A 40-year-old woman with a 5-year history of ulcerative colitis limited to the colon presents with increased bloody diarrhoea and cramping. She is pas...

Question

A 40-year-old woman with a 5-year history of ulcerative colitis limited to the colon presents with increased bloody diarrhoea and cramping. She is passing 6-8 stools daily, CRP is elevated, but vital signs are stable. What is the most appropriate initial pharmacologic management of this moderate flare?

Accepted Answer

Oral corticosteroids plus rectal 5-ASA

Answer

Oral 5-ASA alone

Answer

Intravenous corticosteroids in hospital

Answer

Start anti-TNF biologic immediately without steroids

Answer

Antibiotics alone

ca-mccqe1 MCQ (SBA): Moderate ulcerative colitis flare