A 30-year-old woman presents with a 4-week history of bloody diarrhoea and urgency. Colonoscopy reveals continuous inflammation limited to the rectum ...

Question

A 30-year-old woman presents with a 4-week history of bloody diarrhoea and urgency. Colonoscopy reveals continuous inflammation limited to the rectum (proctitis). Biopsies confirm ulcerative colitis (mild-to-moderate). What is the first-line treatment to induce remission?

Accepted Answer

Topical (rectal) Mesalazine (suppositories)

Answer

Oral Prednisolone

Answer

Oral Mesalazine tablets

Answer

Topical steroid foam

Answer

Azathioprine

ukmla MCQ (SBA): Ulcerative Colitis (Proctitis)

A 30-year-old woman presents with a 4-week history of bloody diarrhoea and urgency. Colonoscopy reveals continuous inflammation limited to the rectum (proctitis). Biopsies confirm ulcerative colitis (mild-to-moderate). What is the first-line treatment to induce remission?