ACG Study Guide 2026
Everything you need to pass the ACG exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 ACG Exam Format at a Glance
📚 ACG Topics to Study (22)
✍️ Sample ACG Questions & Answers
1. Which ACG program specifically supports underrepresented minorities pursuing gastroenterology careers?
The ACG Diversity Fellowship Award provides financial support to underrepresented minority trainees pursuing careers in gastroenterology.
2. Which of the following is a recommended screening modality for colorectal cancer in average-risk adults aged 50 years or older?
For average-risk adults aged 50 years or older, a colonoscopy every 10 years is a widely recommended and highly effective screening modality for colorectal cancer. This procedure allows for direct visualization of the entire colon and rectum, enabling the detection and removal of precancerous polyps before they can develop into cancer. Regular screening significantly reduces the incidence and mortality of colorectal cancer.
3. What is the ACG's stance on patient-centered outcomes research (PCOR) in gastroenterology?
ACG supports patient-centered outcomes research to ensure that GI research priorities and findings reflect what matters most to patients living with digestive diseases.
4. What is the first-line treatment for mild-to-moderate active ulcerative colitis according to ACG guidelines?
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.
5. Under the ACA's colorectal cancer screening provision, a screening colonoscopy that requires polypectomy is typically billed how for Medicare patients?
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.
6. What is the purpose of the ACG's research registry or cohort studies participation?
ACG-affiliated registries and cohort studies collect prospective clinical data from large patient populations, enabling robust outcomes and epidemiological research.