Ulcerative Colitis

What percent of patients with ulcerative colitis have a positive family history of the disease?
1. 5%
2. 10%
3. 15%
4. 25%
What types of patients DO NOT have an increased risk for ulcerative colitis?
1. Ankylosing spondylitis
2. Family history of UC
3. HLA-C35
4. Uveitis
Approximately what percent of patients with ulcerative colitis develop the disease in childhood?
1. 5%
2. 10%
3. 15%
4. 25%
How much more likely are Jews to develop ulcerative colitis and non Jews?
1. 3-fold increase
2. 6-fold increase
3. 10-fold increase
In what percent of patients with ulcerative colitis is there rectal involvement?
1. 50%
2. 75%
3. 85%
4. 95%
What is the most characteristic microscopic feature of ulcerative colitis?
1. Giant cell infiltrate
2. Crypt abscess
3. Thumbprinting
4. Submucosal fibrosis
What disease is toxic megacolon associated with most commonly?
1. Ulcerative colitis
2. Hirschsprung's Disease
3. Crohn's disease
4. Ogilvie's syndrome
In what percentage of patients with ulcerative colitis is there a single attack with complete remission?
1. Under5%
2. Under 10%
3. 15%
4. 25%
In what percentage of patients with ulcerative colitis is the onset fulminant and acute, with profuse bloody diarrhea, severe cramps, fever, and occasionally sepsis?
1. 5%
2. 10%
3. 15%
4. 25%
What percentage of children of ulcerative colitis will require surgical resection?
1. 15%
2. 30%
3. 60%
4. 85%
What is the incidence of cancer of the rectum in the first 10 years of the ulcerative colitis?
1. Under 5%
2. 10%
3. 15%
4. 25%
In which patients with ulcerative colitis is the risk of cancer of the highest?
1. Pancolitis
2. Dysplasia on biospy
3. Those with frequent flare ups
4. Childhood onset of disease
5. All of the above
Which is the most common extracolonic manifestations of ulcerative colitis?
1. Arthralgias
2. Nephrolithiasis
3. Uveitis
4. Osteomalacia
What are the typical levels of growth hormone seen in patients with ulcerative colitis?
1. Elevated
2. Normal
3. Decreased
Tor F: arthralgias in ulcerative colitis almost always develop a few months or years AFTER the onset of intestinal symptoms??
1. True
2. False
T or F: contrast enema may stimulate an exacerbation of ulcerative colitis?
1. True
2. False
What is responsible for the radiographic sign of thumbprinting in UC?
1. Pseudopolyps
2. Area between pseudopolyps
3. Linear ulcers
4. Mucosal edema
Which of the following is used for maintaince therapy for ulcerative colitis?
1. Steroids
2. Rowasa enemas
3. 6 - Mercaptopurine
4. CSA
Which is TRUE regarding the effect of TPN on the course of ulcerative colitis?
1. Decreases clinical symptoms
2. Alters course of the disease
3. No effect on surgical risk
4. May lead to decreased N 2 balance
T or F: If growth failure is the indication for operation in ulcerative colitis, it should be delayed until the epiphyses are closed?
1. True
2. False
What is NOT part of the surgical treatment of ulcerative colitis?
1. Mucosal proctectomy
2. Endorectal pullthrough
3. S-pouch creation
4. Total colectomy
What length of rectal muscle must be preserved in order to allow the anal sphincter resting pressure and squeeze pressure to approach normal values within 6 weeks after surgery?
1. 1 - 2 cm
2. 4 cm
3. 6 cm
4. 8 cm
What is the most common complication after endorectal pull through for ulcerative colitis?
1. Chronic pouchitis
2. Obstruction
3. Leak
4. Bleeding
True or false: in endorectal pullthrough for ulcerative colitis, complications are decreased when a short rectal muscle cuff is used, a short ileal reservoir is used, and a short ileal spout is used as well as removal of all rectal mucosa down to the dentate line?
1. True
2. False

Ulcerative Colitis

Quiz