Amedco - Quiz
September JPGN Article
Based on this study, which of the following apply to diagnostic testing for CMPA and its gastrointestinal manifestations?
A - The DBPCFC is the gold?standard test, but impractical in the clinical setting.
B - Confounding factors causing placebo symptoms are easy to recognize and accounted for when analyzing results in open challenges.
Which of the following statements regarding the diagnostic tests for CMPA is true based on this study?
A - Levels of cow’s milk specific IgE are elevated in CMPA, regardless of presenting symptoms.
B - Gastrointestinal manifestations of CMPA have various etiologies (most of which are still unproven), but IgE is nearly always negative.
C - Positive skin prick tests always make performing the DBPCFC unnecessary.
D - Elevated levels of cow’s milk specific IgG and IgA could indicate CMPA.
The suspicion of gastrointestinally manifested CMPA is often based on unspecific symptoms. Which of the following is true based on this study?
A - Vomiting and reflux symptoms can be reliably interpreted even when performing an open food challenge.
B - Constipation is a typical CMPA symptom.
C - Excessive crying and fussing, when connected to feeding as perceived by the parents, is a likely to be caused by CMPA.
D - Diarrhea is a typical CMPA symptom.
Which statement regarding the management of gastrointestinally manifested CMPA is true, according to reviewed literature and present study findings?
A - Extensively hydrolyzed formulas are well tolerated in gastrointestinally manifested (DBPCFC proven) non-IgE mediated CMPA.
he most helpful radiology modality to help evaluate and plan appropriate perianal disease management is:
A - CT scan of the Pelvis
B - Fistulography
C - Endoscopic Anorectal Ultrasound
Which of the following is the recommended primary surgical procedure for patients with complex perianal fistulae?
A - Exam under anesthesia and placement of non?cutting setons
B - Exam under anesthesia and fistulectomy.
C - Exam under anesthesia and injection with fibrin glue.
Which class of therapy is not effective in closing or maintaining closure of pediatric perianal fistula?
A - Immunomodulators
B - Antibiotics
C - Biologics (infliximab)
D - Enteral Therapy
What is the primary role of anti?TNF agents in treatment of pediatric perianal Crohn’s disease?
A - Induction of fistula closure
B - Maintenance of fistula closure
C - Adjuvant to surgery
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