Question

A 32-year-old woman with ulcerative colitis presents with six weeks of bloody diarrhoea, abdominal cramping and weight loss. She is passing eight bloody stools per day. Colonoscopy confirms moderate to severe distal colitis. What is the most appropriate initial treatment to induce remission?

Accepted Answer

Oral Prednisolone 40 mg daily plus rectal Mesalazine

Answer

Oral Mesalazine alone

Answer

Topical steroid enemas alone

Answer

Infliximab infusion as first-line therapy

Answer

Oral Azathioprine monotherapy

Practice question

A 32-year-old woman with ulcerative colitis presents with six weeks of bloody diarrhoea, abdominal cramping and weight loss. She is passing eight bloody stools per day. Colonoscopy confirms moderate to severe distal colitis. What is the most appropriate initial treatment to induce remission?