ABIM GI Practice Test 6

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 6Tutor mode

Question 1 of 10

Procedures and Periprocedural Issues

A 29-year-old woman who is 22 weeks pregnant is evaluated for 2 days of intermittent right upper quadrant pain after meals. She has no fever or rigors. Temperature is 37.0 °C (98.6 °F), pulse rate is 88/min and blood pressure is 112/70 mm Hg. There is mild right upper quadrant tenderness. Abdominal ultrasonography shows multiple gallbladder stones without wall thickening and a common bile duct of 8 mm; no duct stone is seen. Laboratory studies are shown. Which of the following is the most appropriate next diagnostic step?

Laboratory studies
Test	Result	Reference range
Total bilirubin	2.6 mg/dL	0.3–1.0 mg/dL
Alanine aminotransferase	286 U/L	10–40 U/L
Aspartate aminotransferase	241 U/L	10–40 U/L
Alkaline phosphatase	290 U/L	30–120 U/L
Lipase	60 U/L	10–140 U/L
Leukocyte count	8900/μL	4000–11,000/μL