Competency Questions for Managing IBD: Mild Ulcerative Colitis Clinician Education Video Series from The American College of Gastroenterology and The Crohn’s & Colitis Foundation 1. Selection of medical therapies for treatment of ulcerative colitis should be based on which of the following disease features? A. Disease extent B. Disease severity C. High risk features D. All of the above Incorrect. The correct answer is: D. All of the above. Correct! 2. Which of the following factors is most consistent with a mild ulcerative colitis flare (as compared to moderate to severe ulcerative colitis)? A. Frequent rectal bleeding B. Normal hemoglobin C. Mayo endoscopic subscore of 2 D. Frequent urgency Incorrect. The correct answer is: B. Normal hemoglobin. Correct! 3. For patients with mild left-sided ulcerative colitis which of the following is the best option for induction of remission? A. Corticosteroid enemas B. Oral 5-ASA at a dose of 2 g/d C. Rectal 5-ASA enemas at a dose of 1 g/d PLUS oral 5-ASA at a dose of 2 g/d D. Prednisone taper Incorrect. The correct answer is: C. Rectal 5-ASA enemas at a dose of 1 g/d PLUS oral 5-ASA at a dose of 2 g/d. Correct! 4. For a patient with mild pan-ulcerative colitis not responding to 5-ASA therapy at 4.8 g daily, which of the following is the best next option for inductive medical therapy? A. Budesonide MMX at 9 mg per day B. Prednisone at 60 mg per day C. Increase the dose of oral 5-ASA therapy D. Initiate biologic therapy Incorrect. The correct answer is: A. Budesonide MMX at 9 mg per day. Correct! 5. Which of the following is true in maintenance therapy for mild ulcerative colitis? A. For proctitis, rectal 5-ASA therapy should be used B. For extensive disease, oral 5-ASA therapy should be used C. Steroids should NOT be used as maintenance therapy D. All of the above Incorrect. The correct answer is: D. All of the above. Correct! Clear Form