ROSH Gastrointestinal Practice Exam

Which condition is typically not associated with weight loss?

1. Chronic pancreatitis

2. Celiac disease

3. Peptic ulcer disease

4. Gastroesophageal reflux disease

The correct answer is: Gastroesophageal reflux disease

Gastroesophageal reflux disease (GERD) is primarily characterized by symptoms such as heartburn, regurgitation, and difficulty swallowing, but it is not typically associated with weight loss. While some individuals with GERD may experience weight loss, this is not common and usually occurs only in cases where esophageal constriction or significant pain prevents normal eating. Most people with GERD maintain their weight despite discomfort. In contrast, conditions like chronic pancreatitis, celiac disease, and peptic ulcer disease often lead to weight loss. Chronic pancreatitis can impair nutrient absorption and digestion, leading to a decrease in appetite and subsequent weight loss. Celiac disease causes inflammation of the intestinal lining due to gluten ingestion, which can result in malabsorption of nutrients and significant weight loss. Peptic ulcer disease may cause pain after eating, leading to a reduction in food intake and eventual weight loss as well. Thus, GERD stands out as the condition least likely to result in weight loss, emphasizing its difference from the other gastrointestinal conditions mentioned.