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European Specialty Examination in Gastroenterology and Hepatology — Information & Free Practice

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About European Specialty Examination in Gastroenterology and Hepatology

European Specialty Examination in Gastroenterology and Hepatology · GB

Key exam facts

Provider
European Section and Board of Gastroenterology and Hepatology (ESBGH), in partnership with the Federation of Royal Colleges of Physicians of the UK and British Society of Gastroenterology. Surpass administers computer-based delivery at test centres.
Format
Computer-based examination at a test centre; two papers of best-of-five multiple choice questions. One mark for each correct answer; no negative marking. English only.
Exam questions
Total questions: 200.
Time limit
Two papers of three hours each (six hours of answering time in total); reporting, identification checks and the interval between papers are separate.
Passing score
Criterion-referenced and equated: the required percentage correct can vary between diets. The Federation's 14 January 2026 standard-setting notice states that updated passing scores took immediate effect and equating now uses the 2025 cohort. Historical ESEGH scaled scores must not be treated as the current threshold; use the Board's standard for the relevant diet.
Exam fee
UK test centres: GBP 700. ESBGH full member, associate member and observer countries: EUR 800. All other countries and territories: GBP 875. A requested transfer from UK to an international location incurs the GBP 175 difference.

Topics covered

  • Biliary tree (8%)

  • GI haemorrhage (5%)

  • Inflammatory bowel disease and colonic disorders (20%)

  • Liver disorders (20%)

  • Nutrition (5%)

  • Oesophageal disorders (8%)

  • Pancreatic disorders (8%)

  • Small intestinal disorders (10%)

  • Stomach and duodenal disorders (10%)

  • Other (6%)

    • Mouth and salivary gland
    • Endoscopy
    • Gastrointestinal physiology
    • Gastroenterology investigations
    • Gastroenterology symptoms/signs
    • Anal disorders

How to prepare

Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.

These independent practice questions are not actual exam items and do not guarantee a passing result.

Frequently asked questions

What is the exam format?

Computer-based examination at a test centre; two papers of best-of-five multiple choice questions. One mark for each correct answer; no negative marking. English only.

How many questions are on the exam?

Total questions: 200.

How long is the exam?

Two papers of three hours each (six hours of answering time in total); reporting, identification checks and the interval between papers are separate.

What is the passing score?

Criterion-referenced and equated: the required percentage correct can vary between diets. The Federation's 14 January 2026 standard-setting notice states that updated passing scores took immediate effect and equating now uses the 2025 cohort. Historical ESEGH scaled scores must not be treated as the current threshold; use the Board's standard for the relevant diet.

How much does the exam cost?

UK test centres: GBP 700. ESBGH full member, associate member and observer countries: EUR 800. All other countries and territories: GBP 875. A requested transfer from UK to an international location incurs the GBP 175 difference.

Official sources and references

Confirm current exam arrangements with the exam provider.