True/False MCQ · Adult Constipation and Faecal Incontinence

Regarding constipation, the following statements are TRUE:

Decide whether each statement is true or false.

AAcute constipation (under 3 months) should prompt a search for a mechanical cause
BChronic functional constipation is defined by Rome criteria over more than 3 months
CA digital rectal examination is unnecessary in the assessment of constipation
DSlow transit and obstructed defaecation are two mechanisms of chronic constipation
EA new change in bowel habit in an older adult is a red flag for colorectal cancer

Show answers and explanation

A. True
B. True
C. False: A digital rectal examination is a mandatory part of assessing constipation, not unnecessary.
D. True
E. True

Classification and red flags guide assessment.

Acute (< 3 months): think mechanical cause (stricture, neoplasm, impaction).
Chronic (> 3 months): Rome criteria; distinguish slow transit from obstructed defaecation.
A new change in habit in an older adult is a red flag for colorectal cancer.
A digital rectal examination is a must.

Acute constipation prompts a search for a mechanical cause.

Chronic functional constipation uses Rome criteria over >3 months.

A digital rectal examination is a mandatory part of assessment, not unnecessary.

Slow transit and obstructed defaecation are the two mechanisms.

A new change in habit in an older adult is a red flag.

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