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General Medicine · Gastroenterology
Sample itemWhich laboratory result is most useful for confirming acute pancreatitis when compatible pain is present?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Serum lipase elevation
Acute pancreatitis is supported by typical upper abdominal pain with a significant lipase elevation and, when required, compatible imaging; gallstones, alcohol, triglycerides, and drugs are common causes to assess.
Option by option
A. Serum lipase elevation (correct)
Correct: lipase is a key biochemical marker for pancreatitis.
B. Positive antinuclear antibody alone
ANA supports autoimmune evaluation but does not confirm acute pancreatitis.
C. Low ferritin alone
Ferritin mainly reflects iron stores and inflammation.
D. Raised TSH alone
TSH assesses thyroid function rather than pancreatic injury.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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