American College of Gastroenterology (ACG) Member Knowledge Assessment — Questions and Answers

Question 1: ACG patient resources on colonoscopy preparation are designed to help patients understand what?

How to bill their insurance for colonoscopy screening
The history and development of colonoscopy technology
How to avoid colonoscopy through alternative screenings only
Preparation instructions, what to expect during the procedure, and post-procedure care (Correct answer)

Correct answer: Preparation instructions, what to expect during the procedure, and post-procedure care

Colonoscopy prep resources explain bowel preparation instructions, sedation, what happens during the procedure, and recovery expectations to reduce patient anxiety and improve compliance.

Question 2: Which ACG award specifically recognizes a gastroenterologist who has made seminal contributions to GI research over a career?

ACG Health Policy Prize
ACG Mentorship Award
ACG Community Physician Award
ACG Distinguished Research Award (Correct answer)

Correct answer: ACG Distinguished Research Award

The ACG Distinguished Research Award honors gastroenterologists whose career contributions have significantly advanced the scientific understanding of digestive diseases.

Question 3: The ACG Research Committee is responsible for which function?

Reviewing grant applications and overseeing the society's research funding programs (Correct answer)
Conducting systematic reviews for all clinical guidelines
Managing ACG's investment portfolio
Publishing the ACG Annual Report

Correct answer: Reviewing grant applications and overseeing the society's research funding programs

The Research Committee evaluates grant applications, selects awardees, and provides oversight of ACG's research funding initiatives.

Question 4: A hemodynamically stable patient with mild uncomplicated acute diverticulitis (Hinchey Stage Ia) is managed as an outpatient. Which initial approach is supported by ACG guidelines?

Oral antibiotics or observation without antibiotics (Correct answer)
Intravenous antibiotics with hospital admission for 72 hours
Urgent colonoscopy within 24 hours to assess severity
Emergency laparoscopic sigmoid resection

Correct answer: Oral antibiotics or observation without antibiotics

ACG guidelines support outpatient management with oral antibiotics or even observation alone for mild uncomplicated acute diverticulitis in immunocompetent, low-risk patients.

Question 5: Which endoscopic finding on esophageal varices most strongly predicts imminent hemorrhage in a patient with portal hypertension?

Variceal size greater than 5mm in diameter
Multiple varices involving the distal esophagus
Red wale signs on the varix surface (Correct answer)
Presence of gastric varices along the lesser curve

Correct answer: Red wale signs on the varix surface

Red wale signs — longitudinal red streaks on the surface of esophageal varices — are the endoscopic finding most predictive of imminent variceal bleeding in portal hypertension.

Question 6: What is the 'Meet the Professor' session format at the ACG Annual Meeting designed to facilitate?

Small-group, interactive discussions with expert faculty on focused clinical topics (Correct answer)
Industry-sponsored product launches
Mass lecture presentations to thousands of attendees
Online-only webinar format discussions

Correct answer: Small-group, interactive discussions with expert faculty on focused clinical topics

'Meet the Professor' sessions are small, interactive formats that allow attendees to engage directly with expert faculty on focused clinical questions.

Question 7: What is the most common cause of chronic liver disease in the United States, according to ACG data?

Hepatitis B
Alcoholic liver disease
Nonalcoholic fatty liver disease (NAFLD) (Correct answer)
Hepatitis C

Correct answer: Nonalcoholic fatty liver disease (NAFLD)

Nonalcoholic fatty liver disease (NAFLD) has become the most common cause of chronic liver disease in the United States, according to ACG data. Its prevalence is rapidly increasing due to the rising rates of obesity, type 2 diabetes, and metabolic syndrome. NAFLD can progress to more severe liver conditions like cirrhosis and liver cancer, making it a significant public health concern.

Question 8: Which journal publishes the official abstract supplement for the ACG Annual Scientific Meeting?

Clinical Gastroenterology and Hepatology
The American Journal of Gastroenterology (Correct answer)
Gastroenterology
GI Endoscopy

Correct answer: The American Journal of Gastroenterology

The American Journal of Gastroenterology publishes the official abstract supplement for the ACG Annual Meeting, making the research publicly accessible.

Question 9: Charcot's triad of findings is classic for which biliary emergency?

Acute cholangitis (Correct answer)
Acute cholecystitis
Primary sclerosing cholangitis flare
Biliary pancreatitis

Correct answer: Acute cholangitis

Charcot's triad — fever with rigors, jaundice, and right upper quadrant pain — is the classic presentation of acute cholangitis caused by biliary obstruction and ascending bacterial infection.

Question 10: ACG provides guidance on the 'open access' colonoscopy model, which refers to what?

Direct referral for colonoscopy without requiring a prior gastroenterologist office visit (Correct answer)
Remote endoscopy performed via telemedicine
Colonoscopy performed in outpatient surgery centers without hospital privileges
Free colonoscopy services for uninsured patients

Correct answer: Direct referral for colonoscopy without requiring a prior gastroenterologist office visit

Open access colonoscopy allows patients referred by primary care physicians to undergo colonoscopy without a prior GI office visit, improving efficiency and access.

Question 11: Which award presented at the ACG Annual Meeting recognizes the best abstract submitted by a trainee?

ACG Presidential Plenary Prize
ACG Governors Award for Excellence
Schindler Research Medal
ACG Trainee Research Award (Correct answer)

Correct answer: ACG Trainee Research Award

The ACG Trainee Research Award recognizes outstanding abstract submissions from residents, fellows, and other trainees at the annual meeting.

Question 12: Which of the following is a key focus of ACG’s advocacy efforts related to improving patient access to care in rural and underserved areas?

Expanding telehealth and telemedicine services (Correct answer)
Increasing the use of artificial intelligence in diagnostics
Promoting interstate licensure for gastroenterologists
Supporting non-physician endoscopists

Correct answer: Expanding telehealth and telemedicine services

A key focus of ACG's advocacy efforts to improve patient access to care in rural and underserved areas is expanding telehealth and telemedicine services. These technologies enable gastroenterologists to consult with patients remotely, overcoming geographical barriers and providing expert care where in-person visits may be challenging. Telehealth improves access to specialized care and reduces travel burdens for patients.

Question 13: According to ACG guidelines, which of the following screening intervals is recommended for patients with average risk for colorectal cancer, beginning at age 45?

