A 52-year-old man presents with sudden severe epigastric pain radiating to the back, associated with vomiting. Serum lipase is 1,500 U/L (three times ...

Question

A 52-year-old man presents with sudden severe epigastric pain radiating to the back, associated with vomiting. Serum lipase is 1,500 U/L (three times upper limit of normal). Ultrasound shows gallstones without biliary dilation. According to diagnostic criteria, which combination confirms acute pancreatitis?

Accepted Answer

Characteristic pain plus elevated lipase more than 3 times normal

Answer

Epigastric pain only

Answer

Elevated lipase only

Answer

Imaging evidence of pancreatitis only

Answer

Characteristic pain plus mild lipase elevation and normal imaging

ca-mccqe1 MCQ (SBA): Acute pancreatitis