Amedco - Quiz

February JPGN Article

 
 

A   - Abdominal X-ray.
B   - Colonic transit study.
C   - Rectal ultrasound.
D   - None

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.

A   - Routine allergy testing
B   - Laboratory testing for celiac disease
C   - Laboratory testing for hypercalcemia
D   - None

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.

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.


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.