A 28-year-old man presents with recurrent abdominal pain and diarrhoea with mucus and blood for 3 months. He has lost 5 kg. Stool cultures are negativ...

Question

A 28-year-old man presents with recurrent abdominal pain and diarrhoea with mucus and blood for 3 months. He has lost 5 kg. Stool cultures are negative. Colonoscopy shows continuous inflammation from the rectum to the sigmoid colon. What is the most appropriate initial maintenance therapy?

Accepted Answer

Oral Mesalazine

Answer

High-dose long-term oral Prednisolone

Answer

Azathioprine monotherapy from diagnosis

Answer

Oral Ciprofloxacin

Answer

No treatment is needed if symptoms are mild

uk-plab-1 MCQ (SBA): Ulcerative colitis – initial maintenance therapy

A 28-year-old man presents with recurrent abdominal pain and diarrhoea with mucus and blood for 3 months. He has lost 5 kg. Stool cultures are negative. Colonoscopy shows continuous inflammation from the rectum to the sigmoid colon. What is the most appropriate initial maintenance therapy?