Gastroenterology Board Exam Started: Jul 12, 2026 20:20 Page 1 of 58 Attempt #850 Overall: 0 / 286 questions answered Question 1 / 286 Not answered During morning rounds: A patient with cirrhosis develops ascites and fever. Diagnostic paracentesis shows PMN count 320 cells/mm3. What is the diagnosis? A. Irritable bowel syndrome B. Acute appendicitis ruled out by ascites C. Spontaneous bacterial peritonitis D. Nephrotic syndrome only E. Uncomplicated ascites Show Answer & Explanation Correct Answer: C Explanation: [Gastroenterology] Ascitic fluid PMN count >=250 cells/mm3 is diagnostic of spontaneous bacterial peritonitis in cirrhosis. Reference: AASLD Ascites and SBP Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 2 / 286 Not answered Question 50: During an emergency department assessment: A 36-year-old man has bloody diarrhea, urgency, and continuous inflammation from rectum proximally on colonoscopy. What is the likely diagnosis? A. Crohn disease with skip lesions B. Ischemic colitis only C. Diverticulitis D. Cholera E. Ulcerative colitis Show Answer & Explanation Correct Answer: E Explanation: [Gastroenterology] Continuous mucosal inflammation beginning at the rectum is typical of ulcerative colitis. Reference: ECCO/ACG Inflammatory Bowel Disease Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 3 / 286 Not answered Question 51: At a primary-care follow-up visit: A 54-year-old man has chronic heartburn with alarm dysphagia and weight loss. What is the best next step? A. Upper GI endoscopy B. Empirical antacid only for 1 year C. Colonoscopy first D. H. pylori breath test only E. Reassurance Show Answer & Explanation Correct Answer: A Explanation: [Gastroenterology] GERD symptoms with alarm features such as dysphagia or weight loss require endoscopy. Reference: ACG GERD Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 4 / 286 Not answered Question 52: At a primary-care follow-up visit: A 47-year-old man has HBsAg positive for 8 months. What does this indicate? A. Resolved hepatitis A B. Chronic hepatitis B infection C. Acute hepatitis C only D. Vaccine immunity only E. False positive always Show Answer & Explanation Correct Answer: B Explanation: [Gastroenterology] HBsAg persisting for more than 6 months defines chronic hepatitis B infection. Reference: AASLD Hepatitis B Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 5 / 286 Not answered Question 53: At a primary-care follow-up visit: A patient with cirrhosis develops ascites and fever. Diagnostic paracentesis shows PMN count 320 cells/mm3. What is the diagnosis? A. Irritable bowel syndrome B. Acute appendicitis ruled out by ascites C. Spontaneous bacterial peritonitis D. Nephrotic syndrome only E. Uncomplicated ascites Show Answer & Explanation Correct Answer: C Explanation: [Gastroenterology] Ascitic fluid PMN count >=250 cells/mm3 is diagnostic of spontaneous bacterial peritonitis in cirrhosis. Reference: AASLD Ascites and SBP Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 1 of 58 Next → »