ABIM GI Practice Test 12

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 12Tutor mode

Question 1 of 10

Pancreas and Biliary Tract Disorders

A 58-year-old man with alcohol-associated chronic pancreatitis returns 3 months after starting pancrelipase for steatorrhea. The prescription was 50,000 lipase units with each meal and 25,000 units with snacks. His bulky, oily stools persist and he has lost 2 kg. He speaks Portuguese and limited English; at earlier visits his teenage son interpreted. Today a professional medical interpreter is used. He brings his bottles and explains that he takes all of the day's capsules together at bedtime "with the vitamins." He eats three meals a day. Fecal elastase was 38 μg/g before treatment.

Which of the following is the most appropriate next step?