistula management before considering surgical or biologic intervention.

  4. In pediatric IBD, which pattern is more common compared to adult-onset IBD?

    Answer: More extensive disease at diagnosis, including pancolitis in UC and upper GI involvement in Crohn's

    Children with IBD typically present with more extensive disease; pediatric UC frequently involves the entire colon and pediatric Crohn's more often involves the upper GI tract.

  5. What is the role of fecal microbiota transplantation (FMT) in IBD as of current evidence?

    Answer: Promising experimental therapy with evidence in UC but not yet standard of care

    Multiple RCTs show FMT can induce remission in mild-to-moderate UC, but it lacks regulatory approval for IBD and is not yet standard of care.

  6. Which of the following best defines 'mucosal healing' as a treatment target in IBD?

    Answer: Endoscopic absence of ulceration and erosions with restored mucosal integrity

    Mucosal healing, defined endoscopically as absence of ulcers and erosions, is the key treat-to-target endpoint associated with improved long-term outcomes in IBD.

  7. Strictureplasty in Crohn's disease is performed primarily to achieve what goal?

    Answer: Widen a narrowed intestinal segment while preserving bowel length

    Strictureplasty widens fibrous strictures without resecting bowel, preserving intestinal length and reducing the risk of short bowel syndrome in patients with multiple Crohn's strictures.