Quizzes

A 56-year-old lady has a 7-month history of abdominal discomfort, bloating and altered frequency in stools.

Her symptoms seem to be worse following a large meal when she also feels nauseated. Clinical examination is normal. She is suspected of fulfilling the criteria for irritable bowel syndrome.

Which of the following investigations should be undertaken to exclude other diagnoses?

A 64-year-old lady presents with symptoms suggestive of irritable bowel syndrome.

Which of the following would represent a ‘red flag’ indicator and prompt further investigation?

A 33-year-old woman is diagnosed with irritable bowel syndrome (IBS). She has spasms of pain in the left iliac fossa and has periods of both constipation and loose stools. You are considering drug therapy to provide her with symptomatic relief from the symptoms.

Which one of the following does NICE recommend that we avoid in patients with IBS?

34 year old lady with irritable bowel syndrome comes for dietary advice for her problem. Which one of the following dietary advice is least suitable to give?

A 27-year-old woman is diagnosed with irritable bowel syndrome. Initial treatment is tried with a combination of antispasmodics, laxatives and antimotility agents. Unfortunately after 6 months there has been no significant improvement in her symptoms. According to recent NICE guidelines, what is the most appropriate next step?

A 35-year-old woman presents with abdominal pain after meal associated with alternating diarrhoea and constipation. Which one of the following symptoms is not consistent with irritable bowel syndrome?