ROSH Gastrointestinal Practice Exam

What is the primary purpose of endoscopy in diagnosing gastrointestinal disorders?

1. To visualize and obtain biopsies

2. To perform surgery

3. To prescribe medication

4. To conduct imaging studies

The correct answer is: To visualize and obtain biopsies

The primary purpose of endoscopy in diagnosing gastrointestinal disorders is to visualize and obtain biopsies. Endoscopy is a minimally invasive procedure that allows physicians to directly observe the interior of the gastrointestinal tract using a flexible tube equipped with a camera. This visualization helps in identifying abnormalities such as tumors, inflammation, or ulcers. Obtaining biopsies during an endoscopy is crucial because it allows for histopathological analysis of tissue samples. This aids in diagnosing conditions like cancer, infections, and certain inflammatory disorders, providing essential information for effective patient management and treatment planning. The ability to perform these functions—visualization and biopsy—is what fundamentally distinguishes endoscopy in the context of gastrointestinal diagnosis. In contrast, performing surgery involves techniques that go beyond the diagnostic capabilities of endoscopy, such as making incisions or removing tissue, rather than just observing or sampling. Prescribing medication is a therapeutic action rather than a diagnostic one, and imaging studies typically involve modalities like ultrasound, CT scans, or MRI, which do not allow for direct tissue evaluation like endoscopy does.