Fecal immunochemical test (FIT) annually (Correct answer)
Colonoscopy every 5 years
Double-contrast barium enema every 10 years
Capsule endoscopy every 2 years

Correct answer: Fecal immunochemical test (FIT) annually

For average-risk individuals beginning at age 45, ACG guidelines recommend several options for colorectal cancer screening. Among the non-invasive methods, the Fecal Immunochemical Test (FIT) is recommended annually. FIT is an effective and convenient test for detecting occult blood in stool, which can be an indicator of polyps or colorectal cancer.

Question 14: ACG's GI quality benchmarking resources help practices compare their performance against what?

International endoscopy procedure volumes
Individual physician historical performance only
National GI quality benchmarks and peer practices (Correct answer)
Pharmaceutical company standards

Correct answer: National GI quality benchmarks and peer practices

ACG quality benchmarking tools allow practices to compare their ADR, cecal intubation rate, and other metrics against national benchmarks and similar practices.

Question 15: ACG was founded in which year?

1962
1978
1945
1932 (Correct answer)

Correct answer: 1932

The American College of Gastroenterology was founded in 1932, making it one of the oldest GI professional organizations in the United States.

Question 16: ACG's Clinical Research Awards are specifically designed to support research in which phase?

Health economics and hospital finance research
Patient-oriented and clinical research involving human subjects (Correct answer)
Basic laboratory bench science exclusively
Animal model pre-clinical studies only

Correct answer: Patient-oriented and clinical research involving human subjects

ACG Clinical Research Awards fund patient-oriented studies involving human subjects, bridging the gap between basic discovery and clinical application.

Question 17: Which non-invasive index is recommended by ACG as the preferred first-line tool for assessing liver fibrosis stage in patients with NAFLD?

NAFLD Fibrosis Score (NFS)
FIB-4 score (Correct answer)
APRI score
AST/ALT ratio

Correct answer: FIB-4 score

The FIB-4 score, calculated from age, AST, ALT, and platelet count, has been validated as an accurate non-invasive test for significant liver fibrosis in NAFLD and is ACG's recommended first-line assessment.

Question 18: What does the 'Postgraduate Course' component of the ACG Annual Meeting emphasize?

Healthcare administration and coding updates
Basic science research methodology
Board exam preparation only
Applied clinical knowledge and case-based learning for practicing gastroenterologists (Correct answer)

Correct answer: Applied clinical knowledge and case-based learning for practicing gastroenterologists

Postgraduate courses at ACG focus on practical, applied clinical education using case-based formats to help practitioners refine and update their skills.

Question 19: Which ACG resource helps gastroenterologists navigate coding and billing for endoscopic procedures?

ACG Coding and Reimbursement Guide (Correct answer)
ACG Research Grant Handbook
ACG Fellowship Match Toolkit
ACG Clinical Trials Registry

Correct answer: ACG Coding and Reimbursement Guide

ACG's Coding and Reimbursement resources provide guidance on CPT codes, billing practices, and reimbursement policies specific to gastroenterology procedures.

Question 20: For an ACG member to be eligible for the FACG designation, what is typically required?

Completion of an ACG-sponsored clinical trial
Payment of a one-time FACG registration fee only
Active ACG membership for a minimum period plus peer endorsements and specialty board certification (Correct answer)
Completion of a GI research PhD

Correct answer: Active ACG membership for a minimum period plus peer endorsements and specialty board certification

FACG eligibility typically requires active ACG membership for a minimum number of years, board certification, and endorsements from current Fellows.

Question 21: How often does ACG update its leadership through presidential elections?

Every three years
Every year (Correct answer)
Every two years
Every five years

Correct answer: Every year

ACG elects a new President annually, with the incoming President-elect typically serving in a defined succession to ensure leadership continuity.

Question 22: Exhibitor halls at the ACG Annual Meeting primarily showcase what?

Government health policy displays
The latest GI medical devices, pharmaceuticals, and technologies (Correct answer)
ACG merchandise and publications only
Medical literature archives

Correct answer: The latest GI medical devices, pharmaceuticals, and technologies

The exhibit hall at ACG's meeting features vendors presenting the latest GI endoscopes, therapeutic devices, pharmaceuticals, and healthcare technology solutions.

Question 23: Which ACG Annual Meeting feature provides structured networking opportunities for trainees to connect with faculty?

The Exhibit Hall Speed Networking Event
Industry-sponsored dinner symposia
Mentorship Luncheons or Trainee Networking Events (Correct answer)
Presidential Address Q&A

Correct answer: Mentorship Luncheons or Trainee Networking Events

ACG's meeting includes structured mentorship and networking events specifically designed to connect trainees with experienced faculty and potential mentors.

Question 24: What is the primary billing code used for a diagnostic colonoscopy in a Medicare patient?

CPT 45378 (Correct answer)
CPT 45384
CPT 45380
CPT 45385

Correct answer: CPT 45378

CPT 45378 is the standard code for diagnostic colonoscopy, used when no polyp removal or biopsy is performed during the procedure.

Question 25: What is the primary purpose of the ACG Annual Scientific Meeting?

To present cutting-edge research, clinical advances, and innovations in gastroenterology (Correct answer)
To conduct ABIM gastroenterology recertification exams
To negotiate insurance contracts for ACG members
To elect new ACG board members

Correct answer: To present cutting-edge research, clinical advances, and innovations in gastroenterology

The ACG Annual Scientific Meeting is the premier annual forum where GI professionals present research, share clinical advances, and engage in professional development.

Question 26: Which endoscopic finding best distinguishes Crohn's disease from ulcerative colitis on colonoscopy?

Skip lesions with rectal sparing (Correct answer)
Mucosal friability and bleeding
Pseudopolyps in the sigmoid colon
Continuous mucosal inflammation from the rectum

Correct answer: Skip lesions with rectal sparing

Skip lesions with rectal sparing are characteristic of Crohn's disease, while ulcerative colitis typically shows continuous inflammation starting from the rectum.

Question 27: ACG patient resources about nonalcoholic fatty liver disease (NAFLD) stress the importance of which lifestyle intervention?

Weight loss through diet and exercise as the most effective management strategy (Correct answer)
Daily alcohol consumption to promote liver regeneration
High-dose vitamin E supplementation for all patients
Immediate liver transplant evaluation

Correct answer: Weight loss through diet and exercise as the most effective management strategy

Weight loss of 7-10% body weight through lifestyle modification is the most effective proven intervention for NAFLD, reducing liver fat and inflammation.

