NBME Step 2 CK Form 8 Irritable bowel syndome (NBME Answers)

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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#39 (reveal difficulty score)
A previously healthy 32-year-old woman comes ...
Irritable bowel syndome 🔍 / 📺 / 🌳 / 📖
tags: GI repeat

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submitted by ∗step_prep(148)

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Young healthy woman presenting with abdominal pain relieved by stools, with stool consistency being abnormal, all features of irritable bowel syndrome
Key idea: IBS is a diagnosis of exclusion that can lead to constipation and/or diarrhea and is often associated with (1) pain related to defecation (2) change in stool consistency (3) change in stool frequency

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kstudy Why not lactose intolerance? Cramping, loose stools, intermittent. If IBS is pain with defecation, then why does she have pain relief with defecation? There wasn't mentioning of change in frequency or consistency. +

namesthegame22 Can even present with only chronic constipation for 10 years. +

namesthegame22 Lactose intolerance or gluten enteropathy do not typically present with constipation. +

Irritable bowel syndrome (IBS) is characterized by recurrent, intermittent abdominal pain and alteration of bowel habits as either a change in stool frequency or consistency. The condition is chronic and in most patients, the severity of symptoms varies over time.

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