Knowledge Questionnaire

Test your knowledge and learn more about Irritable Bowel Syndrome by taking our Knowledge Questionnaire.

I. Background Information, Epidemiology

Q1. It is estimated that between 10% and 20% of adults in the US have IBS.

True or False?

Q2. Patients with IBS visit the doctor twice as often as the average patient primarily to address symptoms related to IBS.

True or False?

II. Symptoms

Q1. Which group of symptoms/disorders is LEAST associated with IBS?

  1. Chronic fatigue syndrome and fibromyalgia
  2. Anxiety, depression and headaches
  3. Ulcerative colitis, Crohn´s Disease and bowel cancer
  4. Frequent urination, back pain and chronic pelvic pain

Q2. Which symptoms are NOT associated with IBS?

  1. Bloating
  2. Constipation
  3. Diarrhea
  4. Blood in the stools
  5. Cramping
  6. Weight loss

III. Diagnosis of IBS

Q1. Which of the following can confirm a diagnosis of IBS?

  1. Colonoscopy
  2. Analysis of gut bacteria
  3. Barium enema
  4. There are no confirmed diagnostic tests for IBS

IV. Causes of IBS

Q1. Between 7% and 31% of patients with IBS report an episode of gastroenteritis (an infection of the stomach and intestines) before the onset of IBS symptoms

True or False?

Q2. Patients who have received antibiotic therapy for gastroenteritis are less likely to develop IBS symptoms.

True or False?

Q3. Possible causes of IBS include which of the following:

  1. Bacterial infections, fungal infections or intestinal parasites
  2. Chronic low-grade inflammation
  3. Food sensitivities and food allergies
  4. Imbalance of the bacteria in the gut (too little Bifidobacteria and overgrowth of enterobacteriacae)
  5. All of the above

Q4. Which food is NOT implicated in worsening of IBS symptoms in some patients?

  1. Wheat
  2. Dairy
  3. Citrus
  4. Refined sugars
  5. Fat
  6. Complex carbohydrates such as whole grains, brown rice, buckwheat and millet

V. Treatment Strategies

Q1. The use of anti-inflammatory medications is part of the standard treatment for IBS.

True or False?

Q2. The use of antiobiotics is recommended for all cases of IBS.

True or False?

Q3. Probiotics are often used to limit the growth of harmful bacteria and promote the growth of beneficial bacterial in the intestines.

True or False?

Q4. Fecal bacteriotherapy is a very new and controversial therapeutic approach that has been reported to improve IBS constipation in small case studies.

True or False?

Q5. Integrative IBS care focuses on nutrition, supplementation, exercise, mind-body medicine and other holistic interventions to the exclusion of the use of medications.

True or False?

Q6. Dietary changes that may help manage IBS symptoms include:

  1. Avoiding gas-forming foods such as cabbage, broccoli and beans
  2. Avoiding caffeine and alcohol
  3. Increasing dietary fiber
  4. Avoiding dairy, fried and fatty foods
  5. Increasing water intake
  6. All of the above

Q7. Various herbal teas and supplements can be used for different IBS symptoms.
The one that has been shown to be most effective is:

  1. Senna
  2. Blackberry tea
  3. Peppermint
  4. Ginger

VI. IBS and the Mind-Body Connection

Q1. Many people who meet criteria for IBS also have anxiety and/or depression.

True or False?

Q2. Patients who have not been helped by traditional medical interventions are also resistant to psychological treatments.

True or False?

Q3. Tricyclic antidepressants are often given to patients with IBS because:

  1. IBS patients almost always experience depression that should be treated
  2. Antidepressants block the activity of nerves responsible for gut motion and help to reduce pain
  3. Antidepressants affect the kinds of foods that patients eat
  4. IBS patients often have a strong placebo response to taking a medication

Q4. Which symptom is least likely to be helped by psychological treatments?

  1. Abdominal pain
  2. Diarrhea
  3. Constipation
  4. Co-occurring conditions such as depression, anxiety, pain or sleep disorders

Q5. Which of the following psychological interventions have been shown to lead to the greatest long-term reductions in IBS symptoms?

  1. Dynamic psychotherapy
  2. Stress management
  3. Hypnotherapy
  4. Cognitive-behavioral therapy
  5. Biofeedback

Q6. Hypnotherapy has been shown to be helpful for patients with IBS because hypnotherapy:

  1. Encourages patients to ignore their symptoms, especially their pain
  2. Patients, while in a state of relaxation, are taught to assert control over gut function and imagery
  3. Patients simply enter a very deep state of relaxation that can be achieved through any other relaxation strategy
  4. Patients are given an opportunity to explore the psychological reasons why they have IBS

Q7. By promoting deep states of relaxation, meditation can help to reduce symptoms of IBS.

True or False?

Q8. Biofeedback is useful to patients with IBS because it uses visual and auditory cues to teach patients to alter bodily responses.

True or False?

Q9. In cognitive behavioral therapy for IBS, the focus of treatment is on:

  1. Understanding and analyzing the root causes of the maladaptive patterns
  2. Using hypnotherapy techniques to explore thoughts and behaviors
  3. Exploring unconscious reasons for particular behaviors
  4. Focusing on the here and now to control current symptoms

Q10. Relaxation strategies that can be helpful for patients with IBS include:

  1. Progressive Muscle Relaxation
  2. Meditation
  3. Deep Breathing
  4. Body Scan
  5. All of the above