10 free ABIM GI practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
ABIM GI Practice Test 11Tutor mode
Question 1 of 10
Pancreas and Biliary Tract Disorders
A 23-year-old woman is evaluated for recurrent epigastric pain. She has had four episodes of acute pancreatitis since age 14, each confirmed by lipase above 3 times normal. She does not drink alcohol or smoke and takes no medications. Serum triglycerides and calcium have been normal on several occasions. EUS shows no gallstones, sludge or pancreas divisum, but it does show lobularity and hyperechoic foci with shadowing in the pancreatic head. Her father had "chronic pancreatitis" diagnosed at 30, and a paternal aunt had pancreatitis as a child.
Which of the following is the most appropriate next diagnostic test?