Gastroenterology Board Exam Started: Jul 13, 2026 05:17 Page 49 of 58 Attempt #2066 Overall: 0 / 286 questions answered Question 241 / 286 Not answered At a preventive-care consultation: a 38-year-old man 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. Decompensated cirrhosis D. Acute pancreatitis E. Ulcerative colitis 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 Ulcerative colitis. 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 242 / 286 Not answered In an outpatient specialty clinic: a 71-year-old woman is evaluated for epigastric pain relieved by food in the context of heavy alcohol intake. Which is the most appropriate next investigation? A. Abdominal ultrasound B. Colonoscopy with biopsy C. Diagnostic paracentesis D. MRCP when indicated E. Upper endoscopy Show Answer & Explanation Correct Answer: A Explanation: Abdominal ultrasound 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 243 / 286 Not answered During morning rounds: a 40-year-old man is evaluated for right upper quadrant pain with jaundice in the context of metabolic risk factors. Which is the most appropriate next investigation? A. Abdominal ultrasound B. Diagnostic paracentesis C. Serum lipase measurement D. Upper endoscopy E. MRCP when indicated Show Answer & Explanation Correct Answer: D Explanation: Upper endoscopy 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 244 / 286 Not answered At a preventive-care consultation: a 49-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. Colonoscopy with biopsy B. Abdominal ultrasound C. MRCP when indicated D. Serum lipase measurement E. Upper endoscopy Show Answer & Explanation Correct Answer: B Explanation: Abdominal ultrasound 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 245 / 286 Not answered During ward handover: a 28-year-old woman has epigastric pain relieved by food with risk profile of gallstones. After initial stabilization and assessment, what is the most appropriate management step? A. Variceal bleeding protocol when indicated B. IBD induction therapy per severity C. Aggressive IV fluid resuscitation in pancreatitis D. Proton pump inhibitor-based therapy E. Lactulose for overt hepatic encephalopathy Show Answer & Explanation Correct Answer: A 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 49 of 58 Next → »