Question 28: Which ACG initiative supports gastroenterologists in implementing quality improvement programs in their practices?

ACG Medical Device Registry
ACG Quality Improvement Initiative (QI) (Correct answer)
ACG Pharmaceutical Liaison Program
ACG Hospital Credentialing Protocol

Correct answer: ACG Quality Improvement Initiative (QI)

ACG's Quality Improvement programs provide tools, benchmarks, and resources to help practices measure and improve the quality of GI care they deliver.

Question 29: Which federal agency is the most common source of larger research funding that ACG pilot grants help investigators pursue?

CDC
NIH (National Institutes of Health) (Correct answer)
CMS (Centers for Medicare & Medicaid Services)
FDA

Correct answer: NIH (National Institutes of Health)

NIH, particularly the NIDDK (National Institute of Diabetes and Digestive and Kidney Diseases), is the primary federal funding source for GI research that ACG pilot grants help leverage.

Question 30: ACG patient education about celiac disease emphasizes which cornerstone of management?

Immunosuppressive therapy for all celiac patients
Strict lifelong adherence to a gluten-free diet as the primary treatment (Correct answer)
Annual endoscopy surveillance without dietary changes
Enzyme supplementation as the primary treatment

Correct answer: Strict lifelong adherence to a gluten-free diet as the primary treatment

The primary and currently only effective treatment for celiac disease is strict lifelong adherence to a gluten-free diet, which ACG patient resources emphasize clearly.

Question 31: According to ACG colonoscopy surveillance guidelines, what is the recommended follow-up interval after removal of 3-4 tubular adenomas each less than 10 mm with low-grade dysplasia?

5 years
1 year
3 years (Correct answer)
10 years

Correct answer: 3 years

ACG guidelines recommend a 3-year surveillance colonoscopy interval after removal of 3-4 tubular adenomas each less than 10 mm with low-grade dysplasia, classifying this as moderate adenoma risk.

Question 32: What format does ACG primarily use to deliver patient education content to the general public?

Television advertisements
Dense medical journal articles requiring a subscription
In-person-only community seminars
Accessible patient fact sheets, FAQs, and online guides written in plain language (Correct answer)

Correct answer: Accessible patient fact sheets, FAQs, and online guides written in plain language

ACG produces patient-friendly fact sheets and online guides written in accessible language to help patients and their families understand GI conditions and treatments.

Question 33: Which ACG resource helps practices comply with infection control and reprocessing standards for endoscopes?

ACG Pharmaceutical Compatibility Chart
ACG GI Sedation Protocol Manual
ACG Hospital Credentialing Toolkit
ACG Endoscope Reprocessing Guideline and Quality Indicator Recommendations (Correct answer)

Correct answer: ACG Endoscope Reprocessing Guideline and Quality Indicator Recommendations

ACG publishes specific guidelines on endoscope reprocessing to help practices comply with infection control standards and prevent transmission of pathogens.

Question 34: What is the current standard of care for treatment-naive chronic hepatitis C with genotype 1 in the United States?

Pegylated interferon plus ribavirin for 48 weeks
Ribavirin monotherapy with close virologic monitoring
Sofosbuvir monotherapy for 12 weeks
Pan-genotypic direct-acting antiviral (DAA) combination therapy for 8-12 weeks (Correct answer)

Correct answer: Pan-genotypic direct-acting antiviral (DAA) combination therapy for 8-12 weeks

Pan-genotypic DAA combinations such as sofosbuvir/velpatasvir or glecaprevir/pibrentasvir for 8-12 weeks are the current standard of care, achieving sustained virologic response in over 95% of patients.

Question 35: Which regulatory change significantly affected gastroenterology reimbursement by eliminating the 'screening-to-diagnostic' cost-sharing conversion for Medicare beneficiaries?

Affordable Care Act 2010 screening mandate
MACRA 2015 quality reporting changes
Medicare Advantage privatization rules
Consolidated Appropriations Act of 2023 provisions phasing out the conversion penalty (Correct answer)

Correct answer: Consolidated Appropriations Act of 2023 provisions phasing out the conversion penalty

The Consolidated Appropriations Act of 2023 included provisions to phase out the cost-sharing conversion when a Medicare screening colonoscopy becomes therapeutic, a long-standing ACG advocacy priority.

Question 36: Which ACG award recognizes outstanding contributions to clinical gastroenterology and endoscopy?

Rudolph V. Schindler Award (Correct answer)
ACG Governor's Award
Berk-Fise Mentorship Award
Distinguished Clinician Award

Correct answer: Rudolph V. Schindler Award

The Rudolph V. Schindler Award is one of ACG's most prestigious honors, recognizing exceptional contributions to clinical gastroenterology and endoscopy.

Question 37: What is a common challenge addressed by ACG practice management resources regarding prior authorization?

Increasing the number of required authorizations for routine office visits
Standardizing authorization forms across GI specialties only
Eliminating all insurance requirements for diagnostic colonoscopy
Streamlining prior authorization requirements that delay patient access to necessary GI procedures (Correct answer)

Correct answer: Streamlining prior authorization requirements that delay patient access to necessary GI procedures

Prior authorization burdens delay patient access to needed GI procedures; ACG advocates for and provides resources to help practices navigate and challenge excessive requirements.

Question 38: Which annual stool-based test is recommended by ACG as a non-invasive colorectal cancer screening option for average-risk patients?

Fecal calprotectin test annually
Fecal immunochemical test (FIT) annually (Correct answer)
Stool DNA test (Cologuard) every 1 year
Guaiac fecal occult blood test (gFOBT) every 3 years

Correct answer: Fecal immunochemical test (FIT) annually

ACG recommends annual fecal immunochemical testing (FIT) as a non-invasive CRC screening option; it is more sensitive and specific than guaiac FOBT and requires no dietary restrictions.

Question 39: How does the ACG Research Committee evaluate grant applications?

Through a peer review process with multiple expert reviewers scoring scientific merit and feasibility (Correct answer)
By popularity vote among ACG governors
By a single reviewer assigned alphabetically
By industry advisory panel recommendations

Correct answer: Through a peer review process with multiple expert reviewers scoring scientific merit and feasibility

ACG uses a formal peer review process where multiple expert reviewers evaluate each application on scientific merit, feasibility, and alignment with ACG priorities.

Question 40: What is the significance of the ACG's Regional Postgraduate Course program?

