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 Best of Five 43

 

   

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BOF: 43

A twenty four year old female who is known to have ulcerative colitis presents with an ulcer above the medial malleolus. This is large has a necrotic base and the edges are undermined.

In this patient:

a)      Immediate treatment should be with broad spectrum antibiotics

b)      High dose steroids should be used in the first instance

c)      Surgery is the first line treatment of the ulcer

d)      Treatment of the colitis with high dose mesalazine preparation will cause the ulcer to heal

e)      Colectomy is indicated

 

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