Professional and Linguistic Assessments Board (PLAB) Practice Exam

What is the recommended treatment for constipation with soft stools?

1. High-fiber diet

2. Senna, high fiber diet

3. Mineral oil

4. Increasing water intake

The correct answer is: Senna, high fiber diet

The recommended treatment for constipation with soft stools typically involves using a stool softener or mild laxative like Senna alongside a high-fiber diet. This combination can help improve bowel habits effectively without causing excessive strain, while still maintaining soft stool consistency. A high-fiber diet is beneficial for promoting regularity and can be particularly effective in cases of constipation, but when stools are already soft, adding a stimulant laxative like Senna can enhance bowel movements by promoting contractions in the intestines. This dual approach addresses both the need for softness in the stool and the necessity for regular bowel function. While increasing water intake is essential for maintaining hydration and aiding overall digestion, it might not be sufficient on its own to promote regularity in the presence of constipation. Mineral oil can also be a helpful option to lubricate the intestines but typically isn't the first line for this specific presentation. The recommended option leverages the strength of both a dietary fiber increase and the stimulating effects of Senna to create a balanced and effective treatment strategy for constipation with soft stools.