IBD Correlates with Stress Quiz
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Questions and Answers

Which of the following is NOT a proposed etiology underlying the development of inflammatory bowel disease (IBD)?

  • Autoimmune factors (correct)
  • Lifestyle factors
  • Genetic factors
  • Infectious factors

What is the bimodal distribution of age in IBD cases?

  • Middle-aged and elderly individuals
  • Children under 5 and adults over 60
  • Infants and the elderly
  • Adolescents and young adults (correct)

Which genetic polymorphism is involved in pathogen recognition and increases the risk of Crohn’s disease by up to 40 times?

  • OCTN1
  • IL-1B
  • Autophagy system
  • NOD2 (correct)

What factor potentially leads the gastrointestinal tract to lose tolerance to normal flora in inflammatory bowel disease?

<p>Dysbiosis (C)</p> Signup and view all the answers

What region has the highest incidence rate of ulcerative colitis (UC)?

<p>Northern Europe (C)</p> Signup and view all the answers

What percentage of patients on chronic corticosteroids require surgery within 1 year?

<p>38% (A)</p> Signup and view all the answers

What is a common extraintestinal manifestation of IBD?

<p>Joint pain (A)</p> Signup and view all the answers

Which of the following is NOT a lifestyle-related etiology of IBD according to the text?

<p>Antibiotics (D)</p> Signup and view all the answers

What is a potential severe complication of Ulcerative Colitis?

<p>Toxic megacolon (C)</p> Signup and view all the answers

What is a consequence of the breakdown of the intestinal wall and epithelial barrier in the context of inflammatory bowel disease?

<p>Increased susceptibility to microbiome (D)</p> Signup and view all the answers

Which of the following is a common clinical feature of both Ulcerative Colitis and Crohn's Disease?

<p>Rectal bleeding (B)</p> Signup and view all the answers

What diagnostic test is commonly used to visualize the colon in patients with suspected IBD?

<p>CT abdomen (A)</p> Signup and view all the answers

Which cell type plays a role in inducing cell-mediated immunity in Crohn’s disease?

<p>Th1 cells (D)</p> Signup and view all the answers

Which of the following is NOT an extraintestinal manifestation associated with IBD?

<p>Anemia (B)</p> Signup and view all the answers

What is a common feature of inflammatory bowel disease (IBD) related to cytokine dysregulation?

<p>Elevated levels of various cytokines (D)</p> Signup and view all the answers

Which immune cells are commonly found infiltrating the intestinal epithelium in inflammatory bowel disease?

<p>B and T cells (D)</p> Signup and view all the answers

What effect does a reduction in Paneth cell defensin secretion have on the inflammatory response in the context of IBD?

<p>Enhances inflammatory response (D)</p> Signup and view all the answers

In inflammatory bowel disease, what is a major consequence of prolonged inflammation leading to epithelial injury?

<p>Development of erosions and ulcerations (A)</p> Signup and view all the answers

Which tool is used to determine the severity of Crohn's Disease?

<p>Crohn's Disease Activity Index (D)</p> Signup and view all the answers

What is considered a clinical remission in Crohn's Disease according to the text?

<p>Harvey Bradshaw Index &lt;4 (D)</p> Signup and view all the answers

What does systemic toxicity refer to in the context of Crohn's Disease severity?

<p>Fever, rigors (D)</p> Signup and view all the answers

Which imaging technique is considered superior for detecting small bowel pathology?

<p>Video capsule endoscopy (A)</p> Signup and view all the answers

What is considered a key feature that helps differentiate between Ulcerative Colitis (UC) and Crohn's Disease (CD)?

<p>Localized symptoms (C)</p> Signup and view all the answers

In the context of Crohn's Disease, what does a Harvey Bradshaw Index reduction by 3 points indicate?

<p>Clinical response to treatment (D)</p> Signup and view all the answers

What is the main difference in the clinical presentation between Ulcerative Colitis (UC) and Crohn's Disease (CD)?

<p>UC presents with anemia, while CD presents with vitamin deficiencies. (A)</p> Signup and view all the answers

What is a significant difference in the distribution of disease between Distal and Extensive Ulcerative Colitis?

<p>Distal UC is limited to areas distal to the splenic flexure, while Extensive UC involves areas proximal to the splenic flexure. (A)</p> Signup and view all the answers

Which of the following factors is NOT considered a poor prognostic factor for Ulcerative Colitis?

<p>Mild clinical signs/symptoms (A)</p> Signup and view all the answers

What is a characteristic feature of Crohn's Disease when observed endoscopically?

