Return to course: NICE CKS Question Banks
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Irritable Bowel Syndrome (PG)
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Course Curriculum
1. Which of the following is a positive diagnostic feature of IBS according to NICE?
*
Weight loss
Blood in stool
Nocturnal diarrhoea
Abdominal pain relieved by defaecation
2. How long should symptoms be present to consider a diagnosis of IBS?
*
1 week
2 weeks
6 months
12 months
3. Which symptom is NOT consistent with IBS?
*
Rectal bleeding
Bloating
Altered bowel habit
Abdominal discomfort
4. What is the first-line dietary advice in managing IBS?
*
High-fibre diet
Avoid dairy
Gluten-free diet
Regular meals, adequate fluids, reduce caffeine and alcohol
5. Which of the following is a recognised trigger for IBS symptoms?
*
Stress or anxiety
Smoking
Low salt diet
Cold weather
6. What is the first-line pharmacological treatment for IBS with constipation?
*
Bulk-forming laxative
Loperamide
Lactulose
Codeine
7. Which laxative should be avoided in IBS?
*
Bisacodyl
Ispaghula
Polyethylene glycol
Lactulose
8. What is the most appropriate treatment for IBS with diarrhoea?
*
Codeine
Simethicone
Loperamide
Metoclopramide
9. Which antispasmodic may help relieve abdominal pain in IBS?
*
Omeprazole
Ondansetron
Loperamide
Mebeverine
10. Which psychological intervention is supported by NICE for refractory IBS?
*
Cognitive behavioural therapy (CBT)
Hypnotherapy
Psychoanalysis
Group therapy
11. What red flag symptom should prompt further investigation instead of assuming IBS?
*
Bloating
Urgency
Intermittent constipation
Unexplained weight loss
12. Which blood test is typically recommended to exclude coeliac disease in suspected IBS?
*
ESR
Tissue transglutaminase (tTG) IgA
ANA
Uric acid
13. Which of the following is NOT a recommended diagnostic step in primary care IBS diagnosis?
*
Full blood count
CRP or ESR
Coeliac screen
Colonoscopy
14. Which probiotic guidance is offered by NICE for IBS?
*
Do not use probiotics
Use indefinitely
Try for 4 weeks and monitor effect
Only in IBS-D
15. Which patient group is more commonly affected by IBS?
*
Elderly men
Young women
Infants
Middle-aged men
16. Which is the most likely bowel habit pattern in IBS?
*
Constant diarrhoea
No change in stool form
Fluctuating between constipation and diarrhoea
Painless frequency
17. Which alarm symptom excludes a typical IBS diagnosis?
*
Flatulence
Iron deficiency anaemia
Abdominal cramping
Change in stool frequency
18. What FODMAP refers to in dietary IBS management?
*
Fibre only diet map
Fermentable oligo-, di-, mono-saccharides and polyols
Fat and oil-derived meal alternative plan
Functional organic dietary modification adjustment plan
19. Which specialist referral is appropriate if symptoms fail to respond to management?
*
Urology
Cardiology
Gastroenterology
Rheumatology
20. What does NICE recommend if symptoms are severe and unresponsive to standard treatment?
*
Long-term opioids
Psychological therapies and further testing
Surgical bowel resection
Hospital admission