Functional Bowel Disease

Question 1

Criteria for Irritable Bowel Syndrome has 2 components
Symptoms: Recurrent abd pain/discomfort at least ____ in the last ____ with 2 or more of the symptoms (3).
Chronicity:Criteria fulfilled for the last ____ w/ symptom onset at least ____ prior to diagnosis.

Answer 1

Symptoms: Recurrent abd pain/discomfort at least 3 days/month in the last3 monthswith 2 or more of the symptoms.
Symptoms:
Improvement w/ defecation
Onset associated w/ change of stool frequency
Onset associated with change in stool formation
Chronicity:Criteria fulfilled for the last 3 months w/ symptom onset at least 6 months prior to diagnosis.

Question 2

IBS in most prevalent in (race) (gender) (age) with history of (3)

Answer 2

Caucasian, young, women

Hx of anxiety, depression, abuse

Question 3

Brain Gut Axis =coordinated bidirectional feedback b/w ___ (3)

Answer 3

CNS
ANS (symp, parasymp)
ENS

Question 4

Which of the following is NOT a red flag that suggests organic disease?
A. Weight loss
B. Hematochezia, melena
C. Nocturnal symptoms
D. Age of onset >50 y/o
E. Nocturnal symptoms

Answer 4

All are red flags of organic disease

Question 5

T/F: IBS can be cured with a combination of medication, FODMAP diet and cognitive behavior therapy.

Answer 5

False. There is no cure for IBS. The listed therapies are symptomatic treatment.FODMAP diet = Fermentable Oligo, Di, Monosaccharides And Polyols
These are poorly absorbed, rapidly digested by bacteria –> makes lots of gas

Question 6

Primary neurotransmitter involved in regulation of bowel activity

Answer 6

Serotonin

Question 7

Knock. knock.
Who’s there?
Orange.
Orange who?

Answer 7

Orange you glad this is the last MOHD test EVER?!?