Office Anoscopy and Diagnostic Evaluation in Inflammatory Disorders Quiz

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Questions and Answers

What is indicated for any patient who reports chronic diarrhea?

  • Colonoscopy with biopsies
  • Comprehensive stool analysis
  • Specialty consultation
  • All of the above (correct)

What does CBC stand for in the context of diagnosing chronic diarrhea?

  • C-reactive protein
  • Irritable bowel syndrome
  • Complete blood count (correct)
  • Immunoglobulin A

Why is obtaining a complete medication history important in the diagnosis of chronic diarrhea?

  • To identify medications commonly associated with diarrhea (correct)
  • To prescribe new medications for treatment
  • To schedule diagnostic procedures
  • To assess the patient's mental health condition

What is one of the listed clues to specific diagnoses in patients with chronic diarrhea?

<p>Medication history (A)</p> Signup and view all the answers

Which diagnostic test should be considered if there is no improvement with standard treatments for chronic diarrhea?

<p>Colonoscopy with biopsies (B)</p> Signup and view all the answers

What is beyond the scope of the article regarding chronic diarrhea?

<p>Diagnoses affecting immunocompromised patients (C)</p> Signup and view all the answers

What is the recommended imaging modality for patients with inflammatory diarrhea and suspected structural disease?

<p>MRI with enterography (A)</p> Signup and view all the answers

What diagnostic procedure is advised for patients with alarm features or in case the initial workup for IRRITABLE BOWEL SYNDROME (WATERY – functional) fails to yield a diagnosis?

<p>Colonoscopy (B)</p> Signup and view all the answers

What should be done when colonoscopy is performed to evaluate chronic diarrhea?

<p>Take multiple mucosal biopsies (A)</p> Signup and view all the answers

What is the prevalence range of IRRITABLE BOWEL SYNDROME (IBS) worldwide according to current studies?

<p>9% to 23% (A)</p> Signup and view all the answers

Which test is NOT typically recommended when a patient with IRRITABLE BOWEL SYNDROME (IBS) does not have any alarm features and expert guidelines are followed?

<p>Upper gastrointestinal endoscopy (C)</p> Signup and view all the answers

Which diagnostic tests may be helpful to categorize diarrhea as watery, fatty, or inflammatory?

<p>Fecal calprotectin, fecal fat, fecal occult blood tests (A)</p> Signup and view all the answers

What is the prevalence of chronic diarrhea in the adult population?

<p>1% to 5% (D)</p> Signup and view all the answers

Which of the following is NOT a common cause of chronic diarrhea?

<p>Inflammatory bowel disease (IBD) (B)</p> Signup and view all the answers

What is the main defining characteristic of chronic diarrhea?

<p>Decreased stool consistency lasting longer than four weeks (C)</p> Signup and view all the answers

Which organization published guidelines for the evaluation of chronic diarrhea?

<p>British Society of Gastroenterology (A)</p> Signup and view all the answers

What warrants further evaluation and can be caused by disorders such as inflammatory bowel disease and colorectal cancer?

<p>Inflammatory diarrhea (D)</p> Signup and view all the answers

What is a common cause of inflammatory diarrhea?

<p>Clostridioides difficile (B)</p> Signup and view all the answers

Which test is mentioned as more sensitive than stool examination for detecting infection?

<p>Antigen test (A)</p> Signup and view all the answers

What is the primary mode of transmission for Entamoeba histolytica infection as mentioned in the text?

<p>Fecal-oral route (A)</p> Signup and view all the answers

Which database was NOT mentioned in the searches conducted for the information provided?

<p>PubMed (C)</p> Signup and view all the answers

What type of infection does Entamoeba histolytica cause, as described in the text?

<p>Invasive protozoal infection (D)</p> Signup and view all the answers

Which publication did NOT provide opinions or assertions about the chronic diarrhea topic discussed?

<p>Current Gastroenterol Rep (A)</p> Signup and view all the answers

What initial laboratory tests should be included in the workup for suspected inflammatory disorders?

<p>Complete blood count, C-reactive protein level, anti-tissue transglutaminase IgA level, basic metabolic panel (C)</p> Signup and view all the answers

Which laboratory marker is associated with fatty diarrhea?

<p>Elevated fecal fat levels (A)</p> Signup and view all the answers

What are alarm features that warrant further investigation in chronic diarrhea?

<p>Anemia, unintentional weight loss, persistent blood in stool (B)</p> Signup and view all the answers

How can inflammatory diarrhea be differentiated from other types of diarrhea?

<p>Presence of fecal leukocytes and lactoferrin (B)</p> Signup and view all the answers

Based on Rome IV diagnostic criteria, what is the predominant symptom differentiating IBS from functional diarrhea?

<p>Pain (B)</p> Signup and view all the answers

If a patient meets Rome IV diagnostic criteria for IBS and has no alarm features present, what is the next step in diagnosis?

<p>Diagnose the patient with IBS (A)</p> Signup and view all the answers

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