Competency Questions for Managing IBD: Moderate to Severe Crohn’s Disease Clinician Education Video Series from The American College of Gastroenterology and The Crohn’s & Colitis Foundation 1. Risk factors associated with severe or complicated Crohn’s disease include: A. Perianal disease and/or severe rectal disease B. Young age at diagnosis C. Finding of deep ulcers at endoscopy D. Prior surgical resection for treatment of Crohn’s disease or a Crohn’s-related complication E. All of the above Incorrect. The correct answer is: E. All of the above. Correct! 2. The Goals of Treatment for IBD are: A. Symptomatic improvement on the lowest dose of prednisone possible B. Symptomatic improvement off steroids C. Improvement in the intestinal inflammation on endoscopy and histology D. Symptomatic improvement and improvement in intestinal inflammation off steroids Incorrect. The correct answer is: D. Symptomatic improvement and improvement in intestinal inflammation off steroids. Correct! 3. In order to lower the risk of Crohn’s disease complications, it is very important to: A. Regularly monitor for active intestinal inflammation using objective measures B. Repeat colonoscopies on your patients every 3-6 months C. Repeat CTE or MRE on your patients annually D. Make sure their symptoms don’t come back Incorrect. The correct answer is: A. Regularly monitor for active intestinal inflammation using objective measures. Correct! 4. Treatment options for maintenance of remission in moderate to severe Crohn’s disease include: A. Mesalamine B. Long-term prednisone use C. Anti-integrins D. Low-dose naltrexone Incorrect. The correct answer is: C. Anti-integrins. Correct! 5. Prior to initiating a thiopurine for the treatment of Crohn’s disease, which of the following tests is recommended? A. Chest X ray B. Quantiferon gold C. TPMT enzyme activity D. Hepatitis B surface antigen Incorrect. The correct answer is: C. TPMT enzyme activity. Correct! Clear Form