Inflammatory bowel disease Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 37-year-old woman with Crohn ileocolitis presents to the office because of urinary burning, urgency and frequency since yesterday. She also reports passage of air at the end of urination. Review of systems reveals fatigue, weight loss, and intermittent diarrhea. Past medical history is significant for 3 urinary tract infections in the past 6 months treated with antibiotics, as well as Crohn disease, for which she is currently taking 5-aminosalicylic acid. She does not smoke or drink alcohol. Temperature is 38.8°C (102°F), pulse is 103/min, respirations are 20/min, and blood pressure is 135/85 mmHg. Physical examination shows multiple aphthous ulcers on the oral mucosa and a mildly distended lower abdomen with tenderness. Urinalysis reveals brown-colored urine with positive nitrites. Serum creatinine is 0.9 mg/dL. Which of the following is the most likely cause of this patient’s symptoms?  

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