<p>&quot;Cobblestone&quot; appearance (B)</p> Signup and view all the answers

Which diagnostic test plays a crucial role in differentiating between Crohn's Disease and other conditions?

<p>Biopsy (A)</p> Signup and view all the answers

What is the most common clinical presentation in patients with Colonic Crohn's Disease?

<p>Diarrhea and abdominal pain (D)</p> Signup and view all the answers

What is the therapeutic target of Aminosalicylates (ASA)?

<p>Cyclooxygenase, Lipoxygenase, etc. (C)</p> Signup and view all the answers

Which drug class targets Janus kinase family of enzymes (JAKs)?

<p>JAK Inhibitors (A)</p> Signup and view all the answers

What is the key structure targeted by Anti-TNFα antibody drugs?

<p>TNFα (B)</p> Signup and view all the answers

Which drug is a representative of the Antimicrobials drug class?

<p>Metronidazole (C)</p> Signup and view all the answers

What is the therapeutic target of JAK Inhibitors like Tofacitinib and Upadacitinib?

<p>Janus kinase family of enzymes (JAKs) (B)</p> Signup and view all the answers

Which drug class targets α4-integrins?

<p>Immunosuppressants (C)</p> Signup and view all the answers

Which drug class does Mesalamine belong to?

<p>Aminosalicylates (ASA) (A)</p> Signup and view all the answers

What is the key therapeutic target of Infliximab?

<p>TNFα (D)</p> Signup and view all the answers

Which part is considered the most important sub-structure in Ozanimod?

<p>sphingosine-1-phosphate receptor (S1PR) (B)</p> Signup and view all the answers

What is the therapeutic target of Ustekinumab?

<p>IL-12, IL-23 (B)</p> Signup and view all the answers

To which drug class do cyclosporine, MTX, and mercaptopurine belong?

<p>Immunosuppressant (C)</p> Signup and view all the answers

Which chemical bond in Sulfasalazine needs to be broken for it to be converted to its active form?

<p>Ester bond (C)</p> Signup and view all the answers

Which of the following enzymes is targeted by Mercaptopurine (6-MP) as a pro-drug?

<p>Hypoxanthineguanine phosphoribosyltransferase (HGPRT) (B)</p> Signup and view all the answers

What is the key therapeutic target of Corticosteroids like Budesonide?

<p>Glucocorticoid receptors (A)</p> Signup and view all the answers

Which molecule do JAK Inhibitors like Tofacitinib target?

<p>Janus kinase family of enzymes (JAKs) (A)</p> Signup and view all the answers

What is the therapeutic target of Anti-TNFα antibodies like Infliximab?

<p>Tumor necrosis factor alpha (TNFα) (D)</p> Signup and view all the answers

In which organ is unformulated mesalamine primarily absorbed?

<p>Small intestine (A)</p> Signup and view all the answers

What is the main focus of learning objectives in the context of IBD medicinal chemistry?

<p>Recognizing key chemical structure features of drug classes for IBD treatment (A)</p> Signup and view all the answers

For a pro-drug used in IBD treatment, how is it typically converted to its active form?

<p>By hydrolysis to release the active compound (D)</p> Signup and view all the answers

In the context of IBD medicinal chemistry, what does a structure-activity relationship refer to?

<p>The interplay between drug structure and its pharmacological activity (A)</p> Signup and view all the answers

Which chapter of Foye’s Principles of Medicinal Chemistry would be most relevant for learning about Tumor Necrosis Factor Blockers?

<p>Chapter 31, Section Immunosuppressants (B)</p> Signup and view all the answers

What aspect of IBD drug metabolism is key in determining potential therapeutic or toxicity responses?

<p>The pathway of biotransformation in the liver (A)</p> Signup and view all the answers

What is the target of Mercaptopurine (6-MP) in drug interactions with other purine analogs?

<p>Dihydrofolate reductase (B)</p> Signup and view all the answers

Which drug class targets Cyclophilin as part of its mechanism of action?

<p>Immunosuppressants (A)</p> Signup and view all the answers

What is the therapeutic target of Sulfasalazine in the context of drug classes?

<p>Multiple targets (B)</p> Signup and view all the answers

Among the following, which drug class inhibits CYP2C9 and CYP3A4?

<p>Antimicrobials (D)</p> Signup and view all the answers

What is the target structure of Ustekinumab among the drug classes mentioned?

<p>IL-12, IL-23 (B)</p> Signup and view all the answers

Which key structure is targeted by Ozanimod within the S1P Receptor Modulators drug class?

<p>sphingosine-1phosphate receptor (S1PR) (C)</p> Signup and view all the answers

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