ACG CxA case studies
ACG CxA · Put your knowledge to work in context.
The ACG Certified Excellence in Gastroenterology (CxA) is presented here as a professional credential for gastroenterologists and advanced practice providers who want structured, exam-based validation of their clinical knowledge. This page is an independent study resource; it is not affiliated with, endorsed by, or sponsored by the American College of Gastroenterology. The blueprint is organized into six weighted domains: Gastroenterology and Hepatology Clinical Knowledge and Endoscopy and Gastrointestinal Procedures at 20 percent each, followed by Inflammatory Bowel Disease, Liver Disease and Hepatology, and Functional GI and Motility Disorders at 15 percent each, and Practice Management, Quality, and Health Equity at 15 percent. Because the source material does not publish the number of items, the time limit, the passing score, the fee, the retake policy, or the validity period, those figures are marked for review rather than estimated. The ACG CxA case studies are 5 cases and about 3,163 words.
1Post-ERCP Abdominal Pain in a Patient with Prior Sphincterotomy
A 58-year-old woman with a history of recurrent choledocholithiasis undergoes ERCP for suspected common bile duct stones. She has had a prior sphincterotomy 2 years ago.
552 words, about 3 min2Colonoscopy Quality Metrics in a Community Practice
You are the medical director of a three-physician gastroenterology practice. The practice performs about 1,200 screening colonoscopies annually.
562 words, about 3 min3New-Onset Ascites in a Patient with Cirrhosis: Diagnostic and Management Dilemmas
A 62-year-old man with alcohol-related cirrhosis (Child-Pugh class B, MELD-Na 15) presents with a 2-week history of increasing abdominal girth and shortness of breath. He has been abstinent from alcohol for 6 months.
853 words, about 4 min4Refractory GERD Symptoms: When to Pursue Further Testing
A 45-year-old woman presents with a 2-year history of heartburn and regurgitation. She has been on omeprazole 40 mg daily for 8 weeks, but her symptoms persist.
684 words, about 3 min5Health Equity in Colorectal Cancer Screening: Addressing Disparities in an Urban Clinic
You are the director of a federally qualified health center (FQHC) in an urban area serving a predominantly low-income, minority population. The clinic has 5,000 age-eligible patients (50-75 years) for colorectal cancer (CRC) screening.
512 words, about 3 min