100+ Free ESEGH Practice Questions
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A 50-year-old man with compensated cirrhosis has transient elastography 28 kPa and platelets 92 x 10^9/L. He has no ascites and no prior variceal bleed. Endoscopy shows medium oesophageal varices without red signs. Blood pressure is 126/78 mmHg and heart rate is 76/min. Which primary prophylaxis strategy is most appropriate?
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Key Facts: ESEGH Exam
2018
ESEGH replaced the SCE in Gastroenterology and the ESBGH Examination
https://www.thefederation.uk/examinations/specialty-certificate-examinations/european-specialty-examination-gastroenterology
200
Official best-of-five questions
https://www.thefederation.uk/examinations/european-specialty-examination-gastroenterology-hepatology/esegh-faqs
2 x 3 hours
Official paper timing
https://www.thefederation.uk/sites/default/files/uploads/ESE%20Regulations%202018.pdf
7 Apr 2027
Next listed future ESEGH exam date on the official page reviewed 5 June 2026
https://www.thefederation.uk/examinations/specialty-certificate-examinations/european-specialty-examination-gastroenterology
£700 / €800 / £875
Current official fee tiers
https://www.thefederation.uk/examinations/specialty-certificate-examinations/european-specialty-examination-gastroenterology
54.9%
2025 all-candidate pass rate
https://www.thefederation.uk/sites/default/files/uploads/ESEGH%202025%20report.pdf
6 attempts
Automatic attempt limit before additional evidence is required
https://www.thefederation.uk/sites/default/files/uploads/ESE%20Regulations%202018.pdf
For current planning on 5 June 2026, eu-ebgh-exam should be treated as ESEGH, the current European Specialty Examination in Gastroenterology and Hepatology. Official facts include annual delivery, next listed exam date of 7 April 2027, two 3-hour computer-based papers, 200 best-of-five questions, no negative marking, no formal entry requirements, a six-attempt automatic limit, fees of UK £700 / ESBGH countries €800 / other countries £875, and a 2025 all-candidate pass rate of 54.9%.
Sample ESEGH Practice Questions
Try these sample questions to test your ESEGH exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1Which description best reflects the current European Specialty Examination in Gastroenterology and Hepatology?
2A candidate asks how the ESEGH is structured on the examination day. Which answer is most accurate?
3Which statement about eligibility and attempts for the ESEGH is correct?
4Which countries currently make the ESEGH mandatory for relevant trainees?
5A candidate is comparing current official ESEGH fee tiers before applying. Which fee pairing is correct?
6A 68-year-old man reports progressive dysphagia, initially to solids and now also to liquids, with 8 kg weight loss. What is the most appropriate next investigation?
7A 35-year-old man has intermittent dysphagia to solids, food bolus impactions, asthma, and allergic rhinitis. Endoscopy shows rings and furrows. Which biopsy strategy is most appropriate?
8A 42-year-old woman has dysphagia to solids and liquids from onset, regurgitation of undigested food, and nocturnal cough. Endoscopy excludes malignancy. Which investigation best confirms the likely diagnosis?
9A patient with progressive dysphagia to solids and liquids undergoes high-resolution oesophageal manometry. Which pattern is most consistent with achalasia?
10A 55-year-old obese man has chronic reflux symptoms. Endoscopy shows salmon-coloured mucosa extending 4 cm above the gastro-oesophageal junction, and biopsies show intestinal metaplasia without dysplasia. What is the diagnosis?
About the ESEGH Exam
ESEGH is the European Specialty Examination in Gastroenterology and Hepatology. It is the GMC-approved mandatory summative knowledge assessment for UK gastroenterology and hepatology trainees and a European benchmark for ESBGH curriculum knowledge. It is not the old separate ESBGH Examination; that examination was replaced by ESEGH.
Assessment
ESEGH is the current pan-European gastroenterology and hepatology specialty knowledge examination. It replaced the older UK SCE in Gastroenterology and the ESBGH Examination from January 2018. The exam is computer-based, consists of two papers of 100 best-of-five questions, and is selected from the official ESEGH blueprint.
Time Limit
Six hours total: two 3-hour papers taken on the same day.
Passing Score
Criterion-referenced and equated. The 2025 report states that the pass score of 432 is maintained until standards are reviewed and that the 2025 pass mark was 432, equivalent to 58.4% or 115/197.
Exam Fee
Current fees are UK £700, ESBGH full member, associate member and observer countries €800, and all other countries and territories £875. (Federation of Royal Colleges of Physicians of the UK, with the British Society of Gastroenterology and ESBGH)
ESEGH Exam Content Outline
Computer-Based Best-of-Five Exam
Two same-day 3-hour papers, 100 best-of-five questions per paper, one mark for each correct answer, no negative marking, and no marks for unanswered questions.
Inflammatory Bowel Disease and Colonic Disorders
IBD, acute severe colitis, colorectal neoplasia, surveillance, functional bowel disease, microscopic colitis, diverticular disease, and colonic emergencies.
Liver Disorders
Viral, metabolic, alcohol-related, autoimmune, cholestatic, and cirrhotic liver disease, including portal hypertension, HCC surveillance, decompensation, and transplant referral.
Upper GI and Small Intestine
Oesophageal, stomach, duodenal, and small intestinal disorders, coeliac disease, malabsorption, nutritional problems, dyspepsia, reflux, and bleeding.
Pancreatobiliary, Haemorrhage, and Procedures
Pancreatitis, pancreatic cancer, biliary obstruction, cholangitis, GI haemorrhage, endoscopic triage, ERCP/MRCP/EUS decisions, complications, and quality and safety.
How to Pass the ESEGH Exam
What You Need to Know
- Passing score: Criterion-referenced and equated. The 2025 report states that the pass score of 432 is maintained until standards are reviewed and that the 2025 pass mark was 432, equivalent to 58.4% or 115/197.
- Assessment: ESEGH is the current pan-European gastroenterology and hepatology specialty knowledge examination. It replaced the older UK SCE in Gastroenterology and the ESBGH Examination from January 2018. The exam is computer-based, consists of two papers of 100 best-of-five questions, and is selected from the official ESEGH blueprint.
- Time limit: Six hours total: two 3-hour papers taken on the same day.
- Exam fee: Current fees are UK £700, ESBGH full member, associate member and observer countries €800, and all other countries and territories £875.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
ESEGH Study Tips from Top Performers
Frequently Asked Questions
Is this a legacy ESBGH Examination entry?
No. The current official exam is ESEGH. Federation states that from January 2018 the UK SCE in Gastroenterology and the European Section and Board of Gastroenterology and Hepatology Examination were replaced by ESEGH.
How many questions are on ESEGH?
ESEGH has 200 best-of-five questions in two papers of 100 questions each, taken on the same day.
How long is the exam?
Each of the two papers is 3 hours, giving 6 hours of total testing time.
Are there entry requirements?
Federation states that there are no entry requirements, although the exam is intended for trainees and specialists at the relevant stage of gastroenterology and hepatology training.
How is ESEGH scored?
The ESE regulations describe criterion-referenced scoring with one mark for each correct answer, no negative marking, and no marks for unanswered questions. The pass mark is maintained and reviewed by the ESEGH Examination Board.
What is the next listed ESEGH date?
On the current official page reviewed on 5 June 2026, the next listed future diet is 7 April 2027, with applications from 16 December 2026 to 13 January 2027.