A 32-year-old woman with ileocolonic Crohn disease achieved remission after steroid induction. She previously had a perianal fistula and deep ulcers

Question

A 32-year-old woman with ileocolonic Crohn disease achieved remission after steroid induction. She previously had a perianal fistula and deep ulcers on colonoscopy. She wants to prevent relapse and avoid repeated steroid courses. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start biologic maintenance therapy

Answer

Use prednisone as indefinite maintenance

Answer

Schedule colectomy for every patient

Answer

Stop therapy after remission

Answer

Treat with loperamide alone

Crohn disease maintenance — USMLE Step 3 MCQ

A 32-year-old woman with ileocolonic Crohn disease achieved remission after steroid induction. She previously had a perianal fistula and deep ulcers on colonoscopy. She wants to prevent relapse and avoid repeated steroid courses. Which of the following would you recommend at the follow-up visit?