ROSH Gastrointestinal Practice Exam

Which statement about diverticulitis is true?

1. All patients should have CT imaging performed

2. Complicated diverticulitis can be treated with oral antibiotics

3. Oral antibiotics should be given for 7-10 days in uncomplicated diverticulitis

4. Ultrasound is the imaging modality of choice

The correct answer is: Oral antibiotics should be given for 7-10 days in uncomplicated diverticulitis

In cases of uncomplicated diverticulitis, the recommendation for treatment often involves the use of oral antibiotics administered for a duration of 7-10 days. This is based on clinical guidelines that suggest this treatment duration is sufficient to manage the infection and inflammation associated with uncomplicated cases. The rationale behind this approach is that patients with mild to moderate symptoms can typically be treated effectively without the need for hospitalization or more invasive interventions. The choice of antibiotics and the length of treatment can vary based on clinical practice and patient factors, but 7-10 days is widely recognized as a standard duration for uncomplicated cases. This management strategy allows for resolution of symptoms while minimizing potential complications and is generally supported by clinical evidence. In contrast, other options present varying issues: for instance, while CT imaging can be valuable in assessing complicated diverticulitis, it is not necessary for all patients; only those with more severe symptoms or complications typically require CT to confirm the diagnosis or assess for complications such as abscess or perforation. Complicated diverticulitis often necessitates more aggressive treatment, including intravenous antibiotics or even surgery, rather than treatment with oral antibiotics alone. Lastly, ultrasound is not typically the first-line imaging modality for diverticulitis, with CT being preferred for its sensitivity and