ABIM Gastroenterology Board Certification Practice Test

140 questions available

Build your confidence for ABIM Gastroenterology Board Certification. Practice the concepts, understand the answers, and strengthen your knowledge one question at a time.

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140 Practice questions
2 hours 20 minutes Practice Time
Try 5 free questions
No account needed. A free account includes 20 questions for this exam.
The bank 140 Practice questions checked against the official objectives.
ABIM140 practice questions

Exam overview and details

The American Board of Internal Medicine (ABIM) Gastroenterology Board Certification is the definitive credential signifying a physician's expertise in the prevention, diagnosis, and management of diseases of the digestive tract and liver. Achieving certification validates a physician's mastery of the core knowledge and clinical judgment required for the independent practice of gastroenterology, following successful completion of an ACGME-accredited fellowship. It is a rigorous, peer-developed assessment that goes beyond state licensure, focusing on the application of evidence-based medicine across the breadth of the specialty, including hepatology, luminal gastroenterology, and endoscopic procedures. This voluntary certification is a public commitment to lifelong learning and upholding the highest standards of patient care. It serves as a critical benchmark for healthcare institutions, patients, and colleagues, distinguishing board-certified gastroenterologists as leaders who have met nationally recognized standards of excellence in a complex and evolving field.

Sample Questions

Choose an answer and explore the explanation to see how practice works.

Pancreas and Biliary Tract Disorders

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?

Liver Disorders

A 63-year-old man with cirrhosis from chronic hepatitis C, now cured, asks whether he can stop liver cancer surveillance. He has no ascites, platelets are 92,000/mm3, and ultrasound 6 months ago was negative. What is the best recommendation?

Pancreas and Biliary Tract Disorders

A 52-year-old woman has acute pancreatitis with gallstones on ultrasound. She has epigastric pain, lipase 1800 U/L, bilirubin 1.4 mg/dL, common bile duct 5 mm, no fever, and improving pain after fluids. What is the best next management step?

Gastric and Duodenal Disorders

A 58-year-old man with a 2-cm clean-based duodenal ulcer had H. pylori treated with bismuth quadruple therapy. He feels well and has stopped PPIs for 2 weeks. He asks how to prove cure. Which test strategy is best?

Neoplastic Disorders

A 59-year-old man with Barrett esophagus has intramucosal adenocarcinoma confined to the mucosa on EMR with negative deep and lateral margins. No lymphovascular invasion is found. What is the preferred next step?

Career Opportunities & Salary

Median salary: $256,560– General Internal Medicine Physicians

Source: BLS Occupational Employment and Wage Statistics, May 2025 -- General Internal Medicine Physicians (SOC 29-1216), US national. Occupation median, not a certification salary. (2025)

General Internal Medicine Physicians

Exam insights and study advice

Board certification in Gastroenterology is a non-negotiable standard for career advancement and professional credibility. It is a prerequisite for hospital privileges, academic appointments, and leadership roles within healthcare systems. For patients and referring physicians, the ABIM certification seal is a trusted symbol of expertise and dedication to quality care. In an increasingly competitive landscape, it differentiates you as a specialist committed to maintaining the highest level of knowledge, directly impacting patient trust, referral patterns, and professional recognition. It is the cornerstone of a reputable practice and a fundamental component of career trajectory in both clinical and academic medicine.

What this exam covers

Use the published domain weights to plan your study. Practice results do not predict your certification exam score.

01Liver Disorders

20%

02Procedures and Periprocedural Issues

13%

03Inflammatory Bowel Disease and Other Immune-Related Disorders

10%

04Neoplastic Disorders

10%

05Pancreas and Biliary Tract Disorders

9-10%

06Gastric and Duodenal Disorders

8%

07Other Disorders

7-8%

08Esophageal Disorders

7%

09Disorders of Gut-Brain Interaction

6%

10Motility Disorders

5%

11Nutrition

4%

Frequently Asked Questions

What are the eligibility requirements to sit for the ABIM Gastroenterology Board Certification Exam?

What is the format and duration of the certification exam?

How does Maintenance of Certification (MOC) work for Gastroenterology?

What is the primary focus of the exam's content blueprint?

What is the recommended strategy for preparing for the exam?