ABIM Gastroenterology Board Certification Practice Test
Certificación de la junta para la subespecialidad de gastroenterología que abarca endoscopia, enfermedad inflamatoria intestinal, enfermedades del hígado y malignidades gastrointestinales.
Preguntas de Muestra
Prueba algunas preguntas para ver cómo es el examen completo.
20 de 140 respuestas incluyen una referencia verificable.
A 45-year-old man has heartburn despite once-daily PPI. He takes the pill at bedtime with a snack. EGD shows no erosive esophagitis. What is the best first adjustment before labeling him PPI-refractory?
A 49-year-old man with 8 years of reflux and central obesity undergoes endoscopy for new dysphagia. A 5-cm Barrett segment is seen. Random biopsies show intestinal metaplasia with low-grade dysplasia, and a subtle 8-mm raised area is visible at 34 cm. A community pathology report has not been reviewed by an expert GI pathologist. What is the next best step?
A 69-year-old man with new dysphagia to solids has an irregular distal esophageal stricture and 15-lb weight loss. He asks for dilation only because he fears cancer. What is the best next step?
A 41-year-old man with recurrent acute pancreatitis has a normal triglyceride level and no alcohol use. MRCP shows a long common channel and pancreas divisum is excluded. He has episodic biliary pain and transient aminotransferase spikes, but ultrasound shows no stones. What test is most useful before considering invasive therapy?
A 32-year-old immigrant from West Africa is HBsAg positive. ALT is 31 U/L, HBV DNA is 1800 IU/mL, HBeAg negative, and elastography shows no fibrosis. His mother had hepatocellular carcinoma at age 48. What surveillance recommendation is most appropriate?