PANCE Blueprint GI and Nutrition (8%)

• Acute/chronic cholecystitis
• Cholangitis
• Cholelithiasis

Colorectal disorders

• Abscess/fistula
• Anal fissure
• Constipation
• Diverticulitis
• Fecal impaction
• Hemorrhoids
• Inflammatory bowel disease
• Irritable bowel syndrome
• Ischemic bowel disease
• Large Bowel Obstruction
• Polyps
• Toxic megacolon

Esophageal disorders

• Esophagitis
• Gastroesophageal reflux disease
• Mallory-Weiss tear
• Motility disorders
• Strictures
• Varices

Food allergies and food sensitivities

• Gluten intolerance
• Lactose intolerance
• Nut allergies

Gastric disorders

• Gastritis
• Peptic ulcer disease
• Pyloric stenosis

Hepatic disorders

• Acute/chronic hepatitis
• Cirrhosis

Hernias

Infectious diarrhea

Ingestion of toxic substances or foreign bodies

• G6PD deficiency
• Paget disease
• Phenylketonuria
• Rickets

Neoplasms

• Benign and malignant

Nutritional and vitamin disorders

• Hypervitaminosis/hypovitaminosis
• Obesity

Pancreatic disorders

• Acute/chronic pancreatitis

Small intestine disorders

• Appendicitis
• Celiac disease
• Intussusception
• Small bowel obstruction
• Polyps

GI and Nutrition Exam

Here is a summary of the new additions/updates to the 2024 PANCE GI/Nutrition Content Blueprint that took effect in 2025.

• Colorectal disorders
  • New section on fecal incontinence
  • New section on ileus
  • The topic of rectocele moved from OBGYN and reclassified as rectal prolapse
• Esophageal disorders
  • New lesson on Zenker diverticulum
  • New lesson on gastroparesis
• New PANCE section on gastrointestinal bleeding
• Hepatic disorders
  • New section on Fatty liver (is part of PANRE)
  • New section on Portal hypertension

• New section on Hyperemesis
• Metabolic disorders
  • Removal of G6PD deficiency
  • Relocation of Paget disease to MSS blueprint
• The category of nutrition has been added → changed from nutrition and vitamin disorders
  • Food allergies and food sensitivities moved to the new nutrition section along with the elimination of these three previously nested categories (Gluten intolerance, Lactose intolerance, and Nut allergies)
  • New lesson on malabsorption
  • New lesson on refeeding syndrome
• Obesity now has its own section (moved from Nutritional and vitamin disorders)
• Acute and chronic pancreatitis have been separated