ABIM GI Practice Test 1

10 free ABIM GI practice questions in the real exam format, covering the official content areas, with an explanation for every answer.

ABIM GI Practice Test 1Tutor mode

Question 1 of 10

Liver Disorders

A 34-year-old man with primary sclerosing cholangitis and ulcerative colitis diagnosed 5 years ago has his routine surveillance imaging. He feels well and has no right upper quadrant pain. His colitis is quiescent on mesalamine, and his last colonoscopy 10 months ago showed no dysplasia. MRCP shows stable multifocal strictures without a dominant stricture, and ultrasonography shows a 9-mm sessile gallbladder polyp that was not seen on imaging 12 months ago, without gallstones. Liver stiffness by VCTE is 7.8 kPa, platelet count is 228,000/μL, and albumin and bilirubin are normal. CA 19-9 is 22 U/mL (0–37). He asks what the polyp means for him.

Which of the following is the most appropriate recommendation?