case 2

Question 1

The following statements are true about IBS, except:

a. Women are diagnosed with IBS 2 to 3 times as often as men
b. Older individuals have a higher reporting frequency
c. IBS affects all ages
d. Pain is a key symptom in diagnosis

Answer 1

B

Question 2

Which of the following is a prerequisite clinical feature of IBS

a. diarrhea
b. constipation
c. abdominal pain
d. alteration in bowel habits

Answer 2

C

Question 3

Which of the following is true about abdominal pain in IBS?

a. It occurs in one location only
b. Almost uniformly present only during waking hours
c. Exacerbated by passage of flatus or stool
d. Improved by eating

Answer 3

B

Question 4

Which of the following is the most consistent feature in IBS

a. diarrhea
b. constipation
c. abdominal pain
d. alteration in bowel habits

Answer 4

D

Question 5

Which of the following is not a risk factor for developing post-infectious IBS

a. prolonged duration of initial illness
b. toxicity of infecting bacterial strain
c. male sex
d. adverse life events preceding 3 months

Answer 5

C
female sex
depression
hypochondriasis
adverse life events preceding 3 months

Question 6

Location of the pain that occurs in IBS

a. lower abdomen
b. postprandial
c. preumbilical
d. hypogastric

Answer 6

C or epigastric

Question 7

Belladonna alkaloids, a component of anticholinergics, may cause the following, except:

a. xerostomia
b. urinary hesitancy and retention
c. blurred vision
d. drowsiness
e. none of the options

Answer 7

E

Question 8

Initial therapy of choice for IBS-D

a. stool-bulking agents
b. antispasmodics
c. antidiarrheal agents
d. antidepressant drugs

Answer 8

C - peripherally acting opiate-based agents

Question 9

It is the only antibiotic with demonstrated sustained benefit beyond therapy cessation in IBS patients

a. Rifaximin
b. Rifampicin
c. Rituximab
d. Ranitidine

Answer 9

A