Gastroenterology Board Exam Started: Jul 13, 2026 13:30 Page 38 of 58 Attempt #2762 Overall: 0 / 286 questions answered Question 186 / 286 Not answered During a primary-care follow-up visit: a 51-year-old woman presents with hematemesis with melena. Relevant risk context includes NSAID use. What is the most likely diagnosis? A. Ulcerative colitis B. Acute pancreatitis C. Crohn disease D. Decompensated cirrhosis E. Acute cholangitis Show Answer & Explanation Correct Answer: B Explanation: The pattern of hematemesis with melena with risk factors such as NSAID use 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 187 / 286 Not answered During morning rounds: a 36-year-old man has epigastric pain radiating to back with risk profile of chronic viral hepatitis. After initial stabilization and assessment, what is the most appropriate management step? A. IBD induction therapy per severity B. Proton pump inhibitor-based therapy C. Aggressive IV fluid resuscitation in pancreatitis D. Variceal bleeding protocol when indicated E. Urgent ERCP for biliary obstruction with sepsis Show Answer & Explanation Correct Answer: A 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: 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 188 / 286 Not answered During morning rounds: a 27-year-old man has ascites with confusion with risk profile of gallstones. After initial stabilization and assessment, what is the most appropriate management step? A. IBD induction therapy per severity B. Proton pump inhibitor-based therapy C. Aggressive IV fluid resuscitation in pancreatitis D. Lactulose for overt hepatic encephalopathy E. Urgent ERCP for biliary obstruction with sepsis Show Answer & Explanation Correct Answer: A 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: 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 189 / 286 Not answered At a multidisciplinary case conference: a 49-year-old woman presents with epigastric pain radiating to back. Relevant risk context includes heavy alcohol intake. What is the most likely diagnosis? A. Acute cholangitis B. Peptic ulcer disease C. Decompensated cirrhosis D. Acute pancreatitis E. Crohn disease Show Answer & Explanation Correct Answer: B Explanation: The pattern of epigastric pain radiating to back with risk factors such as heavy alcohol intake is most consistent with Peptic ulcer disease. 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 190 / 286 Not answered During ward handover: a 35-year-old man is evaluated for ascites with confusion in the context of family history of IBD. Which is the most appropriate next investigation? A. Diagnostic paracentesis B. MRCP when indicated C. Upper endoscopy D. Serum lipase measurement E. Abdominal ultrasound Show Answer & Explanation Correct Answer: C Explanation: Upper endoscopy is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in 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 Cancel « ← Previous Page 38 of 58 Next → »