Free ACG Clinical Guidelines Questions and Answers

Question 1

According to ACG guidelines, which of the following is the recommended first-line treatment for Helicobacter pylori infection in a patient with no history of macrolide exposure?

Accepted Answer

Clarithromycin triple therapy

Answer

Bismuth quadruple therapy

Answer

Proton pump inhibitor (PPI) monotherapy

Answer

Amoxicillin monotherapy

Question 2

For patients with Barrett’s esophagus without dysplasia, what is the recommended surveillance interval according to ACG guidelines?

Accepted Answer

Every 3-5 years

Answer

Every 3 months

Answer

Every 6 months

Answer

Every 10 years

Question 3

According to ACG guidelines, what is the recommended first-line therapy for inducing remission in patients with moderate to severe Crohn's disease?

Accepted Answer

Anti-TNF agents (e.g., infliximab)

Answer

5-Aminosalicylates (5-ASA)

Answer

Antibiotics (e.g., ciprofloxacin)

Answer

Corticosteroids

Question 4

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

Accepted Answer

Anti-tissue transglutaminase (anti-tTG) IgA antibodies

Answer

HLA-DQ2/DQ8 genetic testing

Answer

Endoscopic biopsy of the small intestine

Answer

Anti-gliadin IgG antibodies

Question 5

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

Accepted Answer

Fecal immunochemical test (FIT) annually

Answer

Colonoscopy every 5 years

Answer

Double-contrast barium enema every 10 years

Answer

Capsule endoscopy every 2 years