It certifies new gastroenterology fellowship programs
It provides continuing medical education at the regional level for practicing gastroenterologists (Correct answer)
It manages fellowship match applications
It regulates state licensing for GI specialists

Correct answer: It provides continuing medical education at the regional level for practicing gastroenterologists

ACG Regional Postgraduate Courses offer CME opportunities closer to practitioners' home locations, reducing travel barriers to ongoing education.

Question 41: A 70-year-old patient with overt GI bleeding undergoes capsule endoscopy revealing an actively bleeding arteriovenous malformation (AVM) in the mid-jejunum. What is the preferred therapeutic approach?

Device-assisted enteroscopy with endoscopic hemostasis (Correct answer)
Transcatheter angiographic embolization as first-line therapy
Repeat capsule endoscopy in 4 weeks
Surgical resection of the affected small bowel segment

Correct answer: Device-assisted enteroscopy with endoscopic hemostasis

Device-assisted enteroscopy (balloon-assisted or spiral enteroscopy) allows direct visualization and endoscopic treatment of small bowel lesions such as AVMs, making it the preferred approach after capsule endoscopy localizes the source.

Question 42: What is the recommended first-line serologic test for diagnosing celiac disease in a patient actively consuming gluten?

Anti-gliadin antibody (AGA-IgG)
Anti-endomysial antibody (EMA-IgA)
IgA tissue transglutaminase antibody (tTG-IgA) (Correct answer)
Deamidated gliadin peptide IgG (DGP-IgG)

Correct answer: IgA tissue transglutaminase antibody (tTG-IgA)

IgA tTG antibody is the recommended first-line serologic test for celiac disease diagnosis due to its high sensitivity and specificity when the patient is on a gluten-containing diet.

Question 43: ACG research grant applications are typically due when relative to the funding cycle?

Biannually in January and July only
Only when surplus budget exists after the annual meeting
Annually in a defined application cycle with a set deadline, typically in spring or early fall (Correct answer)
Rolling applications accepted year-round

Correct answer: Annually in a defined application cycle with a set deadline, typically in spring or early fall

ACG research grants operate on annual cycles with fixed application deadlines, requiring prospective applicants to plan their submissions in advance.

Question 44: In patients with irritable bowel syndrome (IBS), which dietary intervention is often recommended to reduce symptoms?

Low FODMAP diet (Correct answer)
Gluten-free diet
High-fat diet
High-fiber diet

Correct answer: Low FODMAP diet

For patients with irritable bowel syndrome (IBS), a low FODMAP diet is frequently recommended to help reduce symptoms. FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) are types of carbohydrates that are poorly absorbed in the small intestine and can ferment in the colon, leading to gas, bloating, and abdominal pain in sensitive individuals. By temporarily restricting and then carefully reintroducing these foods, patients can identify triggers and manage their IBS symptoms more effectively.

Question 45: The ACG Annual Scientific Meeting typically takes place in which season?

Fall (October–November) (Correct answer)
Summer (June–August)
Winter (December–January)
Spring (March–May)

Correct answer: Fall (October–November)

The ACG Annual Scientific Meeting is traditionally held in the fall, typically in October or November, making it a key autumn event for GI professionals.

Question 46: A 55-year-old with long-standing GERD undergoes endoscopy revealing Barrett's esophagus without dysplasia. Per ACG guidelines, what is the recommended surveillance interval?

Every 3-5 years (Correct answer)
Every 6 months
No further surveillance needed
Every 1 year

Correct answer: Every 3-5 years

ACG guidelines recommend surveillance endoscopy every 3-5 years for Barrett's esophagus with no dysplasia, as the risk of progression to adenocarcinoma is low.

Question 47: What billing concept does ACG's practice management guidance address regarding 'split/shared visits' in gastroenterology?

Billing for two separate procedures performed on the same day
Splitting colonoscopy charges between the facility and the professional fee
Billing rules when a physician and an advanced practice provider both participate in a patient evaluation (Correct answer)
Sharing billing responsibilities between two gastroenterology group practices

Correct answer: Billing rules when a physician and an advanced practice provider both participate in a patient evaluation

Split/shared billing rules govern how visits can be billed when both a physician and an APP (NP or PA) participate, a common scenario in large GI practices.

Question 48: ACG's practice management resources address which regulatory framework that governs physician quality reporting?

Stark Law referral prohibitions
MACRA/MIPS (Merit-Based Incentive Payment System) (Correct answer)
FDA device approval pathway
HIPAA Privacy Rule only

Correct answer: MACRA/MIPS (Merit-Based Incentive Payment System)

MACRA/MIPS governs how physicians are evaluated and reimbursed under Medicare's quality reporting programs, directly affecting gastroenterologists' payments.

Question 49: Under the ACA's colorectal cancer screening provision, a screening colonoscopy that requires polypectomy is typically billed how for Medicare patients?

As a separate polypectomy only, not a colonoscopy
As an outpatient surgery requiring separate facility coding
As a purely diagnostic colonoscopy with no cost-sharing
As a screening procedure converted to diagnostic, with potential cost-sharing implications (Correct answer)

Correct answer: As a screening procedure converted to diagnostic, with potential cost-sharing implications

When a screening colonoscopy converts to a therapeutic procedure (polypectomy), cost-sharing requirements may apply under Medicare, though recent policy changes have reduced this burden.

Question 50: According to updated ACG guidelines, at what age should colorectal cancer screening with colonoscopy begin for average-risk adults in the US?

Age 55
Age 40
Age 50
Age 45 (Correct answer)

Correct answer: Age 45

ACG guidelines updated in 2021 recommend colorectal cancer screening beginning at age 45 for average-risk adults, lowering the threshold from the previously recommended age of 50.

Question 51: According to ACG guidelines, which of the following is the preferred test for initial evaluation of suspected celiac disease?

Endoscopic biopsy of the small intestine
Anti-tissue transglutaminase (anti-tTG) IgA antibodies (Correct answer)
HLA-DQ2/DQ8 genetic testing
Anti-gliadin IgG antibodies

Correct answer: Anti-tissue transglutaminase (anti-tTG) IgA antibodies

The anti-tissue transglutaminase (anti-tTG) IgA antibody test is the preferred initial screening test for suspected celiac disease, according to ACG guidelines. This test has high sensitivity and specificity, making it a reliable first step in identifying individuals who may have celiac disease. A positive result typically warrants further confirmatory testing, such as an endoscopic biopsy of the small intestine.

