Malabsorption And Inflammatory Bowel Disease Practice Test

A 28-year-old man with Crohn disease involving the terminal ileum and ascending colon has persistent symptoms despite a 3-month trial of high-dose oral mesalamine. He continues to have 5-6 non-bloody, loose stools per day, postprandial abdominal cramping, and fatigue. His C-reactive protein is elevated at 35 mg/L (normal < 5 mg/L). A recent colonoscopy confirms active moderate inflammation without strictures or abscesses.

A 38-year-old woman with a history of type 1 diabetes presents to a dermatology clinic with a 1-year history of an intensely pruritic rash. On examination, there are symmetric clusters of erythematous papules and vesicles over her elbows, knees, and buttocks. She denies any significant gastrointestinal symptoms such as diarrhea or abdominal pain.