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General Medicine · Gastroenterology: acute pancreatitis
Sample itemWhich laboratory test is more specific than amylase for acute pancreatitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Serum lipase
Lipase remains elevated longer and is more specific for pancreatic injury than amylase. Diagnosis combines symptoms, enzymes and imaging when needed.
Option by option
A. Troponin
Troponin detects myocardial injury.
B. Creatine kinase
CK is nonspecific muscle enzyme.
C. Serum lipase (correct)
Correct. Lipase is the preferred pancreatic enzyme test.
D. Alkaline phosphatase
ALP may suggest biliary obstruction.
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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