Gastroenterology Board Exam Started: Jul 13, 2026 10:04 Page 19 of 58 Attempt #2542 Overall: 0 / 286 questions answered Question 91 / 286 Not answered A 55-year-old with long-standing GERD has Barrett's esophagus found on endoscopy. Most appropriate management: A. Stop all acid-suppressing medications B. Aggressive acid suppression with high-dose PPI C. Surveillance endoscopy in 3-5 years D. Prophylactic esophagectomy E. Observation without follow-up Show Answer & Explanation Correct Answer: B Explanation: High-dose PPI therapy and surveillance endoscopy are recommended for Barrett's esophagus to detect dysplasia or cancer. Reference: American College of Gastroenterology 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 92 / 286 Not answered In an emergency department assessment: a 54-year-old woman is evaluated for epigastric pain radiating to back in the context of NSAID use. Which is the most appropriate next investigation? A. Colonoscopy with biopsy B. Upper endoscopy C. Diagnostic paracentesis D. Abdominal ultrasound E. Serum lipase measurement Show Answer & Explanation Correct Answer: D Explanation: Abdominal ultrasound is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Gastroenterology. Reference: Tokyo Guidelines for Cholangitis 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 93 / 286 Not answered During a primary-care follow-up visit: a 79-year-old woman is evaluated for epigastric pain radiating to back in the context of NSAID use. Which is the most appropriate next investigation? A. Diagnostic paracentesis B. Abdominal ultrasound C. Serum lipase measurement D. MRCP when indicated E. Colonoscopy with biopsy Show Answer & Explanation Correct Answer: A Explanation: Diagnostic paracentesis is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Gastroenterology. Reference: ACG Clinical Guidelines for GI Disorders 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 94 / 286 Not answered At a multidisciplinary case conference: a 79-year-old woman has epigastric pain relieved by food with risk profile of heavy alcohol intake. After initial stabilization and assessment, what is the most appropriate management step? A. IBD induction therapy per severity B. Proton pump inhibitor-based therapy C. Urgent ERCP for biliary obstruction with sepsis D. Variceal bleeding protocol when indicated E. Aggressive IV fluid resuscitation in pancreatitis Show Answer & Explanation Correct Answer: D Explanation: Variceal bleeding protocol when indicated is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Gastroenterology. Reference: Tokyo Guidelines for Cholangitis 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 95 / 286 Not answered During a primary-care follow-up visit: a 67-year-old man has right upper quadrant pain with jaundice with risk profile of NSAID use. After initial stabilization and assessment, what is the most appropriate management step? A. Aggressive IV fluid resuscitation in pancreatitis B. Lactulose for overt hepatic encephalopathy C. Proton pump inhibitor-based therapy D. Variceal bleeding protocol when indicated E. Urgent ERCP for biliary obstruction with sepsis Show Answer & Explanation Correct Answer: C Explanation: Proton pump inhibitor-based therapy is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Gastroenterology. Reference: ACG Clinical Guidelines for GI Disorders 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 19 of 58 Next → »