Question 52: A patient presents with dysphagia, food impaction, and peripheral eosinophilia. Endoscopy shows esophageal rings and furrows with 20 eosinophils/HPF on biopsy. What is the most likely diagnosis?

Eosinophilic esophagitis (EoE) (Correct answer)
Gastroesophageal reflux disease (GERD)
Esophageal candidiasis
Achalasia

Correct answer: Eosinophilic esophagitis (EoE)

Eosinophilic esophagitis is diagnosed by esophageal symptoms, characteristic endoscopic findings (rings, furrows, exudates), and ≥15 eosinophils per high-power field on biopsy after PPI trial.

Question 53: What is the purpose of the ACG's State Affiliate network?

To distribute ACG publications to regional libraries
To manage state insurance reimbursements for GI procedures
To oversee state medical licensing examinations
To connect ACG members at the state level and amplify local advocacy efforts (Correct answer)

Correct answer: To connect ACG members at the state level and amplify local advocacy efforts

ACG State Affiliates coordinate activities at the state level, facilitating local networking, advocacy, and educational programming for members.

Question 54: For patients with irritable bowel syndrome (IBS), ACG's patient education resources emphasize what first-line management approach?

Routine upper GI endoscopy as the first diagnostic step
Emergency room evaluation for all IBS flares
Immediate colonoscopy for all IBS patients
Dietary modifications, stress management, and evidence-based pharmacotherapy tailored to symptoms (Correct answer)

Correct answer: Dietary modifications, stress management, and evidence-based pharmacotherapy tailored to symptoms

ACG patient resources for IBS highlight the role of dietary changes (like low-FODMAP diet), stress management, and targeted pharmacotherapy based on predominant symptoms.

Question 55: What type of presentations are most commonly featured at the ACG Annual Scientific Meeting?

Legislative testimony sessions
Abstract-based oral and poster presentations of original research (Correct answer)
State licensing examination reviews
Medical device sales demonstrations

Correct answer: Abstract-based oral and poster presentations of original research

The meeting features hundreds of abstract presentations — oral talks and posters — showcasing original research in gastroenterology and hepatology.

Question 56: Which of the following is considered the first-line treatment for gastroesophageal reflux disease (GERD) according to ACG guidelines?

H2 receptor antagonists
Antacids
Surgery
Proton pump inhibitors (PPIs) (Correct answer)

Correct answer: Proton pump inhibitors (PPIs)

Proton pump inhibitors (PPIs) are considered the most effective first-line treatment for gastroesophageal reflux disease (GERD) according to ACG guidelines. PPIs provide superior and more sustained acid suppression compared to H2 receptor antagonists, leading to better symptom control and healing of erosive esophagitis. They are crucial for managing moderate to severe GERD symptoms.

Question 57: In gastroenterology practice, what does the term 'quality indicator' refer to?

A score assigned to the GI unit's physical facility
A patient satisfaction survey score only
A financial profitability benchmark for the practice
A measurable process or outcome metric used to assess the quality of care provided (Correct answer)

Correct answer: A measurable process or outcome metric used to assess the quality of care provided

Quality indicators are measurable metrics — like cecal intubation rate or ADR — that reflect how well a GI practice delivers evidence-based, safe, and effective care.

Question 58: According to ACG guidelines, what is the preferred first-line regimen for Helicobacter pylori eradication in regions with high clarithromycin resistance?

Amoxicillin monotherapy for 14 days
Bismuth quadruple therapy for 10-14 days (Correct answer)
Clarithromycin-based triple therapy for 7 days
Levofloxacin dual therapy for 5 days

Correct answer: Bismuth quadruple therapy for 10-14 days

ACG guidelines recommend bismuth quadruple therapy (PPI + bismuth + metronidazole + tetracycline) for 10-14 days as the preferred first-line regimen in areas with high clarithromycin resistance.

Question 59: What is the first-line treatment for mild-to-moderate active ulcerative colitis according to ACG guidelines?

Intravenous infliximab induction
Oral prednisone at 40-60 mg/day
Oral 5-aminosalicylic acid (5-ASA) with topical 5-ASA therapy (Correct answer)
Oral metronidazole for 10-14 days

Correct answer: Oral 5-aminosalicylic acid (5-ASA) with topical 5-ASA therapy

Oral 5-ASA agents (such as mesalamine) combined with topical 5-ASA therapy are the ACG-recommended first-line treatment for mild-to-moderate active ulcerative colitis.

Question 60: ACG research initiatives related to the gut microbiome have grown in priority because of emerging evidence linking the microbiome to what?

Multiple GI and systemic diseases including IBD, colorectal cancer, and metabolic conditions (Correct answer)
GI billing and reimbursement optimization
Colonoscope insertion technique success rates
Endoscope sterilization protocols

Correct answer: Multiple GI and systemic diseases including IBD, colorectal cancer, and metabolic conditions

The gut microbiome is increasingly linked to IBD, colorectal cancer, metabolic syndrome, liver disease, and other conditions, making it a top research priority for ACG.

Question 61: ACG's headquarters is located in which US state?

New York
Texas
Illinois
Virginia (Correct answer)

Correct answer: Virginia

ACG is headquartered in Bethesda, Maryland, with its main administrative offices serving members across the United States.

Question 62: ACG's Colorectal Cancer Awareness Month activities in March aim to do what?

Promote colonoscopy as the only valid screening test
Lobby Congress for GI physician payment increases
Raise fundraising for ACG's endowment exclusively
Increase public awareness of colorectal cancer screening and early detection to reduce mortality (Correct answer)

Correct answer: Increase public awareness of colorectal cancer screening and early detection to reduce mortality

During Colorectal Cancer Awareness Month, ACG leads public education campaigns to encourage screening uptake and raise awareness about the preventability of colorectal cancer.

Question 63: For patients concerned about Helicobacter pylori, ACG patient education communicates that the infection is definitively treated by what?

Surgical removal of the gastric antrum
Long-term acid suppression with PPIs alone
Antibiotic-based eradication therapy ('triple' or 'quadruple' therapy regimens) (Correct answer)
Dietary changes eliminating spicy foods

Correct answer: Antibiotic-based eradication therapy ('triple' or 'quadruple' therapy regimens)

H. pylori eradication requires specific antibiotic combination regimens (triple or quadruple therapy) along with acid suppression, which ACG patient resources clearly describe.

Question 64: Which educational format at the ACG Annual Meeting allows attendees to observe live endoscopic procedures?

