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 7Tutor mode
Question 1 of 10
Other Disorders
An 81-year-old man who lives in a nursing home and has chronic constipation is evaluated for 2 days of abdominal distention and absent bowel movements. He is passing no flatus. Pulse rate is 96/min and blood pressure is 128/74 mm Hg. The abdomen is markedly distended and tympanic but soft, without rebound or guarding. Lactate is 1.4 mmol/L (0.7–2.1). CT shows a dilated sigmoid loop with a whirl sign of the mesentery, without pneumatosis or free air. He has no major comorbidities that would prevent surgery. Which of the following is the most appropriate management?