Gastroenterology Board Exam Started: Jul 13, 2026 01:39 Page 51 of 58 Attempt #1552 Overall: 0 / 286 questions answered Question 251 / 286 Not answered In an emergency department assessment: a 47-year-old woman presents with ascites with confusion. Relevant risk context includes NSAID use. What is the most likely diagnosis? A. Decompensated cirrhosis B. Acute cholangitis C. Crohn disease D. Acute pancreatitis E. Peptic ulcer disease Show Answer & Explanation Correct Answer: E Explanation: The pattern of ascites with confusion with risk factors such as NSAID use is most consistent with Peptic ulcer disease. 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 252 / 286 Not answered In an emergency department assessment: a 60-year-old woman presents with right upper quadrant pain with jaundice. Relevant risk context includes chronic viral hepatitis. What is the most likely diagnosis? A. Crohn disease B. Acute cholangitis C. Acute pancreatitis D. Peptic ulcer disease E. Decompensated cirrhosis Show Answer & Explanation Correct Answer: E Explanation: The pattern of right upper quadrant pain with jaundice with risk factors such as chronic viral hepatitis is most consistent with Decompensated cirrhosis. This answer best matches the expected diagnostic framework for 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 253 / 286 Not answered In an outpatient specialty clinic: a 74-year-old woman presents with bloody diarrhea with urgency. Relevant risk context includes gallstones. What is the most likely diagnosis? A. Acute cholangitis B. Decompensated cirrhosis C. Ulcerative colitis D. Acute pancreatitis E. Peptic ulcer disease Show Answer & Explanation Correct Answer: D Explanation: The pattern of bloody diarrhea with urgency with risk factors such as gallstones is most consistent with Acute pancreatitis. 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 254 / 286 Not answered At a preventive-care consultation: a 29-year-old man is evaluated for right upper quadrant pain with jaundice in the context of gallstones. Which is the most appropriate next investigation? A. Serum lipase measurement B. Upper endoscopy C. MRCP when indicated D. Diagnostic paracentesis E. Colonoscopy with biopsy 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: 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 255 / 286 Not answered During a primary-care follow-up visit: a 78-year-old woman presents with right upper quadrant pain with jaundice. Relevant risk context includes metabolic risk factors. What is the most likely diagnosis? A. Peptic ulcer disease B. Acute pancreatitis C. Ulcerative colitis D. Decompensated cirrhosis E. Crohn disease Show Answer & Explanation Correct Answer: D Explanation: The pattern of right upper quadrant pain with jaundice with risk factors such as metabolic risk factors is most consistent with Decompensated cirrhosis. 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 Cancel « ← Previous Page 51 of 58 Next → »