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 5Tutor mode
Question 1 of 10
Disorders of Gut–Brain Interaction
A 41-year-old man with IBS with diarrhea by Rome IV criteria has had urgency, loose stools 4–5 times daily and cramping pain for 3 years. Celiac serology, CRP, fecal calprotectin and colonoscopy with random biopsies were normal. A low-FODMAP diet supervised by a dietitian and as-needed loperamide improved stools but not pain or bloating. He had a cholecystectomy 2 years ago and drinks one or two beers on weekends. He has no history of pancreatitis or constipation. Which of the following is the most appropriate next treatment?