ULCERATIVE COLITIS AND CROHNS DISEASE

. ______________ affects the inner layer of the intestinal lining.*

Ulcerative colitis

A patient has the following signs and symptoms: abdominal cramping which is mainly located in the right lower side, ulcers in the mouth, bleeding anal fissure, and diarrhea. Based on the patient's signs and symptoms, which disease does this describe?*

Crohn's Disease.

______________ is most commonly found in the terminal ileum and beginning of the colon.*

Crohn's Disease.

A patient with severe ulcerative colitis had a barium enema. Which finding is associated with this disease?* A. Cobble-stone appearance of the colon B. Cullen's Sign C. Lead-Pipe Sign D. McBurney's Sign

The answer is C. In severe cases of ulcerative colitis, the haustra (which are the pouches of the large intestine that churn food) will lose their form. On a barium enema, the large intestine will appear as a smooth organ (hence a lead pipe) rather than a unique organ with the pouches.

Which of the following is NOT a potential complication associated with ulcerative colitis?* A. Toxic megacolon B. Anemia C. Stricture D. Peritonitis

The answer is C. Strictures are a common complication found in CROHN'S DISEASE not ulcerative colitis.

Which type of bowel disease is most likely to cause severe malnourishment?*

The answer is Crohn's Disease. Remember Crohn's is most likely to affect the small intestine which is responsible for absorbing the nutrients from food. If the small intestine is inflamed it can NOT work properly...therefore there is a major risk of malnourishment issues.

A patient had a colonoscopy which showed a "cobble-stone" appearance of the GI lining. This is found in:*

The answer is Crohn's Disease. The reason for the "cobble-stone" appearance is because with Crohn's Disease there will be healthy areas of lining with diseased lining. This will give it a cobble-stone appearance. In ulcerative colitis, the diseased areas are continuous and there are not areas of healthy lining with diseased.

True or False: Crohn's Disease and ulcerative colitis are two forms of IBS (irritable bowel syndrome).*

The answer is FALSE: Crohn's Disease and ulcerative colitis are two forms of IBD (INFLAMMATORY BOWEL DISEASE)....NOT IBS which is irritable bowel syndrome.

Select ALL the options below that are similarities between ulcerative colitis and Crohn's Disease:* A. Each cause inflammation B. Both affect the serosa layer C. Each are found from the mouth to anus D. They both increase colon cancer risk E. The cause of both is unknown F. The cure for both diseases includes total colectomy

The answers are A, D, and E. Options B and C are found only in Crohn's Disease. Option F pertains to ulcerative colitis...there is NO cure for Crohn's Disease.

Select-ALL-the complications associated with Crohn's Disease:* A. Loss of form to the haustra B. Fistulas C. Strictures D. Hemorrhoids E. Anal Fissure

The answers are B, C, and E. Loss of form to the haustra is found in ulcerative colitis. Hemorrhoids is not a common complication in either Crohn's or ulcerative colitis.

Which medications are used in the treatment of Crohn's Disease and ulcerative colitis? SELECT-ALL-THAT-APPLY:* A. Guanylate Cyclase-C agonists B. Anticholinergics C. 5-Aminosalicylates D. Antacids E. Corticosteroids F. Immune suppressors

The answers are C, E, and F. 5-Aminosalicylates, corticosteroids, and immune suppressors drugs are used to treat Crohn's Disease and ulcerative colitis.

A patient has the following symptoms: urgent and frequent bowel movements of diarrhea that contains blood with pus and mucous, low hemoglobin/hematocrit, potassium level of 2.0. Based on the patient's signs and symptoms, which disease does this describe?*

Ulcerative colitis.

Which bowel disease starts in the rectum and migrates in a continuous fashion throughout the colon?*

Ulcerative colitis.