Telemedicine case panels
Live endoscopy demonstrations or video-based sessions (Correct answer)
Cadaver labs
Simulation-only workshops

Correct answer: Live endoscopy demonstrations or video-based sessions

ACG's meeting includes video-based and live endoscopy sessions that allow attendees to observe real-time or recorded procedural techniques and innovations.

Question 65: What is the purpose of ACG's GI 'Coding Corner' educational resource?

To list all ACG-approved GI devices
To track legislative changes in malpractice law
To offer practical guidance on CPT coding, modifier use, and reimbursement questions for GI practices (Correct answer)
To provide summaries of GI clinical trial results

Correct answer: To offer practical guidance on CPT coding, modifier use, and reimbursement questions for GI practices

Coding Corner provides practical, accessible guidance on the specific CPT codes, modifiers, and billing nuances most relevant to gastroenterology practice.

Question 66: What is the significance of a 'Presidential Plenary' session at the ACG Annual Meeting?

It is a regulatory update session for billing compliance
It is a ceremony limited to FACG honorees
It is a high-profile general session featuring landmark research and leadership presentations (Correct answer)
It is a private board meeting closed to regular attendees

Correct answer: It is a high-profile general session featuring landmark research and leadership presentations

The Presidential Plenary is a flagship session featuring the most impactful research presentations and key leadership addresses to the full meeting audience.

Question 67: Which ACG program addresses the integration of advanced practice providers (APPs) into gastroenterology practices?

ACG APP Integration and Practice Resources (Correct answer)
ACG Residency Directors Forum
ACG Technologist Certification Program
ACG Nursing and Allied Health Division

Correct answer: ACG APP Integration and Practice Resources

ACG provides resources and guidelines to help gastroenterology practices effectively integrate nurse practitioners and physician assistants into care delivery teams.

Question 68: According to the ACG guidelines, at what age should average-risk individuals begin screening for colorectal cancer?

40
55
50
45 (Correct answer)

Correct answer: 45

The ACG, along with other major medical societies, updated its guidelines to recommend that average-risk individuals begin colorectal cancer screening at age 45. This change was implemented due to a rising incidence of colorectal cancer in younger populations. Early screening helps detect and prevent cancer more effectively.

Question 69: Which federal law, supported by the ACG, ensures that colorectal cancer screenings remain covered without cost-sharing, even when a polyp is removed during the procedure?

Affordable Care Act (ACA)
Medicare Access and CHIP Reauthorization Act (MACRA)
Health Insurance Portability and Accountability Act (HIPAA)
Removing Barriers to Colorectal Cancer Screening Act (Correct answer)

Correct answer: Removing Barriers to Colorectal Cancer Screening Act

The Removing Barriers to Colorectal Cancer Screening Act is a federal law supported by the ACG that ensures colorectal cancer screenings remain covered without cost-sharing, even if a polyp is removed during the procedure. This act addresses a previous loophole where patients might face unexpected bills if a polyp was found. Its aim is to encourage more individuals to undergo life-saving screenings by eliminating financial disincentives.

Question 70: Which ACG membership tier is open to gastroenterology fellows-in-training?

Candidate Member
Trainee Member (Correct answer)
Associate Member
Provisional Member

Correct answer: Trainee Member

Trainee Membership is available to gastroenterology fellows during their training years, providing access to ACG resources at reduced rates.

Question 71: What is the ACG's stance on patient-centered outcomes research (PCOR) in gastroenterology?

ACG actively supports PCOR to ensure research reflects outcomes most meaningful to patients with GI diseases (Correct answer)
ACG considers PCOR only relevant to primary care, not GI specialty care
ACG limits PCOR to FDA-mandated post-market surveillance only
ACG discourages PCOR as it is insufficiently rigorous

Correct answer: ACG actively supports PCOR to ensure research reflects outcomes most meaningful to patients with GI diseases

ACG supports patient-centered outcomes research to ensure that GI research priorities and findings reflect what matters most to patients living with digestive diseases.

Question 72: According to ACG guidelines, what is the recommended first-line therapy for H. pylori eradication?

Triple therapy with PPI, amoxicillin, and clarithromycin (Correct answer)
Bismuth quadruple therapy
H2 receptor antagonists and clarithromycin
Metronidazole and tetracycline

Correct answer: Triple therapy with PPI, amoxicillin, and clarithromycin

ACG guidelines recommend triple therapy consisting of a proton pump inhibitor (PPI), amoxicillin, and clarithromycin as a first-line regimen for H. pylori eradication. This combination is effective in regions with low clarithromycin resistance and for patients without prior macrolide exposure. The PPI reduces gastric acid, while the antibiotics target and eliminate the H. pylori bacteria.

Question 73: Industry-sponsored symposia at the ACG Annual Meeting are required to be labeled as what?

Peer-reviewed abstract sessions
Board certification preparation courses
Satellite symposia or industry-supported educational programs, separate from official CME (Correct answer)
Official ACG-endorsed guidelines

Correct answer: Satellite symposia or industry-supported educational programs, separate from official CME

Industry-sponsored events at medical meetings must be clearly labeled as satellite or industry-supported to distinguish them from ACG's independent, accredited CME content.

Question 74: The ACG has been involved in advocating against prior authorization requirements for certain gastroenterology procedures. What is a common argument used by the ACG against these requirements?

Prior authorization increases healthcare costs. (Correct answer)
Prior authorization improves the quality of patient care.
Prior authorization ensures proper care coordination.
Prior authorization ensures proper care coordination.

Correct answer: Prior authorization increases healthcare costs.

The ACG commonly argues that prior authorization requirements increase healthcare costs due to the significant administrative burden they place on providers. These requirements often lead to delays in necessary patient care, which can result in worse outcomes and ultimately more expensive treatments. The ACG contends that these processes often hinder timely access to care without providing commensurate benefits.

Question 75: What credential does ACG confer on eligible gastroenterologists to recognize their commitment to the specialty?

GES-Cert
FACG (Fellow of the American College of Gastroenterology) (Correct answer)
ABIM-GI
MD-GI

Correct answer: FACG (Fellow of the American College of Gastroenterology)

FACG is the Fellowship designation granted by ACG to recognize gastroenterologists who have demonstrated excellence and commitment to the specialty.

Question 76: ACG research grants typically require awardees to acknowledge ACG support in publications by doing what?

