2016-08-24 20:19:44 UTC

The Correct Answer Is …

Aug. 25, 2016

On Monday, we asked members in AGA Community a question from DDSEP® 8 for board exam practice. Did you get it right?

In the session recording from the Board Review Course at Digestive Disease Week® 2016, Lawrence Schiller, MD presents the correct answer and supporting evidence for the following question:

“A 44-year-old woman with no significant history presents for an evaluation of an 8-month history of meal-triggered diarrhea. Physical examination is normal. Thyroid function panel, celiac serology, C-reactive protein, lactose breath testing, stool studies for infectious pathogens, enterography imaging, and colonoscopy with biopsies are all negative.

Trial of lopermide is not helpful. She is started on a bile acid sequestrant with prompt resolution of symptoms.

Which of the following is true of the underlying etiology of this patient’s symptoms?

A.     This is suggestive of Type 1 bile acid diarrhea (BAD)

B.     This is suggestive of Type 2 BAD

C.      This is suggestive of Type 3 BAD

D.     BAD is present in up to 50% of patient presenting with chronic watery diarrhea”

The question — pulled from AGA's Digestive Diseases Self Education Program® (DDSEP) 8 board exam prep tool — stumped the audience, with half responding with "D" and the other half split between the first three answers. In the AGA Community discussion, most respondents answered with "B."

Watch the short clip from the DDW session to discover the correct answer:

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