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Gastroenterology · USMLE Step 1

USMLE Gastroenterology: Inflammatory Bowel Disease

Crohn disease and ulcerative colitis distinguishing features, complications, and extraintestinal manifestations tested on USMLE Step 1.

34 cards · basic cards · AI-written, checked twice. Edit anything.

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Which IBD can affect any part of the GI tract from mouth to anus?
Crohn disease
Which IBD is characterized by skip lesions (patchy, discontinuous areas of involvement)?
Crohn disease
What is the most commonly affected site in Crohn disease?
Terminal ileum
Crohn disease inflammation extends through which layers of the bowel wall?
All layers (transmural)
What mucosal appearance, resembling street paving stones, is seen in Crohn disease?
Cobblestone mucosa
What term describes mesenteric fat wrapping around the bowel wall in Crohn disease?
Creeping fat
What histologic hallmark, though not always present, is classic for Crohn disease?
Noncaseating granulomas
What radiographic sign on barium studies reflects a narrowed, strictured bowel segment in Crohn disease?
String sign
Which IBD is more commonly associated with fistula formation?
Crohn disease
Which IBD more commonly causes bowel strictures and obstruction?
Crohn disease
Why can Crohn disease involving the terminal ileum cause vitamin B12 deficiency?
The terminal ileum is the site of B12 absorption and is damaged or resected in Crohn disease
Which IBD commonly causes perianal disease such as fissures, fistulas, and abscesses?
Crohn disease
How does smoking affect Crohn disease?
Smoking increases the risk of and worsens Crohn disease
Crohn disease increases the risk of which type of kidney stone?
Calcium oxalate stones
Why does Crohn disease increase the risk of calcium oxalate kidney stones?
Fat malabsorption lets calcium bind fat instead of oxalate, leaving more free oxalate to be absorbed and excreted

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