IBD Quiz: Crohn's Or Ulcerative Colitis?

1. True or False: Ulcerative colitis can involve the small intestine.

True

False

2. A nursing diagnosis for a patient in acute exacerbation of IBD should include:

Ineffective coping related to chronic disease

Diarrhea related to intestinal inflammation

Knowledge deficit regarding medication

Risk for social isolation

3. Crohn's disease patients have increased risk of ______ deficiency due to malabsorption.

Vitamin B12

Iron

Folate

All of the above

4. Which extraintestinal manifestation of Crohn's disease is independent of disease activity?

Arthritis

Ankylosing spondylitis

Pyoderma gangrenosum

Aphthous ulcers

5. A patient with long-standing ulcerative colitis undergoes total proctocolectomy with ileal pouch-anal anastomosis (IPAA). What is the expected outcome?

Permanent cure with normal bowel function

Cure of ulcerative colitis with 4-6 bowel movements daily

Risk of pouchitis and Crohn's recurrence

Permanent ileostomy required

6. Which first-line medication reduces inflammation and maintains remission in both Crohn's and ulcerative colitis?

Corticosteroids

5-ASA compounds

Antibiotics

Immunosuppressants

7. A patient presents with diarrhea, abdominal cramping, and blood in stool. Labs show elevated CRP and ESR. Which IBD is most likely?

Crohn's disease with colonic involvement

Ulcerative colitis

Crohn's disease of small intestine

Both equally likely

8. True or False: Proctocolectomy is curative for Crohn's disease.

True

False

9. True or False: Toxic megacolon is a life-threatening complication of ulcerative colitis.

True

False

10. True or False: Crohn's disease has a continuous pattern of inflammation throughout the colon.

True

False

11. Which inflammatory bowel disease affects the entire thickness of the bowel wall?

Ulcerative colitis

Crohn's disease

Irritable bowel syndrome

Diverticulitis

12. Which dietary component should be restricted in acute exacerbations of inflammatory bowel disease?

Protein

Fiber and high-fat foods

Carbohydrates

Minerals

13. A patient with Crohn's disease develops severe abdominal pain and fever. CT imaging shows fistula formation. What is the primary nursing concern?

Fluid and electrolyte imbalance

Risk of sepsis and infection

Nutritional deficiency

Medication side effects

14. Which finding on biopsy is pathognomonic for ulcerative colitis?

Crypt distortion with preserved muscularis mucosae

Noncaseating granulomas

Transmural inflammation

Skip lesions

15. Ulcerative colitis patients are at increased risk for which malignancy after 8-10 years of disease?

Gastric cancer

Pancreatic cancer

Colorectal cancer

Hepatocellular carcinoma

16. Which medication is a TNF-alpha inhibitor used for both Crohn's and ulcerative colitis?

Mesalamine

Infliximab

Corticosteroids

Azathioprine

17. A patient with Crohn's disease has a history of recurrent fistulas and abscesses. Which complication is most likely?

Toxic megacolon

Transmural inflammation

Pseudopolyps

Continuous involvement

18. Which extraintestinal manifestation is more common in ulcerative colitis?

Erythema nodosum

Fistula formation

Strictures

Perianal disease

19. A patient with Crohn's disease presents with cobblestone appearance on endoscopy. This finding is characteristic of which pathological feature?

Superficial mucosal ulceration

Transmural inflammation with skip lesions

Continuous mucosal involvement

Crypt abscess formation

20. Ulcerative colitis is limited to which part of the gastrointestinal tract?

Stomach and duodenum

Small intestine only

Colon and rectum

Entire GI tract

IBD Quiz: Crohn's or Ulcerative Colitis?

1. True or False: Ulcerative colitis can involve the small intestine.

2.

What first name or nickname would you like us to use?

2. A nursing diagnosis for a patient in acute exacerbation of IBD should include:

3. Crohn's disease patients have increased risk of ______ deficiency due to malabsorption.

4. Which extraintestinal manifestation of Crohn's disease is independent of disease activity?

5. A patient with long-standing ulcerative colitis undergoes total proctocolectomy with ileal pouch-anal anastomosis (IPAA). What is the expected outcome?

6. Which first-line medication reduces inflammation and maintains remission in both Crohn's and ulcerative colitis?

7. A patient presents with diarrhea, abdominal cramping, and blood in stool. Labs show elevated CRP and ESR. Which IBD is most likely?

8. True or False: Proctocolectomy is curative for Crohn's disease.

9. True or False: Toxic megacolon is a life-threatening complication of ulcerative colitis.

10. True or False: Crohn's disease has a continuous pattern of inflammation throughout the colon.

11. Which inflammatory bowel disease affects the entire thickness of the bowel wall?

12. Which dietary component should be restricted in acute exacerbations of inflammatory bowel disease?

13. A patient with Crohn's disease develops severe abdominal pain and fever. CT imaging shows fistula formation. What is the primary nursing concern?

14. Which finding on biopsy is pathognomonic for ulcerative colitis?

15. Ulcerative colitis patients are at increased risk for which malignancy after 8-10 years of disease?

16. Which medication is a TNF-alpha inhibitor used for both Crohn's and ulcerative colitis?

17. A patient with Crohn's disease has a history of recurrent fistulas and abscesses. Which complication is most likely?

18. Which extraintestinal manifestation is more common in ulcerative colitis?

19. A patient with Crohn's disease presents with cobblestone appearance on endoscopy. This finding is characteristic of which pathological feature?

20. Ulcerative colitis is limited to which part of the gastrointestinal tract?