How Well Do You Understand Crohn's Disease?

Stephanie Stephens | Dec 16, 2017

1 of 10
Which of the following is not likely to be a common symptom of Crohn's disease?
  1. 0 Malnutrition
  2. 1 Vertigo
  3. 0 Fatigue
  4. 0 Depression
  5. 0 Bone loss
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The correct answer is 2 – Vertigo is not considered a symptom of Crohn's disease, but malnutrition, fatigue, depression and bone loss are.

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  1. 1

    Which of the following is not likely to be a common symptom of Crohn's disease?

    Correct Answer: Vertigo

    The correct answer is 2 – Vertigo is not considered a symptom of Crohn's disease, but malnutrition, fatigue, depression and bone loss are.

  2. 2

    If you have Crohn's disease, your doctor may do various laboratory tests. Which of these would not be conducted to diagnose or treat this specific condition?

    Correct Answer: Vitamin D levels

    The correct answer is 3 — Liver tests may detect liver and bile duct abnormalities. Serologic tests screen for antibodies in the blood. A CBC can reveal infection or anemia, while tests for inflammatory markers measure C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) to look for proteins associated with inflammation. If you're having a flare, you may very well have elevated ESR.

  3. 3

    Crohn's disease is a form of irritable bowel syndrome.

    Correct Answer: False

    The correct answer is 2 – Crohn's disease is a type of chronic inflammatory bowel disease (IBD) and not irritable bowel syndrome (IBS). Crohn's disease affects the gastrointestinal tract and can impact the mouth to the anus.

  4. 4

    Which of these medications is not prescribed for patients with Crohn's disease?

    Correct Answer: Statins

    The correct answer is 3 – Statins are prescribed for cholesterol control. Antibiotics can lower rates of intestinal bacteria, and thus reduce inflammation. Steroids or corticosteroids reduce inflammation as they suppress the immune system. Immunomodulators or immune modifiers have the same purpose: to suppress bodily immunity, and in turn, suppress inflammation. Aminosalicylates or 5-ASAs decrease intestinal inflammation.

  5. 5

    To monitor your Crohn's disease or investigate possible complications, your doctor may order which of these diagnostics?

    Correct Answer: All of the above

    The correct answer is 5 – A CT scan of your abdomen can identify complications that include fistulas, fissures, abscesses or other abnormalities. Your doctor may take a regular x-ray of your intestines, or ask you to drink barium to increase contrast and visibility of your gastrointestinal tract. Endoscopy involves insertion of a thin tub into your anus or during a separate procedure, into your mouth. Endoscopy procedures include, but aren't limited to, sigmoidoscopy, colonoscopy and enteroscopy. An endoscopic ultrasound is just what it says: an endoscope with an ultrasound device on the end. Magnetic resonance imaging (MRI) may also be used.

  6. 6

    Both mouth sores and eye inflammation can be symptoms of Crohn's disease.

    Correct Answer: True

    The correct answer is 1 – You can develop mouth sores when you have a Crohn's disease flare. They can look and feel like canker sores anywhere in your mouth and on your lips. Up to 10 percent of people with Crohn's disease also develop eye problems, such as:
    • Uveitis or inflammation of the eye wall's middle layer
    • Episleritis or inflammation of the outer layer of the white of the eye or episclera
    • Dry eye due to reduced tear production
    Make sure to see your ophthalmologist regularly and notify them of any changes to your eyes or your vision.

  7. 7

    Which of these forms of Crohn's disease is the most common?

    Correct Answer: Ileocolitis

    The correct answer is 2 – Ileocolitis is inflammation of the ileum and colon and may affect as many as half of all Crohn's disease patients. Ileitis is inflammation of the last part of the small intestine or ileum. Gastroduodenal Crohn's disease affects the stomach and first part of the small intestine or duodenum. Jejunoileitis is inflammation of the second part of the small intestine or jejunum. Crohn's (granulomatous) colitis is found only in the colon.

  8. 8

    As many as 75 to 80 percent of people with Crohn's disease have a relative with the same condition.

    Correct Answer: False

    The correct answer is 2 – Saying 75 to 80 percent would be much too high. Estimates are generally around 20 to 25 percent, although they vary. Family history is always important for anyone to know, so find a good time when everyone is together to discuss this. Share your findings with your doctor.

  9. 9

    Which of the following racial or ethnic groups are more likely to develop Crohn's disease?

    Correct Answer: Jewish people of Ashkenazi (Eastern Europe)

    The correct answers are 1 and 5.

  10. 10

    Which of these have been cited as possible causes of Crohn's disease?

    Correct Answer: All of these

    The correct answer is 5 – Scientists don't know what specifically causes Crohn's disease. Other possible causes include microbes, the immune system, the vascular system and even oral contraceptives.
    Sources:
    https://www.uptodate.com/contents/crohn-disease-beyond-the-basics
    https://emedicine.medscape.com/article/172940-overview
    http://www.crohnscolitisfoundation.org/?referrer=https://www.google.com/?referrer=http://www.crohnscolitisfoundation.org/
    https://medlineplus.gov/crohnsdisease.html
    http://www.bwhcrohnscolitis.org/
    https://www.asge.org/home/about-asge/newsroom/media-backgrounders-detail/endoscopic-procedures
    http://www.crohnscolitisfoundation.org/resources/eye-complications.html?referrer=https://www.google.com/?referrer=http://www.crohnscolitisfoundation.org/resources/eye-complications.html
    http://www.umm.edu/health/medical/reports/articles/crohns-disease