Amedco - Quiz
February JPGN Article
Which of the following diagnostic procedures are recommended routinely in diagnosing functional constipation in infants and children?
A - Abdominal X-ray.
B - Colonic transit study.
C - Rectal ultrasound.
D - None
When is a digital examination of the anorectum NOT necessary?
A - If the diagnosis of functional constipation is clear.
B - If only one of the Rome III criteria is present and the diagnosis of functional constipation is uncertain.
C - In the presence of alarm signs or symptoms.
D - In patients with intractable constipation.
Which of the following diagnostic tests should be performed routinely in children with constipation in order to diagnose an underlying disease?
A - Routine allergy testing
B - Laboratory testing for celiac disease
C - Laboratory testing for hypercalcemia
D - None
Which of the following statements is true?
A - Evidence does not support the use of fiber supplements in the treatment of functional constipation.
B - Evidence does support the use of extra fluid intake in the treatment of functional constipation.
C - Evidence does support the use of pre- or probiotics in the treatment of childhood constipation.
Which of the following statements is incorrect?
A - The use of polyethylene glycol (PEG) with or without electrolytes orally 1-1.5 gm/kg/day for 3-6 days is recommended as first-line treatment for children presenting with fecal impaction.
B - An enema once a day for 3-6 days is recommended for children with fecal impaction if PEG is not available.
C - The use of PEG with or without electrolytes is recommended as first-line maintenance treatment. A starting dose of 0.4 gm/kg/day is recommended and the dose should be adjusted according to the clinical response.
D - Use of milk of magnesia, mineral oil and stimulant laxatives may be also considered as first-line maintenance treatment.
Which of the following statements is correct?
Which of the following statements is incorrect among children referred to pediatric gastroenterologists?
A - 50% will recover (3 or more bowel movements per week without fecal incontinence) and be without laxatives after 6?12months.
B - 80% of the children are recovered after 10 years with vast majority of patients no longer taking laxatives.
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