Irritable Bowel Syndrome
1 Which of the following is a criteria for the diagnosis of Irritable Bowel Syndrome (IBS) ?
A. Paris
B. Rome
C. Helsinki
D. Warsaw
2 Which of the following is not included in the Rome II criteria for the diagnosis of IBS ?
A. Improvement of abdominal pain/discomfort with defecation
B. Painless diarrhea or constipation
C. Onset associated with a change in frequency of stool
D. Onset associated with a change in form of stool
3 Which of the following about abdominal pain in IBS is false ?
A. Sleep deprivation is usual
B. Exacerbated by eating
C. Improved by passage of flatus or stools
D. Worsens during the premenstrual & menstrual phases
4 Which of the following about diarrhea in IBS is false ?
A. Small volume
B. Nocturnal
C. Aggravated by emotional stress
D. Aggravated by eating
5 Microbe involved in the initial infection of post-infectious IBS is ?
A. Campylobacter
B. Salmonella
C. Shigella
D. All of the above
6 Which of the following argue against the diagnosis of IBS ?
A. Appearance for the first time in old age
B. Persistent diarrhea after a 48 hour fast
C. Nocturnal diarrhea or steatorrheal stools
D. All of the above
7 Painful constipation is a major complaint in which of the following ?
A. Acute intermittent porphyria
B. Hypothyroidism
C. Hypoparathyroidism
D. All of the above
8 Which of the following is an antidiarrheal agent ?
A. Loperamide
B. Paregoric
C. Cholestyramine
D. All of the above
9 Which of the following probiotics has shown significant benefit in IBS patients ?
A. Faecalibacterium prausnitzii
B. Lactobacillus
C. Bifidobacterium infantis 35624
D. Taenia suis
10 Which of the following is a chloride channel activator ?
A. Alosetron
B. Rifaximin
C. Tegaserod
D. Lubiprostone
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