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ACG Monograph

Continuing Medical Education Questions: Supplement 1, August 2014

DeVault, Kenneth R MD, FACG

Author Information
American Journal of Gastroenterology: August 2014 - Volume 109 - Issue - p S27
doi: 10.1038/ajg.2014.189
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Questions:

  1. Which one of the following symptoms is a Rome III criterion for irritable bowel syndrome (IBS)?
    • A. Recurrent abdominal pain or discomfort at least 1 day per month in the last 6 months
    • B. Worsening abdominal pain or discomfort with defecation
    • C. Onset of abdominal pain or discomfort associated with a change in frequency of stool
    • D. Onset of abdominal pain or discomfort associated with stable form (appearance) of stool
  2. Which one of the following disorders does a patient who has a prior negative colonoscopy, frequent hard stools, daily sensations of incomplete evacuation, and usually a bowel movement every other day most likely have?
    • A. Irritable bowel syndrome
    • B. Functional constipation
    • C. Chronic abdominal pain syndrome
    • D. No specific diagnosis
  3. Which one of the following statements is correct regarding the results of studies included in this analysis?
    • A. Eliminating dietary FODMAPs did not reduce IBS symptoms.
    • B. A gluten-containing diet produced more symptoms than a gluten-free diet, even in patients without celiac disease.
    • C. Eliminating food identified via IgG allergy testing worsened IBS symptoms.
    • D. Bran, but not psyllium, provided adequate symptom relief in IBS.
  4. Which one of the following statements regarding treatment of chronic idiopathic constipation (CIC) is correct?
    • A. Medicinal and dietary fiber supplements increase stool frequency in patients with CIC.
    • B. Polyethylene glycol (PEG) and lactulose are not effective at improving symptoms of CIC.
    • C. Stimulant laxatives lack efficacy and should not be used in CIC.
    • D. Prucalipride provides an effect on sensation, but does not increase peristalsis or number of spontaneous bowel movements in CIC.
  5. Which one of the following statements regarding IBS can be strongly recommended with the highest quality of evidence?
    • A. A variety of psychological interventions are effective in improving IBS symptoms.
    • B. Antidepressants are effective in symptom relief in IBS.
    • C. Linaclotide is superior to placebo for the treatment of constipation-predominant IBS.
    • D. Fiber provides overall symptom relief in IBS.
  6. Which one of the following statements regarding CIC can be strongly recommended with the highest quality of evidence?
    • A. Biofeedback is effective in CIC patients with demonstrated evidence of pelvic floor dyssynergia.
    • B. Some fiber supplements increase stool frequency in patients with CIC.
    • C. Lactulose is effective at increasing stool frequency and improving stool consistency in CIC.
    • D. PEG is effective at increasing stool frequency and improving stool consistency in CIC.
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