A 29-year-old woman presents with 4 weeks of bloody diarrhoea, abdominal pain, and weight loss. She is tachycardic and febrile, with tender abdomen an...

Question

A 29-year-old woman presents with 4 weeks of bloody diarrhoea, abdominal pain, and weight loss. She is tachycardic and febrile, with tender abdomen and >6 bloody stools per day. Colonoscopy confirms extensive ulcerative colitis. What is the most appropriate initial management for this severe flare?

Accepted Answer

High-dose intravenous corticosteroids in hospital

Answer

Oral mesalamine alone

Answer

Oral prednisolone at low dose as an outpatient

Answer

Immediate total colectomy without medical therapy

Answer

Antibiotics alone

ca-mccqe1 MCQ (SBA): Severe ulcerative colitis flare treatment

A 29-year-old woman presents with 4 weeks of bloody diarrhoea, abdominal pain, and weight loss. She is tachycardic and febrile, with tender abdomen and >6 bloody stools per day. Colonoscopy confirms extensive ulcerative colitis. What is the most appropriate initial management for this severe flare?