Psychological Etiology and Lifestyle Factors in IBD Progression Quiz
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Questions and Answers

Which of the following best describes the proposed etiologies underlying the development of inflammatory bowel disease (IBD)?

  • Infectious, lifestyle, genetic, and immunologic
  • Genetic, infectious, immunologic, psychological, lifestyle, dietary, and medications (correct)
  • Surgical, dietary, genetic, and infectious
  • Lifestyle, dietary, medications, immunologic, and surgical
  • What is the bimodal distribution of age seen in inflammatory bowel disease (IBD) epidemiology?

  • Children and adolescents
  • Young adults and elderly
  • Adolescents and young adults (correct)
  • Elderly and children
  • Which genetic polymorphism is involved in pathogen recognition and increases the risk of Crohn’s disease (CD)?

  • OCTN1
  • IL-1B
  • NOD1
  • NOD2 (correct)
  • What is dysbiosis in the context of inflammatory bowel disease (IBD)?

    <p>Increased bacteria promoting inflammation in the GI tract</p> Signup and view all the answers

    What is the approximate annual incidence rate of Crohn’s disease (CD) per 100,000 individuals?

    <p>6-15.5</p> Signup and view all the answers

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

    <p>50%</p> Signup and view all the answers

    What is a common clinical sign of Ulcerative Colitis severity?

    <p>Hematochezia</p> Signup and view all the answers

    Which factor is NOT considered a poor prognostic factor for Ulcerative Colitis?

    <p>High serum albumin</p> Signup and view all the answers

    What is a common clinical presentation of Crohn's Disease involvement in the colon?

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

    Which of the following is a characteristic of Crohn's Disease according to the text?

    <p>&quot;Cobblestone&quot; appearance in the intestines</p> Signup and view all the answers

    Which diagnostic method is NOT mentioned in the text for the diagnosis of inflammatory bowel diseases?

    <p>Blood pressure measurement</p> Signup and view all the answers

    What type of infection needs to be ruled out in patients with chronic inflammatory bowel diseases?

    <p>Parasitic infection</p> Signup and view all the answers

    Which tool helps determine remission in Crohn's Disease?

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

    What is the key difference between clinical response and clinical remission in Crohn's Disease?

    <p>Total score reduction by 3 points</p> Signup and view all the answers

    Which diagnostic tool is superior for detecting small bowel pathology?

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

    What does the Harvey Bradshaw Index measure in Crohn's Disease?

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

    In Crohn's Disease, what does a CDAI score less than 150 indicate?

    <p>Mild-Moderate severity</p> Signup and view all the answers

    What is one of the key consequences of a breakdown of the intestinal wall and epithelial barrier?

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

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

    <p>Fever and rigors</p> Signup and view all the answers

    What cell type shows a reduction in defensin secretion in the context of the text?

    <p>Paneth cells</p> Signup and view all the answers

    Which type of immune response is increased in Ulcerative Colitis (UC) according to the text?

    <p>Th2 induces humoral response</p> Signup and view all the answers

    What is one of the consequences of prolonged inflammation in IBD according to the text?

    <p>Epithelial injury</p> Signup and view all the answers

    What are the types of immune cells that infiltrate the intestinal epithelium in IBD?

    <p>Both innate and adaptive immune cells</p> Signup and view all the answers

    Which cytokine shows an increase in levels within the intestinal epithelium in IBD?

    <p>Tumor Necrosis Factor-alpha (TNF-alpha)</p> Signup and view all the answers

    Which is a local complication of Ulcerative Colitis?

    <p>Hemorrhoids</p> Signup and view all the answers

    What is a common extraintestinal manifestation of Inflammatory Bowel Disease (IBD)?

    <p>Erythema nodosum</p> Signup and view all the answers

    Which medication is associated with the Hygiene Hypothesis in relation to IBD?

    <p>Antibiotics</p> Signup and view all the answers

    What is a key feature that distinguishes Ulcerative Colitis from Crohn's Disease?

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

    Which of the following is an important vital sign to assess when suspecting Inflammatory Bowel Disease?

    <p>Heart rate</p> Signup and view all the answers

    Which diagnostic test is commonly used to assess patients with suspected Ulcerative Colitis?

    <p>Stool examinations</p> Signup and view all the answers

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