ACG ACTUAL EXAM TEST BANK 2026/2027 PRACTICE QUESTIONS AND STUDY
GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS WITH WELL ELABORATED
ANSWERS WITH DETAILED RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED SUCCESS A+ |BRAND NEW!!!
A 49-year-old woman with a family history of colorectal cancer in a
second-degree relative presents for first time screening
colonoscopy at your ambulatory endoscopy center. Her procedure
starts at 4:00 pm and moderate sedation is used. Her exam is limited
by the following prep throughout the colon [figure].
What is the best management option to ensure the patient has a
repeat colonoscopy with adequate bowel preparation?
A Administer 2 tap water enemas in the waiting room and repeat the
exam right after.
B Once patient is awake, ask her to drink 4 L of polyethylene glycol-
electrolyte lavage solution (PEG-ELS) and repeat the colonoscopy
that evening once her stools are clear.
C Advise her to return home and drink 4 L of PEG-ELS that evening
with plans to repeat her colonoscopy the following morning.
D Ask her to call and reschedule at her convenience.
Advise her to return home and drink 4 L of PEG-ELS that evening
with plans to repeat her colonoscopy the following morning
Note: Attendance at repeat colonoscopy for inadequate bowel
prep is improved when the colonoscopy is booked the next day,
when possible
While asking her to call and reschedule might be acceptable, a time
frame (within 1 year or ideally sooner) should be given
,A 76-year-old man with no family history of colorectal cancer (CRC)
presents to discuss screening options. He underwent a colonoscopy
11 years ago, during which one 5-mm polyp was found [figure] and
there were no other findings. The patient denies inflammatory bowel
disease and other conditions that warrant high-risk screening
protocols. There is no family history of CRC, and the patient reports
no symptoms. Physical examination is normal.
According to the May 2021 United States Preventives Service Task
Force (USPSTF) recommendations for CRC screening among
average-risk adults, what is the appropriate guidance for this
patient?
A Participation in screening is not recommended.
B Screening is recommended; colonoscopy or fecal
immunochemical test (FIT) are the preferred screening modalities.
C Screening is recommended; options include the high sensitivity
guaiac fecal occult blood test, fecal immunochemical test (FIT
Participation in screening should consider overall health, prior
screening history, and preferences
Image demonstrates a hyperplastic polyp --> SAWTOOTH pattern
glands within the superficial aspect of the lesion
Note: HPs do not increase risk of CRC and do not impact
recommendations in this case
Clinicians selectively offer screening for CRC in adults aged 76 to 85
years
Evidence indicates that the net benefit of screening all persons in
this age group is small
In determining whether this service is appropriate in individual
cases, patients and clinicians should consider the patient's overall
,
, A 57-year-old woman presents for the evaluation of intermittent
abdominal pain that has persisted for 1 year. The patient specifically
reports postprandial abdominal pain associated with distention. On
occasion, there is associated vomiting. She has no fever, weight loss,
diarrhea, or blood per rectum. She has a past medical history of
hypertension and takes hydrochlorothiazide. She also has a history
of bilateral degenerative arthritis in her knees and takes diclofenac
daily. She was treated for cervical cancer with surgery and radiation.
The patient's sister was diagnosed with Crohn's disease. On exam,
the patient is a healthy-appearing, middle-aged female in no acute
distress. The abdomen is mildly distended but soft. There is tympany
with percussion in the upper abdomen. Normal bowel sounds are
appreciated.
An abdominal radiograph is performed and demonstrates no
evidence of bowel obstruction. Upper endoscop
NSAID-induced colonic stricture
Typical endoscopic appearance of an NSAID-induced colonic
stricture
Often described as "diaphragm-like" stricture
Targeted radiation for cervical cancer would not be expected to
involve the ascending colon
Initial treatment for this lesion would include serial dilation followed
by surgery if unsuccessful
GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS WITH WELL ELABORATED
ANSWERS WITH DETAILED RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED SUCCESS A+ |BRAND NEW!!!
A 49-year-old woman with a family history of colorectal cancer in a
second-degree relative presents for first time screening
colonoscopy at your ambulatory endoscopy center. Her procedure
starts at 4:00 pm and moderate sedation is used. Her exam is limited
by the following prep throughout the colon [figure].
What is the best management option to ensure the patient has a
repeat colonoscopy with adequate bowel preparation?
A Administer 2 tap water enemas in the waiting room and repeat the
exam right after.
B Once patient is awake, ask her to drink 4 L of polyethylene glycol-
electrolyte lavage solution (PEG-ELS) and repeat the colonoscopy
that evening once her stools are clear.
C Advise her to return home and drink 4 L of PEG-ELS that evening
with plans to repeat her colonoscopy the following morning.
D Ask her to call and reschedule at her convenience.
Advise her to return home and drink 4 L of PEG-ELS that evening
with plans to repeat her colonoscopy the following morning
Note: Attendance at repeat colonoscopy for inadequate bowel
prep is improved when the colonoscopy is booked the next day,
when possible
While asking her to call and reschedule might be acceptable, a time
frame (within 1 year or ideally sooner) should be given
,A 76-year-old man with no family history of colorectal cancer (CRC)
presents to discuss screening options. He underwent a colonoscopy
11 years ago, during which one 5-mm polyp was found [figure] and
there were no other findings. The patient denies inflammatory bowel
disease and other conditions that warrant high-risk screening
protocols. There is no family history of CRC, and the patient reports
no symptoms. Physical examination is normal.
According to the May 2021 United States Preventives Service Task
Force (USPSTF) recommendations for CRC screening among
average-risk adults, what is the appropriate guidance for this
patient?
A Participation in screening is not recommended.
B Screening is recommended; colonoscopy or fecal
immunochemical test (FIT) are the preferred screening modalities.
C Screening is recommended; options include the high sensitivity
guaiac fecal occult blood test, fecal immunochemical test (FIT
Participation in screening should consider overall health, prior
screening history, and preferences
Image demonstrates a hyperplastic polyp --> SAWTOOTH pattern
glands within the superficial aspect of the lesion
Note: HPs do not increase risk of CRC and do not impact
recommendations in this case
Clinicians selectively offer screening for CRC in adults aged 76 to 85
years
Evidence indicates that the net benefit of screening all persons in
this age group is small
In determining whether this service is appropriate in individual
cases, patients and clinicians should consider the patient's overall
,
, A 57-year-old woman presents for the evaluation of intermittent
abdominal pain that has persisted for 1 year. The patient specifically
reports postprandial abdominal pain associated with distention. On
occasion, there is associated vomiting. She has no fever, weight loss,
diarrhea, or blood per rectum. She has a past medical history of
hypertension and takes hydrochlorothiazide. She also has a history
of bilateral degenerative arthritis in her knees and takes diclofenac
daily. She was treated for cervical cancer with surgery and radiation.
The patient's sister was diagnosed with Crohn's disease. On exam,
the patient is a healthy-appearing, middle-aged female in no acute
distress. The abdomen is mildly distended but soft. There is tympany
with percussion in the upper abdomen. Normal bowel sounds are
appreciated.
An abdominal radiograph is performed and demonstrates no
evidence of bowel obstruction. Upper endoscop
NSAID-induced colonic stricture
Typical endoscopic appearance of an NSAID-induced colonic
stricture
Often described as "diaphragm-like" stricture
Targeted radiation for cervical cancer would not be expected to
involve the ascending colon
Initial treatment for this lesion would include serial dilation followed
by surgery if unsuccessful
