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Multiple Choice Questions (MCQ)


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Category: Surgery--->Colon, Rectum, and Anus
Page: 4

Question 16# Print Question

A 22-year-old woman presents to the clinic with a 3-year history of bloody diarrhea, abdominal pain, and anorectal fistulas. Her father had similar symptoms during his 20's and has had multiple abdominal surgeries. What is the percentage of patients with this disease who have family members with the same disease?

A. 5-10%
B. 10-20%
C. 10-30%
D. 20-40%


Question 17# Print Question

A 25-year-old man is undergoing workup to determine if he has ulcerative colitis, Crohn disease, or indeterminate colitis. What diagnostic findings would indicate that he has Crohn disease?

A. Atrophic mucosa, crypt abscesses, inflammatory pseudopolyps, scarred and shortened colon, continuous involvement of rectum and colon
B. Mucosal ulcerations, noncaseating granulomas, fibrosis, strictures, and fistulas in the colon with deep serpiginous ulcers
C. Atrophic mucosa, noncaseating granulomas, strictures, "cobblestone" appearance on endoscopy
D. Mucosal ulcerations, crypt abscesses, inflammatory pseudopolyps, continuous involvement of colon and rectum


Question 18# Print Question

What structures are most likely to be site of extracolonic disease in inflammatory bowel disease?

A. Liver, biliary tree, joints, skin, eyes
B. Biliary tree, lungs, heart, spleen
C. Joints, skin, biliary tree, bladder
D. Skin, liver, pancreas, joints, eyes


Question 19# Print Question

An 18-year-old woman is undergoing workup to determine if she has ulcerative colitis, Crohn disease, or indeterminate colitis. What diagnostic findings would indicate that she has ulcerative colitis?

A. Atrophic mucosa, crypt abscesses, inflammatory pseudopolyps, scarred and shortened colon, continuous involvement of rectum and colon
B. Mucosal ulcerations, noncaseating granulomas, fibrosis, strictures, and fistulas in the colon with deep serpiginous ulcers
C. Atrophic mucosa, noncaseating granulomas, strictures, "cobblestone" appearance on endoscopy
D. Mucosal ulcerations, crypt abscesses, inflammatory pseudopolyps, continuous involvement of colon and rectum


Question 20# Print Question

The goals of medical therapy for inflammatory bowel disease are to decrease inflammation and alleviate symptoms. Mild to moderate flares are treated in the clinic and more severe symptoms may require hospitalization. What is the first -line therapy for inflammatory bowel disease in the outpatient setting?

A. Salicylates, such as sulfasalazine and 5-acetyl salicylic acid
B. Antibiotics, such as metronidazole and fluoroquinolones
C. Corticosteroids
D. Azathioprine and 6-mercaptopurine




Category: Surgery--->Colon, Rectum, and Anus
Page: 4 of 8