skip to main content

Diabetic gastroparesis — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateInternal Medicine (chronic management)Diabetic gastroparesisUSMLE Step 3

A 62-year-old woman with long-standing type 2 diabetes has early satiety, postprandial fullness, nausea, and glucose variability. Upper endoscopy is normal. Gastric emptying scintigraphy shows delayed emptying without obstruction. Which of the following is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: EDiabetic gastroparesis

Delayed gastric emptying in long-standing diabetes after mechanical obstruction is excluded indicates diabetic gastroparesis.

Reference: American College of Gastroenterology gastroparesis guideline: https://gi.org/