Gastroenterology Board Exam Started: Jul 13, 2026 09:04 Page 43 of 58 Attempt #2437 Overall: 0 / 286 questions answered Question 211 / 286 Not answered During ward handover: a 73-year-old man presents with hematemesis with melena. Relevant risk context includes gallstones. What is the most likely diagnosis? A. Peptic ulcer disease B. Acute cholangitis C. Crohn disease D. Acute pancreatitis E. Decompensated cirrhosis Show Answer & Explanation Correct Answer: D Explanation: The pattern of hematemesis with melena with risk factors such as gallstones is most consistent with Acute pancreatitis. 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 212 / 286 Not answered In an emergency department assessment: a 79-year-old man presents with epigastric pain relieved by food. Relevant risk context includes NSAID use. What is the most likely diagnosis? A. Ulcerative colitis B. Peptic ulcer disease C. Acute pancreatitis D. Crohn disease E. Acute cholangitis Show Answer & Explanation Correct Answer: A Explanation: The pattern of epigastric pain relieved by food with risk factors such as NSAID use is most consistent with Ulcerative colitis. This answer best matches the expected diagnostic framework for 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 213 / 286 Not answered In an emergency department assessment: a 29-year-old man is evaluated for ascites with confusion in the context of NSAID use. Which is the most appropriate next investigation? A. Abdominal ultrasound B. Serum lipase measurement C. MRCP when indicated D. Diagnostic paracentesis E. Upper endoscopy Show Answer & Explanation Correct Answer: D Explanation: Diagnostic paracentesis 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 Question 214 / 286 Not answered At a multidisciplinary case conference: a 33-year-old man has hematemesis with melena with risk profile of NSAID use. After initial stabilization and assessment, what is the most appropriate management step? A. Variceal bleeding protocol when indicated B. Urgent ERCP for biliary obstruction with sepsis C. Aggressive IV fluid resuscitation in pancreatitis D. IBD induction therapy per severity E. Lactulose for overt hepatic encephalopathy Show Answer & Explanation Correct Answer: E Explanation: Lactulose for overt hepatic encephalopathy 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 215 / 286 Not answered During ward handover: a 40-year-old man has ascites with confusion with risk profile of metabolic risk factors. 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. Variceal bleeding protocol when indicated D. Urgent ERCP for biliary obstruction with sepsis E. Aggressive IV fluid resuscitation in pancreatitis Show Answer & Explanation Correct Answer: C 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: 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 43 of 58 Next → »