Endocrinology MCQ 109

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A 25-year-old male has been taking 40 mg of prednisone PO qod for ulcerative colitis for 5 years. He undergoes an uneventful colectomy with endorectal pull-through and an ileoanal anastomosis. Which of the following statements regarding steriod management are correct?

    Glucocorticoid Therapy in Chronic Inflammatory Bowel Disease: From Basic Principles to Rational Therapy (Falk Symposium)
  1. On the day of surgery he should receive 100 mg hydrocortisone IV q6h
  2. The postoperative steroid dose should be halved q 12 hours to reduce the risk of infectious complications and improve would healing
  3. Prophylactic treatment with a somatostatin analogue will reduce the risk of postoperative pancreatitis
  4. Exogenous steroid replacement can be stopped after 3 months

Category: Endocrinology MCQs



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