Including ACG logo on all publication figures
Citing the ACG grant number in the acknowledgments section (Correct answer)
Presenting findings only at ACG annual meetings
Submitting the paper to the American Journal of Gastroenterology exclusively

Correct answer: Citing the ACG grant number in the acknowledgments section

Standard grant acknowledgment practice requires listing the ACG grant number in the acknowledgments of any publication resulting from the funded research.

Question 77: The ACG Foundation serves what primary purpose relative to ACG research?

It handles ACG's corporate tax filings
It certifies gastroenterology training programs
It manages ACG's political action committee
It raises philanthropic funds to support ACG's research, education, and patient care initiatives (Correct answer)

Correct answer: It raises philanthropic funds to support ACG's research, education, and patient care initiatives

The ACG Foundation is the philanthropic arm of ACG, raising funds from members, patients, and industry to support research grants, fellowships, and educational programs.

Question 78: The ACG supports legislation that would help address the gastroenterology workforce shortage. Which of the following policies is commonly advocated for to alleviate this shortage?

Reducing the training period for gastroenterologists
Expanding telemedicine services
Allowing nurses to perform endoscopies independently (Correct answer)
Increasing funding for medical residency positions

Correct answer: Allowing nurses to perform endoscopies independently

To address the gastroenterology workforce shortage, the ACG supports policies that would allow qualified nurses to perform certain endoscopic procedures independently after specialized training. This approach aims to expand access to care, particularly in underserved areas, by leveraging the skills of advanced practice nurses and physician assistants. It helps alleviate the burden on gastroenterologists and improves patient access.

Question 79: What is the significance of cecal intubation rate (CIR) as a GI quality metric?

It tracks the rate of post-colonoscopy bleeding complications
It measures the percentage of colonoscopies in which the cecum is reached, reflecting procedural completeness (Correct answer)
It measures how quickly a colonoscope is withdrawn from the colon
It quantifies the number of biopsies taken per procedure

Correct answer: It measures the percentage of colonoscopies in which the cecum is reached, reflecting procedural completeness

CIR measures how often the colonoscopist reaches the cecum, confirming a complete examination; a high CIR indicates technical proficiency and thorough screening.

Question 80: What is the primary mission of the American College of Gastroenterology (ACG)?

To manage Medicare billing for endoscopic procedures
To certify gastroenterology laboratories nationwide
To regulate pharmaceutical companies producing GI medications
To advance gastroenterological care through education, research, and advocacy (Correct answer)

Correct answer: To advance gastroenterological care through education, research, and advocacy

ACG's mission centers on advancing the prevention, diagnosis, and treatment of digestive diseases through education, scientific research, and advocacy.

Question 81: What is the purpose of quality metrics like adenoma detection rate (ADR) in gastroenterology practice management?

To set CPT code values for colonoscopy
To determine physician salary levels
To benchmark colonoscopy quality and guide performance improvement efforts (Correct answer)
To calculate medical malpractice insurance premiums

Correct answer: To benchmark colonoscopy quality and guide performance improvement efforts

ADR is a key quality indicator that measures how often colonoscopists find adenomas, serving as a benchmark for colonoscopy quality and cancer prevention effectiveness.

Question 82: Which condition is a major focus of ACG research funding given its complex pathophysiology and high US prevalence?

Inflammatory bowel disease (IBD) including Crohn's disease and ulcerative colitis (Correct answer)
Ischemic hepatitis in rural populations
Tropical parasitic infections
Tropical sprue

Correct answer: Inflammatory bowel disease (IBD) including Crohn's disease and ulcerative colitis

IBD, including Crohn's disease and ulcerative colitis, is one of the highest-priority research areas given its complex mechanisms, increasing prevalence, and significant disease burden.

Question 83: What is the purpose of the ACG's research registry or cohort studies participation?

To audit procedure billing accuracy across US GI practices
To collect longitudinal clinical data enabling large-scale outcomes and epidemiological research in GI diseases (Correct answer)
To track ACG membership demographics only
To monitor endoscope inventory at member practices

Correct answer: To collect longitudinal clinical data enabling large-scale outcomes and epidemiological research in GI diseases

ACG-affiliated registries and cohort studies collect prospective clinical data from large patient populations, enabling robust outcomes and epidemiological research.

Question 84: What does the ACG's 'GI OnDEMAND' platform offer to members?

Live endoscopy case consultations
Billing and coding compliance audits
Real-time patient triage assistance
On-demand CME and educational content (Correct answer)

Correct answer: On-demand CME and educational content

GI OnDEMAND is ACG's on-demand educational platform providing CME content that members can access at any time to support lifelong learning.

Question 85: ACG members can access which online platform for clinical decision support and GI-specific resources?

GI Leapfrog
UpToDate GI Module
ACG Clinical Portal (Correct answer)
Epocrates GI Suite

Correct answer: ACG Clinical Portal

ACG provides members with access to its Clinical Portal, which offers guidelines, tools, and resources to support clinical decision-making in gastroenterology.

Question 86: Which ACG program specifically supports underrepresented minorities pursuing gastroenterology careers?

ACG Diversity Fellowship Award (Correct answer)
ACG Junior Faculty Development Award
ACG Governors Award
ACG President's Award

Correct answer: ACG Diversity Fellowship Award

The ACG Diversity Fellowship Award provides financial support to underrepresented minority trainees pursuing careers in gastroenterology.

Question 87: Which annual ACG recognition specifically honors a gastroenterologist for excellence in medical education?

ACG Master Educator Award (Correct answer)
William Silen Lifetime Achievement in Medical Education Award
ACG Teaching Recognition Award
GI Educator of the Year Award

Correct answer: ACG Master Educator Award

The ACG Master Educator Award recognizes gastroenterologists who have demonstrated exceptional commitment and excellence in teaching and medical education.

Question 88: Which membership category is designed for gastroenterologists who have been in practice for many years and have made significant contributions to the field?

Associate Member
Fellow of the ACG (FACG) (Correct answer)
International Member
Resident Member

Correct answer: Fellow of the ACG (FACG)

The Fellow designation (FACG) is conferred on ACG members who have demonstrated significant contributions to gastroenterology and met specific eligibility requirements.

Question 89: ACG patient resources on colon polyps explain that most colon cancers develop from what?

