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Management of Constipation:
Considerations for clinical practice
Slide Resource CME/CE Quiz
1. The prevalence of constipation in the general population of the USA is approximately.
a.
2. Primary chronic constipation is

b. Generally a result of insuffi cient dietary fi ber c. A condition with multifactorial etiology 3. Which of the following is not thought to be involved in the pathophysiology/etiology of
IBS-C?

4. What is the relationship between small intestinal bacterial overgrowth and IBS?

a. All patients with IBS show evidence of SIBO b. Results are confl icting but some patients benefi t from antibiotic therapy c. There is no relationship between IBS and SIBO d. SIBO is the cause of post-infectious IBS 5. Which of the following statements is accurate?

a. Abdominal pain precludes a diagnosis of chronic constipation b. Abdominal pain is relieved with defecation in IBS c. IBS-C can be distinguished from dyssynergic defecation on the basis of symptomatology d. Abdominal pain is not necessary for a diagnosis of IBS 6. Which of the following statements is false?

a. Patients with chronic constipation often present with symptoms of heartburn or belching b. Patients with chronic constipation are more likely to complain about straining or hard stools c. Rates of anxiety are higher among patients with chronic constipation than controls d. Patients with suspected IBS-C should always undergo colonoscopy 7. Routine initial evaluation of a patient with suspected chronic constipation or IBS-C should
include

Management of Constipation:
Considerations for clinical practice
Slide Resource CME/CE Quiz
8. Which of the following statements is true regarding lubiprostone in chronic
constipation?

a. Lubiprostone has no effect on straining and stool consistency b. 80% of patients experience a bowel movement within 48 hours of fi rst dose c. The effects of lubiprostone are not sustained in the long-term d. Lubiprostone is not effective in patients over the age of 65 9. Linaclotide acetate has shown some effi cacy in patients with chronic constipation:

What is it?
10. Which of the following statements about tegaserod is false?

a. Tegaserod has shown effi cacy in improving symptoms of IBS b. Tegaserod can only be prescribed under a treatment IND c. Tegaserod is more effective than PEG-3350 in chronic constipation d. Tegaserod is a serotonin receptor antagonist Management of Constipation: Considerations for clinical practice
Date: January 10, 2008 thru January 10, 2009- Job Code: JE8005325 (Slide Deck)
Evaluation Form
Scale: 1=Poor 2= Fair 3=Good 4=Excellent
Please rate how effectively you are able to: Poor Fair Good Excellent
Explain the underlying, multi-factorial mechanisms of constipation.
Recognize the value of a symptom-led differential diagnosis of chronic constipation and IBS-C and the
Evaluate therapeutic options for patients with constipation.
Activity/Topic
The extent to which this activity met your continuing professional development goals The applicability/usefulness of material to your practice ‰ Not in Practice
Based on your previous knowledge and experience, the level of this activity was:
… Too Basic … Appropriate … Too Complex Do you feel that the activity was objective, balanced and free of commercial bias? … Yes … No
If no, why? ___________________________________________________________________________________________________________________________________
Based on this activity, might you change your practice management or patient care? … Yes … No
If yes, explain:________________________________________________________________________________________________________________________________

Please list any speakers and/or topics you would like in future activities.

______________________________________________________________________________________________________

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We welcome your comments:
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Would you recommend this program to a colleague? ‰ Yes ‰ No
Indicate your preferred live format for obtaining CME credit:
… Teleconference … Nat’l Conference … Weekend ½ day … Local Dinner Meeting … Other: ____________________
Indicate your preferred enduring format for obtaining CME credit:
… Teleconference … CD-ROM … Internet … Monograph … Other: _____________________

Certificate Request Form
Management of Constipation: Considerations for clinical practice
Date: January 10, 2008 thru January 10, 2009- Job Code: JE8005325 (Slide Deck)
PLEASE COMPLETE THIS SECTION LEGIBLY TO RECEIVE YOUR STATEMENT OF CREDIT
Full Name:____________________________________________ Degree(s):______________________________________
Street Address:________________________________________________________ Apt/Suite #:____________________
City: _________________________________________________ State: _________ Zip Code:_______________________
Telephone Number:___________________ Fax Number:____________________ Email: __________________________
Certificate Type (circle one): ACCME ANCC OTHER


Total time (hours in .25 increments) you spent in this activity: ___________
The maximum number of AMA PRA Category 1 Credit ™ for this activity is 2.0
This activity is approved for 2.0 ANCC contact hours.


Signature: _____________________________________ Date:_________________________

Would you like to receive information regarding future meetings?
‰ Yes ‰ No

May we contact you 3 months after this activity to evaluate your change in patient care?
‰ Yes ‰ No
Please indicate your status:
… Hospitalist … Private Practice … Researcher … Other
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CME Consultants
94 Main Street Wakefield, RI 02879 Phone: (401)789-4413 Fax: (401)789-4436/1009

Source: http://www.scicme.com/constipation/pdf/CME_Quiz_forms.pdf

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