Gastroenterology Board Exam Started: Jul 12, 2026 21:04 Page 58 of 58 Attempt #982 Overall: 0 / 286 questions answered Question 286 / 286 Not answered In an emergency department assessment: a 24-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. Colonoscopy with biopsy B. Abdominal ultrasound C. MRCP when indicated D. Upper endoscopy E. Serum lipase measurement Show Answer & Explanation Correct Answer: E Explanation: Serum lipase measurement is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management 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 58 of 58 Submit Exam