Directly from normal colon mucosa without precursor lesions
Adenomatous polyps that, if not removed, can progress to cancer over years (Correct answer)
Diverticular disease progression
Inflammatory conditions like Crohn's disease exclusively

Correct answer: Adenomatous polyps that, if not removed, can progress to cancer over years

The adenoma-to-carcinoma sequence is the established pathway for most colorectal cancers, making polyp detection and removal during colonoscopy the key cancer prevention mechanism.

Question 90: ACG's International Relations Committee primarily focuses on which activity?

Managing visa sponsorships for international fellows
Fostering relationships with international gastroenterology societies and supporting global GI health (Correct answer)
Negotiating trade agreements for GI medical devices
Overseeing ACG's overseas publication rights

Correct answer: Fostering relationships with international gastroenterology societies and supporting global GI health

The International Relations Committee builds partnerships with global GI societies and promotes ACG's mission beyond US borders.

Question 91: ACG promotes which stool-based test as a non-invasive colorectal cancer screening alternative for patients who decline colonoscopy?

Stool culture for enteric pathogens annually
Fecal calprotectin testing annually
Standard guaiac fecal occult blood test (gFOBT) annually only
Fecal immunochemical test (FIT) annually or multi-target stool DNA test (Cologuard) every 1-3 years (Correct answer)

Correct answer: Fecal immunochemical test (FIT) annually or multi-target stool DNA test (Cologuard) every 1-3 years

FIT and multi-target stool DNA tests (like Cologuard) are ACG-endorsed non-invasive CRC screening alternatives for patients who prefer to avoid colonoscopy.

Question 92: ACG's patient guidance on when to seek urgent care for GI symptoms identifies which symptom as a 'red flag' requiring prompt evaluation?

Occasional mild bloating after large meals
Transient lactose intolerance symptoms
Rectal bleeding, unintentional weight loss, or difficulty swallowing (Correct answer)
Mild nausea after fatty food intake

Correct answer: Rectal bleeding, unintentional weight loss, or difficulty swallowing

Red flag GI symptoms like rectal bleeding, unintentional weight loss, and dysphagia warrant prompt evaluation as they may indicate serious underlying conditions including malignancy.

Question 93: What is the most common cause of chronic pancreatitis in adults?

Genetic mutations
Autoimmune disorders
Alcohol use (Correct answer)
Gallstones

Correct answer: Alcohol use

In adults, chronic alcohol use is overwhelmingly the most common cause of chronic pancreatitis. Prolonged and heavy alcohol consumption can lead to repeated episodes of acute pancreatitis, which eventually results in irreversible damage to the pancreas, characterized by inflammation, fibrosis, and impaired function. This damage can cause persistent abdominal pain, malabsorption, and diabetes.

Question 94: Which ACG committee is responsible for overseeing the development and review of clinical practice guidelines?

Finance Committee
Communications Committee
Practice Parameters Committee (Correct answer)
Membership Committee

Correct answer: Practice Parameters Committee

The ACG Practice Parameters Committee reviews evidence and oversees the development of clinical guidelines that guide gastroenterology practice.

Question 95: Which document type does ACG publish to guide appropriate use of GI endoscopic procedures?

Federal Procedure Mandates
Appropriate Use Criteria (AUC) (Correct answer)
Endoscopy Volume Standards
ACG Scope Utilization Reports

Correct answer: Appropriate Use Criteria (AUC)

Appropriate Use Criteria provide evidence-based guidance on when specific endoscopic procedures are indicated, helping practices optimize procedure utilization.

Question 96: The ACG has advocated for increasing the reimbursement rates for which of the following procedures, citing its importance in cancer prevention and early detection?

Capsule endoscopy
ERCP (Endoscopic Retrograde Cholangiopancreatography)
Colonoscopy (Correct answer)
Upper endoscopy

Correct answer: Colonoscopy

The ACG has consistently advocated for increasing reimbursement rates for colonoscopies, citing their critical role in cancer prevention and early detection. Adequate reimbursement is essential to ensure that healthcare providers can continue to offer this vital screening procedure. This advocacy aims to maintain patient access to high-quality colorectal cancer screening services.

Question 97: ACG recommends a minimum adenoma detection rate (ADR) of what percentage for average-risk screening colonoscopy?

40% overall
25% overall (and higher for male patients) (Correct answer)
15% overall
10% for women and 20% for men

Correct answer: 25% overall (and higher for male patients)

ACG guidelines recommend a minimum ADR of 25% overall, with higher targets for male patients (≥30%), as lower ADR is associated with increased interval cancer risk.

Question 98: What research area has ACG particularly emphasized in recent years given its rising prevalence in younger Americans?

Helicobacter pylori eradication in elderly patients
Celiac disease management in elderly patients
Colorectal cancer in young adults and early-onset GI cancers (Correct answer)
Peptic ulcer disease

Correct answer: Colorectal cancer in young adults and early-onset GI cancers

ACG has highlighted the rising incidence of early-onset colorectal cancer in younger adults as a key research and screening priority in recent years.

Question 99: What is the recommended starting age for average-risk colorectal cancer screening according to current ACG guidelines?

60 years for patients with no family history
45 years for all average-risk individuals (Correct answer)
50 years for all patients
40 years for all patients

Correct answer: 45 years for all average-risk individuals

ACG guidelines recommend beginning colorectal cancer screening at age 45 for average-risk individuals, consistent with updated USPSTF and ACS recommendations driven by rising early-onset CRC rates.

Question 100: Which of the following medications is typically used as a first-line treatment for inducing remission in mild-to-moderate ulcerative colitis?

Methotrexate
Mesalamine (Correct answer)
Azathioprine
Infliximab

Correct answer: Mesalamine

For inducing remission in mild-to-moderate ulcerative colitis, mesalamine (an aminosalicylate) is typically the first-line treatment according to ACG guidelines. Mesalamine works by reducing inflammation in the colon, directly targeting the affected area. It is effective for many patients with less severe disease, helping to control symptoms and promote mucosal healing.

Question 101: Which body serves as the primary governing authority of the ACG?

The Scientific Affairs Committee
The National Advisory Council
The Board of Governors (Correct answer)
The Executive Committee

Correct answer: The Board of Governors

The ACG Board of Governors is the primary governing body, representing the membership and overseeing the organization's strategic direction.

American College of Gastroenterology (ACG) Member Knowledge Assessment

The ACG Member Knowledge Assessment evaluates gastroenterologists and GI professionals on ACG organizational resources, practice management tools, patient care guidelines, membership governance, and research grant opportunities.

100

Questions

120 min

Time Limit

70%

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