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Chronic pancreatitis — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Chronic pancreatitisUSMLE Step 3

A 52-year-old man with long alcohol history has recurrent epigastric pain radiating to the back, steatorrhea, and weight loss. CT shows pancreatic calcifications. Which of the following is the most likely diagnosis?

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Correct answer: E — Chronic pancreatitis

Recurrent pancreatic pain, malabsorption, and pancreatic calcifications suggest chronic pancreatitis.

Reference: American College of Gastroenterology pancreatic disease guidance