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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.
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

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

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

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.
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:________________________________________________________________________________________________________________________________

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Certificate Request Form
Management of Constipation: Considerations for clinical practice
Date: January 10, 2008 thru January 10, 2009- Job Code: JE8005325 (Slide Deck)
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The maximum number of AMA PRA Category 1 Credit ™ for this activity is 2.0
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CME Consultants
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Tain & district medical group

TAIN & DISTRICT MEDICAL GROUP JOB DESCRIPTION 1. JOB DETAILS JOB TITLE Practice Nurse 28-32 hours per week LOCATION Health Centre, Scotsburn Road, Tain Dependant on experience of successful candidate 2. JOB PURPOSE – to provide nursing in a primary care environment. 3 ORGANISATION CHART I Nurse Practitioner - Practice Nurse - Health Care Assis

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