ABIM GI Practice Test 2026 — Free ABIM GI Exam Prep Questions
The ABIM Gastroenterology Certification Exam is the subspecialty board exam taken after an accredited GI fellowship. Our practice set follows the ABIM gastroenterology blueprint used from Fall 2026, with fellowship-level patient vignettes on procedures and GI bleeding, esophagus, stomach, IBD, motility, GI cancers, hepatology, pancreaticobiliary disease, disorders of gut-brain interaction and nutrition.
A 58-year-old man with alcohol-associated cirrhosis and refractory ascites is in the ICU with acute kidney injury. Creatinine rose from 1.1 to 2.9 mg/dL over 5 days and did not improve after stopping diuretics and giving IV albumin 1 g/kg daily for 2 days. Urine sodium is 8 mEq/L, urinalysis is bland, and renal ultrasonography is normal. He received no nephrotoxins or contrast, and infection workup is negative. Blood pressure is 96/58 mm Hg. Oxygen saturation is 88% on room air, with bibasilar crackles; chest radiograph shows mild interstitial edema. A central venous catheter is in place.
Which of the following is the most appropriate treatment?
ABIM GI format, scoring & key facts
Computer-based exam given once a year at secure testing centers. The January 2026 blueprint applies beginning with the Fall 2026 certification exam.
| Blueprint | ABIM Gastroenterology Certification Examination blueprint, January 2026, applicable beginning with the Fall 2026 exam |
|---|---|
| Question format | Single-best-answer multiple choice; most questions are patient scenarios |
| Task weights | Diagnosis/Testing 40%, Treatment/Care Decisions 45%, Risk Assessment/Prognosis/Epidemiology 10%, Pathophysiology/Basic Science 5% |
| Largest content area | Liver Disorders, 20% of the exam |
| Delivery | Secure testing centers, once a year |
| Eligibility | ABIM Internal Medicine certification plus a 36-month accredited GI fellowship (18 months clinical) |
| First-time pass rate | 94% in 2025 (679 first-time takers) |
| Lab values | Reference ranges follow ABIM's Laboratory Test Reference Ranges (January 2026) |
Facts last verified Nov 3, 2026. Source: www.abim.org/media/niqd5rw5/gastroenterology-cert.pdf. Always confirm details with ABIM before your exam.
When can you take the ABIM GI?
Offered once a year on a fixed fall exam date at secure testing centers; check ABIM's Gastroenterology exam dates page for the current date and registration deadlines.
What the ABIM GI covers
Every PrepBanq ABIM GI test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | Our practice questions |
|---|---|---|
Procedures and Periprocedural IssuesGI bleeding management, adverse effects of endoscopy, safety and logistics, indications and timing, quality measures and surveillance intervals, periprocedural medications, sedation, enteral access, ethical and medical–legal issues, and endoscopic emergencies. | 13% | 20 questions → |
Esophageal DisordersBarrett esophagus, eosinophilic esophagitis, anatomic abnormalities, physiology, gastroesophageal reflux, oropharyngeal disorders, foreign bodies and food impaction, esophageal injury and systemic disorders. | 7% | 10 questions → |
Gastric and Duodenal DisordersNausea and vomiting, anatomy and physiology, gastric outlet obstruction, gastric mucosal disorders, peptic ulcer disease, postsurgical and bariatric conditions, and systemic disorders involving the stomach. | 8% | 12 questions → |
Inflammatory Bowel Disease and Other Immune-Related DisordersCrohn disease, ulcerative colitis, celiac disease and other immunologic and inflammatory disorders of the gut. | 10% | 15 questions → |
Motility DisordersEsophageal (achalasia and nonachalasia), gastric, small-bowel and colonic, and anorectal motility disorders. | 5% | 8 questions → |
Neoplastic DisordersGenetic cancer syndromes and benign and malignant neoplasms of the esophagus, stomach, small bowel, liver, biliary tract, pancreas, colon and rectum; neuroendocrine tumors; GI manifestations of other cancers. | 10% | 15 questions → |
Liver DisordersLiver diagnostic studies, portal hypertension, inherited, cholestatic, viral, autoimmune, vascular, alcohol-associated and metabolic dysfunction–associated liver disease, drug-induced liver injury, pregnancy-related liver disease, acute liver failure, liver transplantation and surgery in liver disease. | 20% | 30 questions → |
Pancreas and Biliary Tract DisordersGallbladder and bile duct disease, anatomy and physiology, pancreatic insufficiency, and acute and chronic pancreatitis. | 9.5% | 14 questions → |
Disorders of Gut–Brain InteractionFunctional esophageal disorders, chronic nausea and vomiting syndromes, functional dyspepsia, bloating and belching, centrally mediated abdominal pain, functional biliary-like pain, irritable bowel syndrome and functional anorectal pain. | 6% | 9 questions → |
NutritionVitamin and mineral disorders, avoidant/restrictive food intake disorder, malabsorption, obesity management, clinical nutrition assessment, and enteral and parenteral nutrition. | 4% | 6 questions → |
Other DisordersDiarrheal syndromes, SIBO, anal disorders, hernias and obstruction, vascular disorders, appendicitis and infections, postsurgical conditions, microscopic colitis, diverticular disease, systemic disease and abdominal-wall pain. | 7.5% | 11 questions → |
How to register for the ABIM GI
Eligibility
Current ABIM certification in Internal Medicine, plus 36 months of accredited gastroenterology fellowship training (18 months clinical) completed by October 31 of the exam year, with diagnostic and therapeutic upper and lower endoscopy, program-director attestation of clinical competence and a valid, unrestricted medical license.
Retake policy
After completing fellowship you are Board Eligible for 7 years and may apply for the exam in any of those years; after that, a year of additional accredited training is required before applying again.
Credential renewal
The certificate stays valid as long as you meet Maintenance of Certification requirements, including 100 MOC points every five years and passing an MOC assessment (the traditional 10-year exam or the Longitudinal Knowledge Assessment).
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ABIM GI FAQ
How much does the ABIM GI cost?
The ABIM GI registration fee is See ABIM's exam fees and refund policies page for the current fee. Check the official site for current fees before you register.
What is on the ABIM GI?
The ABIM GI covers Procedures and Periprocedural Issues (about 13%), Esophageal Disorders (about 7%), Gastric and Duodenal Disorders (about 8%), Inflammatory Bowel Disease and Other Immune-Related Disorders (about 10%), Motility Disorders (about 5%), Neoplastic Disorders (about 10%), Liver Disorders (about 20%), Pancreas and Biliary Tract Disorders (about 9.5%), Disorders of Gut–Brain Interaction (about 6%), Nutrition (about 4%), Other Disorders (about 7.5%).
Who administers the ABIM GI?
The ABIM Gastroenterology Certification Exam is administered by ABIM. Delivery: Computer-based exam given once a year at secure testing centers. The January 2026 blueprint applies beginning with the Fall 2026 certification exam..
Can you retake the ABIM GI?
After completing fellowship you are Board Eligible for 7 years and may apply for the exam in any of those years; after that, a year of additional accredited training is required before applying again.
Is there a free ABIM GI practice test?
Yes. PrepBanq has 15 free ABIM GI practice tests with 150 exam-style questions in the real ABIM GI formats, and every answer is explained. No credit card is needed.
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