Question

A 23-year-old with bloody diarrhoea and abdominal pain, CRP 60, afebrile. Flexible sigmoidoscopy suggests ulcerative colitis flare (mild-moderate). First-line therapy?

Accepted Answer

Topical mesalazine plus oral mesalazine

Answer

Oral prednisolone 40 mg only

Answer

Azathioprine immediately

Answer

Infliximab immediately

Answer

Antibiotics

Practice question

A 23-year-old with bloody diarrhoea and abdominal pain, CRP 60, afebrile. Flexible sigmoidoscopy suggests ulcerative colitis flare (mild-moderate). First-line therapy?