Gastroenterology Board Exam Started: Jul 13, 2026 15:09 Page 36 of 58 Attempt #2842 Overall: 0 / 286 questions answered Question 176 / 286 Not answered At a preventive-care consultation: a 76-year-old man presents with epigastric pain relieved by food. Relevant risk context includes metabolic risk factors. What is the most likely diagnosis? A. Crohn disease B. Acute cholangitis C. Decompensated cirrhosis D. Acute pancreatitis E. Ulcerative colitis Show Answer & Explanation Correct Answer: D Explanation: The pattern of epigastric pain relieved by food with risk factors such as metabolic risk factors is most consistent with Acute pancreatitis. 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 177 / 286 Not answered During ward handover: a 75-year-old man is evaluated for hematemesis with melena in the context of metabolic risk factors. Which is the most appropriate next investigation? A. Colonoscopy with biopsy B. Upper endoscopy C. MRCP when indicated D. Abdominal ultrasound E. Diagnostic paracentesis Show Answer & Explanation Correct Answer: A Explanation: Colonoscopy with biopsy 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 Question 178 / 286 Not answered During ward handover: a 32-year-old woman has hematemesis with melena with risk profile of gallstones. After initial stabilization and assessment, what is the most appropriate management step? A. Urgent ERCP for biliary obstruction with sepsis B. IBD induction therapy per severity C. Aggressive IV fluid resuscitation in pancreatitis D. Variceal bleeding protocol when indicated E. Lactulose for overt hepatic encephalopathy Show Answer & Explanation Correct Answer: D Explanation: Variceal bleeding protocol when indicated is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 Question 179 / 286 Not answered During morning rounds: a 57-year-old man presents with hematemesis with melena. Relevant risk context includes NSAID use. What is the most likely diagnosis? A. Crohn disease B. Acute pancreatitis C. Ulcerative colitis D. Decompensated cirrhosis E. Acute cholangitis Show Answer & Explanation Correct Answer: C Explanation: The pattern of hematemesis with melena with risk factors such as NSAID use is most consistent with Ulcerative colitis. This answer best matches the expected diagnostic framework for Gastroenterology. Reference: ACG Clinical Guidelines for GI Disorders 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 180 / 286 Not answered At a preventive-care consultation: a 47-year-old woman presents with ascites with confusion. Relevant risk context includes gallstones. What is the most likely diagnosis? A. Acute pancreatitis B. Peptic ulcer disease C. Acute cholangitis D. Crohn disease E. Ulcerative colitis Show Answer & Explanation Correct Answer: C Explanation: The pattern of ascites with confusion with risk factors such as gallstones 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 Cancel « ← Previous Page 36 of 58 Next → »