Approach to constipation Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 68-year-old woman returns to the primary care office with continued symptoms of intermittent constipation after a recent four-week trial of fiber supplementation and stimulant laxatives. She has experienced symptoms of constipation intermittently for the last ten years. There is no abdominal pain, weight loss, or blood in the stools. Cancer screening is up-to-date. Past medical history is unremarkable, and she does not routinely take medications. She has a pregnancy history of three spontaneous vaginal deliveries and one cesarean section after prolonged labor. Temperature is 37.0°C (98.6°F), pulse is 72/min, respirations are 18/min, and blood pressure is 120/78 mmHg. The abdomen is soft, nontender, and nondistended. There is no tenderness on rectal exam, and there are no lesions or masses. Given her pregnancy and delivery history, dyssynergic defecation, or difficulty expelling stool, is the suspected cause. Which of the following should be ordered next?  

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