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Inflammatory bowel disease — ABFM Board MCQ

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ModerateGI/HepatologyInflammatory bowel diseaseABFM Board

A 24-year-old man has 3 months of bloody diarrhea, urgency, weight loss, and lower abdominal pain. He also has erythema nodosum. Stool culture is negative. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Colonoscopy with biopsies

Chronic bloody diarrhea with systemic and extraintestinal features warrants colonoscopy with biopsies for inflammatory bowel disease evaluation.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html