Name
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example@example.com
1. A 55-year-old woman presents with a 3-year history of intermittent abdominal cramps, excessive bloating, intermittent diarrhea and no weight loss. Her physical examination is normal as is a CBC. Which of the following is correct?
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a. She should be tested with a lactulose breath test and treated for SIBO if a rise in breath H2 occurs at 60 minutes.
b. If a breath test shows increased methane concentrations, she should be treated with rifaximin.
c. She likely has an increase of gas in the GI tract and may respond to a low FODMAP diet.
d. She should have a fecal calprotectin test and if elevated, undergo colonoscopy.
2. A 44-year-old woman with diarrhea predominant IBS is started on amitriptyline 25 mg daily but she complains of fatigue, disorientation and palpitations after 5 days. The most appropriate course of action is:
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a. Stop the drug; prescribe desipramine 12.5 mg daily
b. Continue the drug as she will gradually adapt to side effects
c. Stop the drug; start lubiprostone 24 mcg daily
d. Stop the drug; refer her for cognitive behavioral therapy
3. A 36-year-old woman presents with intermittent diarrhea, bloating, flatulence and abdominal discomfort of more than 10 years’ duration. Her physical examination is normal, as is a CBC and sedimentation rate. She does not smoke, consume milk products or drink carbonated beverages. You want to place her on a low FODMAP diet based on several randomized controlled trials demonstrating the effectiveness of this diet. What is the recommendation for initial FODMAP restriction to assess response?
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a. 1-2 weeks
b. 2-4 weeks
c. 4-6 weeks
d. 2-3 months
Please rate the extent to which this activity met the following objectives:
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Assess the symptoms, pathophysiology, and diagnostic strategies for irritable bowel syndrome, as well as distinguishing IBS-C from IBS-D
Review the current clinical trial data and practical applications of available therapeutic options to manage patients with IBS
Evaluate long-term pharmacologic and non-pharmacologic strategies to manage symptoms and quality of life in patients with IBS
Please provide us with feedback regarding your experience at the activity:
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Please rate the faculty on their overall teaching ability:
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Brooks D. Cash, MD
Do you feel this activity was fair balanced and free of commercial bias?
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No
If no, please explain:
This educational activity will result in a change in my role as a healthcare team member.
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Based on your participation in this activity, choose the statement(s) that applies to how your role as a healthcare team member will change:
I gained new strategies/skills/information that my team can apply to practice
I plan to implement new strategies/skills/information in my practice
I will be more competent in my team’s management of patient care
I will improve my communication with the healthcare team
What factors beyond clinical care that effect the health of your patients does your team experience?
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