Professional and Linguistic Assessments Board (PLAB) Practice Exam

What should be used to manage hard stool that is not impacted?

1. Oral saline laxatives

2. Stool softeners

3. Enemas

4. Probiotics

The correct answer is: Stool softeners

Using stool softeners is an effective approach to managing hard stool that is not impacted. Stool softeners work by drawing water into the stool, making it softer and easier to pass. They are particularly beneficial for individuals who may be experiencing difficulty due to dehydration or insufficient dietary fiber intake. Unlike laxatives that stimulate bowel contractions, stool softeners gently increase moisture in the stool without causing cramping. For individuals with hard stools, stool softeners can provide relief and encourage regular bowel movements without the distress sometimes associated with more aggressive laxative treatments. It is also important to ensure adequate hydration, as this can further help in softening the stools. Other options, while sometimes relevant in different contexts, do not address the immediate need for softening hard stools. Oral saline laxatives can cause a more rapid bowel movement and are not specifically geared towards softening existing hard stool. Enemas may be useful in cases of impaction or to deliver immediate relief, but they are more invasive and not necessary for simply addressing hard stool. Probiotics can support overall gut health and function, but they do not directly soften hard stools or provide immediate symptomatic relief.