Gastroenterology Board Exam Started: Jul 13, 2026 11:54 Page 21 of 58 Attempt #2693 Overall: 0 / 286 questions answered Question 101 / 286 Not answered In an emergency department assessment: a 46-year-old woman presents with ascites with confusion. Relevant risk context includes chronic viral hepatitis. What is the most likely diagnosis? A. Crohn disease B. Acute cholangitis C. Decompensated cirrhosis D. Acute pancreatitis E. Peptic ulcer disease Show Answer & Explanation Correct Answer: B Explanation: The pattern of ascites with confusion with risk factors such as chronic viral hepatitis is most consistent with Acute cholangitis. This answer best matches the expected diagnostic framework for Gastroenterology. Reference: ECCO Guidelines for Inflammatory Bowel Disease Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 102 / 286 Not answered At a multidisciplinary case conference: a 79-year-old man is evaluated for ascites with confusion in the context of metabolic risk factors. Which is the most appropriate next investigation? A. Serum lipase measurement B. Colonoscopy with biopsy C. Diagnostic paracentesis D. MRCP when indicated E. Abdominal ultrasound Show Answer & Explanation Correct Answer: E Explanation: Abdominal ultrasound is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Gastroenterology. Reference: AASLD Guidance for Cirrhosis Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 103 / 286 Not answered During ward handover: a 42-year-old woman has epigastric pain radiating to back with risk profile of heavy alcohol intake. After initial stabilization and assessment, what is the most appropriate management step? A. Lactulose for overt hepatic encephalopathy B. Urgent ERCP for biliary obstruction with sepsis C. IBD induction therapy per severity D. Proton pump inhibitor-based therapy E. Aggressive IV fluid resuscitation in pancreatitis Show Answer & Explanation Correct Answer: C Explanation: IBD induction therapy per severity is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Gastroenterology. Reference: AASLD Guidance for Cirrhosis Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 104 / 286 Not answered During a primary-care follow-up visit: a 43-year-old man presents with ascites with confusion. Relevant risk context includes NSAID use. What is the most likely diagnosis? A. Acute pancreatitis B. Crohn disease C. Decompensated cirrhosis D. Acute cholangitis E. Ulcerative colitis Show Answer & Explanation Correct Answer: C Explanation: The pattern of ascites with confusion with risk factors such as NSAID use is most consistent with Decompensated cirrhosis. This answer best matches the expected diagnostic framework for Gastroenterology. Reference: ECCO Guidelines for Inflammatory Bowel Disease Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 105 / 286 Not answered At a multidisciplinary case conference: a 69-year-old man is evaluated for epigastric pain radiating to back in the context of gallstones. Which is the most appropriate next investigation? A. Upper endoscopy B. Serum lipase measurement C. Abdominal ultrasound D. Diagnostic paracentesis E. MRCP when indicated Show Answer & Explanation Correct Answer: A Explanation: Upper endoscopy is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Gastroenterology. Reference: Tokyo Guidelines for Cholangitis Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 21 of 58 Next → »