Gastroenterology Board Exam Started: Jul 13, 2026 07:05 Page 45 of 58 Attempt #2228 Overall: 0 / 286 questions answered Question 221 / 286 Not answered At a multidisciplinary case conference: a 66-year-old woman has ascites with confusion 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. Proton pump inhibitor-based therapy C. Lactulose for overt hepatic encephalopathy D. Aggressive IV fluid resuscitation in pancreatitis E. IBD induction therapy per severity Show Answer & Explanation Correct Answer: D Explanation: Aggressive IV fluid resuscitation in pancreatitis 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 222 / 286 Not answered During a primary-care follow-up visit: a 26-year-old man is evaluated for epigastric pain relieved by food in the context of metabolic risk factors. Which is the most appropriate next investigation? A. Diagnostic paracentesis B. Abdominal ultrasound C. Serum lipase measurement D. Upper endoscopy E. Colonoscopy with biopsy Show Answer & Explanation Correct Answer: A 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 223 / 286 Not answered At a preventive-care consultation: a 78-year-old woman is evaluated for epigastric pain radiating to back in the context of chronic viral hepatitis. Which is the most appropriate next investigation? A. Upper endoscopy B. Abdominal ultrasound C. Serum lipase measurement D. MRCP when indicated E. Diagnostic paracentesis Show Answer & Explanation Correct Answer: D Explanation: MRCP when indicated 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 224 / 286 Not answered In an emergency department assessment: a 47-year-old woman presents with ascites with confusion. Relevant risk context includes metabolic risk factors. What is the most likely diagnosis? A. Ulcerative colitis B. Acute pancreatitis C. Decompensated cirrhosis D. Peptic ulcer disease E. Acute cholangitis Show Answer & Explanation Correct Answer: A Explanation: The pattern of ascites with confusion with risk factors such as metabolic risk factors 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 225 / 286 Not answered At a preventive-care consultation: a 37-year-old man has bloody diarrhea with urgency with risk profile of heavy alcohol intake. After initial stabilization and assessment, what is the most appropriate management step? A. Proton pump inhibitor-based therapy B. IBD induction therapy per severity 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: D Explanation: Urgent ERCP for biliary obstruction with sepsis 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 45 of 58 Next → »