QuestionSBA
QuestionChoice
An OGD examines the upper GI tract, including the oesophagus, stomach and duodenum. It is more appropriate for assessing symptoms related to acid reflux, gastritis, upper GI bleeding and peptic ulcers.
10028062
b
Oesophago-gastro-duodenoscopy (OGD)
QuestionChoice
Helicobacter pylori testing is appropriate for assessing upper GI symptoms, particularly in suspected peptic ulcers or gastritis. It would not directly assess this patient's lower GI symptoms of chronic diarrhoea and weight loss.
10028063
c
Helicobacter pylori testing
QuestionChoice
IBS is a diagnosis of exclusion, and it is important to rule out other potential causes before considering IBS.
10028065
e
Diagnosis of irritable bowel syndrome (IBS) and reassurance
QuestionChoice
A trial of a gluten-free diet is appropriate when coeliac disease is suspected.
10028064
d
Trial of a gluten-free diet
QuestionChoice
The patient's symptoms suggest they possibly have inflammatory bowel disease (IBD). Colonoscopy with biopsy would allow direct visualisation of the colon to evaluate the extent of the inflammation, and the biopsy sample can help to confirm or rule out IBD.
10028061
a
Colonoscopy with biopsy
Concept
Chapter
2693
4000
Crohn's disease
Topic
136
Gastroenterology
18010
A 28-year-old male presents to the gastroenterology clinic experiencing chronic diarrhoea, abdominal cramping and weight loss of 15 pounds over the past 3 months. He reports no blood in his stool, but the diarrhoea occurs multiple times daily and wakes him up at night.

On examination, he has mild tenderness in the lower abdomen.

Blood results reveal anaemia and raised inflammatory markers. Faecal calprotectin is significantly raised.

What is the most appropriate next step in investigating this patient's symptoms?
a