WorksheetsIBD
Total questions: 8
Worksheet time: 5mins
How should oral prednisolone therapy be withdrawn in patients being treated for ulcerative colitis or Crohn’s disease?
Between 6-8 weeks
Between 1-3 weeks
Between 9-10 weeks
Between 11-12 weeks
Between 4-5 weeks
When azathioprine is co-prescribed with allopurinol, by how much should the dose of azathioprine be reduced?
Reduce by 75%
Reduce by 10%
Reduce by 25%
Reduce by 15%
Reduce by 20%
Why is it important to maintain patients on the same brand of mesalazine?
What is the most appropriate answer?
The brand indicates the form of medication
Different brands have different release profile of mesalazine
Different brands contain different salts of mesalazine
Different brands have different side effects
Different brands have different bioavailability
Which of the following pre-treatment screening checks are required when a patient is initiated on infliximab?
Tuberculosis
Hepatitis B and C
Varicella zoster
Pneumococcal infection
HIV
Which scoring system is used to assess symptom severity in ulcerative colitis?
Child-Pugh Score
Wells Score
Crohn’s Disease Activity Index
Harvey-Bradshaw Index
Truelove and Witt’s Index
A 56 year old male patient weighing 65kg has been admitted to hospital with a flare-up of ulcerative colitis. He has blood in this stools and has more than 6 bowel movements per day. The doctor wants to prescribe VTE prophylaxis for this patient.
What is the most appropriate answer?
eGFR>90
Platelets 258 x109/L (150-450 x109/L)
Hold enoxaprin until flare-up has resolved
Give enoxaparin 40mg ONCE daily
Give enoxaparin 100mg ONCE daily
Hold enoxaparin for 3 days then give enoxaparin 20mg ONCE daily
Give aspirin 75mg ONCE daily
When should azathioprine or mercaptopurine be stopped and experts advice obtained?
WBC <4x109L-1
Neutrophils <2x109L-1
Platelets <150x109L-1
AST >3xULN
ALT >3xULN
A 31 year old male patient has been newly started on azathioprine for ulcerative colitis. He has been prescribed azathioprine 100mg ONCE daily. The doctor asks you to review this medication.
WBC 9 x109/L (5-10 x109/L)
Platelets 355 x109/L (150-450 x109/L)
ALT 25 IU/L (<50 IU/L)
TPMT 55 mU/L (68-150 mU/L)
What is the most appropriate advise to give to the doctor?
Reduce the daily dose by half
Increase the daily dose by half
Keep the dose the same
Reduced daily dose by 25%
Increase daily dose by 25%
