Question

A 22-year-old student presents with painless rectal bleeding and mucus. Colonoscopy shows continuous colonic involvement starting from the rectum up to the sigmoid colon. According to NICE, what is the first-line induction therapy for mild to moderate ulcerative colitis confined to the left colon?

Accepted Answer

Oral mesalazine + topical mesalazine enemas

Answer

Oral prednisolone 40 mg daily

Answer

IV hydrocortisone

Answer

Anti-TNF therapy (infliximab)

Answer

Colectomy

Practice question

A 22-year-old student presents with painless rectal bleeding and mucus. Colonoscopy shows continuous colonic involvement starting from the rectum up to the sigmoid colon. According to NICE, what is the first-line induction therapy for mild to moderate ulcerative colitis confined to the left colon?