ABIM GI case studies
ABIM GI · Put your knowledge to work in context.
The ABIM Gastroenterology Certification Examination is the assessment the American Board of Internal Medicine uses to certify physicians who have completed gastroenterology fellowship training and wish to practice as board-certified gastroenterologists. It is aimed at internists who have finished accredited GI fellowships and are entering independent practice, and it is also used by established specialists maintaining certification through the longitudinal knowledge pathway. The exam samples the full breadth of the specialty: esophageal and gastric disorders, small bowel, colonic and anorectal disease, pancreaticobiliary medicine, hepatology, inflammatory and functional bowel disease, GI oncology and hereditary syndromes, nutrition and malabsorption, endoscopy and procedural care, and infectious and systemic disease of the GI tract. Hepatology carries the largest single share, so candidates who neglect liver disease tend to feel that gap on exam day. The ABIM GI case studies are 4 cases and about 2,931 words.
1Coffee-Ground Emesis in a Patient on Dual Antiplatelet Therapy
A 68-year-old man with a drug-eluting stent placed 6 weeks ago presents with two episodes of coffee-ground emesis and melena over 24 hours. He takes aspirin 81 mg daily plus ticagrelor, atorvastatin, and ibuprofen 400 mg three times daily for knee osteoarthritis.
761 words, about 4 min2Recurrent Abdominal Pain and Weight Loss After Travel
A 34-year-old woman presents with 8 months of intermittent crampy periumbilical pain, bloating, and non-bloody diarrhea occurring 2–3 times weekly, with 6 kg unintentional weight loss. She traveled to rural South Asia 14 months ago for 3 months.
696 words, about 3 min3Screening Decisions in a Family With a Germline Mutation
A 45-year-old man undergoes colonoscopy for iron-deficiency anemia. A 3-cm sessile serrated lesion with dysplasia is removed piecemeal from the ascending colon, and two additional 6-mm hyperplastic polyps are found.
771 words, about 4 min4Refeeding Risk in a Patient With Severe Malnutrition
A 52-year-old man with alcohol-related cirrhosis and a 3-week history of poor intake presents with confusion and weakness. He has had almost no oral intake for 10 days and reports 12 kg weight loss over 3 months.
703 words, about 4 min