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A series of multiple choice questions and answers focusing on crohn's disease, a chronic inflammatory bowel disease. it covers various aspects of the disease, including symptoms, diagnosis, treatment, and complications. The questions are designed to test understanding of key concepts related to crohn's disease and its management. the detailed answers offer valuable insights into the pathophysiology and clinical presentation of the condition, making it a useful resource for students of nursing and medicine.
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c) Diuretics d) Corticosteroids -- Correct Answer โโ d) Corticosteroids The nurse obtains a history of immunizations, recent and past infectious diseases, and recent exposure to infectious diseases. The nurse reviews the client's drug history because certain drugs, such as corticosteroids, suppress the inflammatory and immune responses. Nonsteroidal anti-inflammatory medication does not suppress the inflammatory and immune responses of Crohn's disease. An ACE-I prevents the conversion of angiotensin I to angiotensin II and does not suppress the inflammatory or immune response. Diuretics also do not suppress the immune response but help reduce excess fluid from the kidneys.
c) Cobblestone d) Triangular -- Correct Answer โโ c) Cobblestone A characteristic feature of Crohn disease is the sharply demarcated, granulomatous lesions that are surrounded by normal-appearing mucosal tissue. When there are multiple lesions, they are often referred to as "skip lesions" because they are interspersed between what appear to be normal segments of the bowel. The surface of the inflamed bowel usually has a characteristic "cobblestone" appearance resulting from the fissures and crevices that develop, surrounded by areas of submucosal edema.
in his elbows and knees. Sigmoidoscopy reveals discontinuous, granulomatous lesions; no blood is detected in his stool. Which diagnosis would his care team first suspect? a) Crohn disease b) Ulcerative colitis c) Diverticulitis d) Colon cancer -- Correct Answer โโ a) Crohn disease Crohn disease, like ulcerative colitis, causes diarrhea, fecal urgency, weight loss, and systemic symptoms such as erythema nodosum and arthritis. Unlike ulcerative colitis, it also causes steatorrhea but is not as likely to cause blood in the stool. The granulomatous "skip" lesions confirm the diagnosis of Crohn disease. Neither diverticulitis nor colon cancer would cause this combination of symptoms and signs.
d) Decreased bleeding tendency -- Correct Answer โโ b) Inflammatory suppression Treatment methods focus on terminating the inflammatory response and promoting healing, maintaining adequate nutrition, and preventing and treating complications. Several medications have been successful in suppressing the inflammatory reaction, including corticosteroids, sulfasalazine, metronidazole, azathioprine, 6-mercaptopurine, methotrexate, and infliximab.
e) Intestinal obstruction -- Correct Answer โโ a) Crohn disease b) Ulcerative colitis c) Lactase deficiency d) Fecal impaction All of the disorders except intestinal obstruction will result in chronic diarrhea.
d) Mesalamine -- Correct Answer โโ a) Salsalate Salsalate is used to treat pain, fever, and inflammation in adults. Balsalazide can be used to treat mild to moderate acute ulcerative colitis in adults. Olsalazine can be used to treat ulcerative colitis and other inflammatory bowel diseases in adults. Mesalamine is used to treat ulcerative colitis and other inflammatory bowel diseases in adults.