Management of Irritable Bowel Syndrome Pharmacy

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Management of Irritable Bowel Syndrome

Question 1:

According to the American College of Gastroenterology, what percentage of Americans may have IBS symptoms?

A) 1-5%

B) 5-10%

C) 10-15%

D) 15-20%

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Management of Irritable Bowel Syndrome

Question 2:

Which group is at increased risk for IBS?

A) Women

B) Children

C) South American population

D) Both A & C

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Management of Irritable Bowel Syndrome

Question 3:

What are the risk factors for IBS?

A) Person with a family history of IBS

B) Person with a history of trauma

C) Person with a history of severe gastrointestinal infection

D) All of the above

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Management of Irritable Bowel Syndrome

Question 4:

Which modifiable risk factor may increase the likelihood of IBS symptoms?

A) Age

B) Smoking

C) Comorbidities

D) Exercise

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Management of Irritable Bowel Syndrome

Question 5:

Fibromyalgia is a common comorbid condition found in patients with irritable bowel syndrome.

A) True

B) False

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Management of Irritable Bowel Syndrome

Question 6:

Which subtype of IBS do patients experience a combination of diarrhea and constipation?

A) IBS-D

B) IBS-M

C) IBS-C

D) IBS-U

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Management of Irritable Bowel Syndrome

Question 7:

Which is a factor thought to contribute to IBS pathophysiology?

A) Gut-brain interaction

B) Visceral desensitization

C) Diet

D) None of the above

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Management of Irritable Bowel Syndrome

Question 8:

What is the most common reported symptom of IBS?

A) Mucous-like stools

B) Diarrhea

C) Heartburn

D) Abdominal pain

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Management of Irritable Bowel Syndrome

Question 9:

Which alarming symptom requires additional follow-up before making a definitive diagnosis of IBS?

A) Weight gain

B) Iron deficiency anemia

C) Abdominal pain

D) Abdominal bloating

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Management of Irritable Bowel Syndrome

Question 10:

Diagnosis of IBS is typically one of exclusion and using Rome IV criteria.

A) True

B) False

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Management of Irritable Bowel Syndrome

Question 11:

The Bristol Stool Form Scale helps patients identify their predominant stool characteristics.

A) True

B) False

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Management of Irritable Bowel Syndrome

Question 12:

Using the Rome IV criteria, which patient could be diagnosed with IBS?

A) A patient with abdominal pain for 2 days

B) A patient with abdominal pain and changes in stool frequency at least weekly for 3 months

C) A patient with abdominal bloating and stool changes for two months

D) A patient with stool frequency and characteristic changes for one month

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Management of Irritable Bowel Syndrome

Question 13:

The diagnosis of IBS can be made without additional workup if the patient has weight loss and anorexia.

A) True

B) False

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Management of Irritable Bowel Syndrome

Question 14:

Which additional diagnostic workup is recommended for patients with no alarming findings in their history and physical exam?

A) Barium swallow

B) Complete blood count

C) Colonoscopy

D) Enema

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Management of Irritable Bowel Syndrome

Question 15:

Which is an additional diagnostic test to consider for patients with the predominant symptom of constipation?

A) Abdominal X-ray

B) Colonoscopy

C) Abdominal CT

D) Fecal calprotectin or lactoferrin

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Management of Irritable Bowel Syndrome

Question 16:

Which is an additional diagnostic test to consider for patients with the predominant symptom of diarrhea?

A) Fecal calprotectin or lactoferrin

B) Testing for celiac disease

C) Stool testing

D) All of the above

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Management of Irritable Bowel Syndrome

Question 17:

What additional testing is recommended for a patient with suspected malignancy or lesions?

A) Barium swallow study

B) Abdominal CT

C) C-reactive protein

D) Erythrocyte sedimentation rate

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Management of Irritable Bowel Syndrome

Question 18:

Which dietary modification is recommended for patients with IBS?

A) High insoluble fiber diet

B) High soluble fiber diet

C) High-fat diet

D) High FODMAP diet

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Management of Irritable Bowel Syndrome

Question 19:

Patients should attempt to follow a low FODMAP diet to aid with IBS symptoms.

A) True

B) False

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Management of Irritable Bowel Syndrome

Question 20:

Which food may need to be avoided in patients with IBS?

A) Foods high in lactose

B) Foods with gluten

C) Foods that produce gas

D) All of the above

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Management of Irritable Bowel Syndrome

Question 21:

Canned fruit is considered a FODMAP.

A) True

B) False

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Management of Irritable Bowel Syndrome

Question 22:

Which medication is a soluble fiber source?

A) Psyllium

B) Loperamide

C) Linaclotide

D) Alosetron

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Management of Irritable Bowel Syndrome

Question 23:

Which medication is a 5-hydroxytryptamine (serotonin) 4 receptor agonist that promotes GI motility by stimulating the release of neurotransmitters?

A) Tegaserod

B) Tenapanor

C) Alosetron

D) Linaclotide

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Management of Irritable Bowel Syndrome

Question 24:

Which medication may help patients with IBS-D and may be used as a treatment?

A) Loperamide

B) Tenapanor

C) Polyethylene glycol

D) Tegaserod

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Management of Irritable Bowel Syndrome

Question 25:

Which medication may be used on an as-needed basis to aid with IBS-related abdominal pain?

A) Loperamide

B) Eluxadoline

C) Lorazepam

D) Hyoscyamine

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Management of Irritable Bowel Syndrome

Question 26:

Tricyclic antidepressants are a recommended treatment modality for IBS.

A) True

B) False

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Management of Irritable Bowel Syndrome

Question 27:

Peppermint oil aids with smooth muscle relaxation and may help control IBS symptoms.

A) True

B) False

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Management of Irritable Bowel Syndrome

Question 28:

What should the healthcare provider include when educating a patient about IBS?

A) Sleep hygiene

B) Medication side effects

C) Diet modifications

D) All of the above

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Management of Irritable Bowel Syndrome

Question 29:

Which medication is thought to help with bacterial overgrowth and may be prescribed briefly?

A) Loperamide

B) Peppermint oil

C) Rifaximin

D) Amitriptyline

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Management of Irritable Bowel Syndrome

Question 30:

Which is an adjunct or alternative treatment for IBS?

A) Psychotherapy

B) Acupuncture

C) Peppermint oil

D) All of the above

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