Hepatobiliary Disease USMLE Step 1 Practice Question
A 51-year-old man with 30-year history of heavy alcohol use presents with recurrent epigastric pain, chronic diarrhea, and 10-kg weight loss over 6 months. Vital signs: BP 128/82, HR 92, RR 16, Temp 37°C, SpO2 98%. He recently started insulin for new-onset diabetes. CT abdomen reveals pancreatic calcifications and atrophy. Serum albumin is 3.1 g/dL. He denies jaundice or abdominal distension. Which diagnosis best explains his clinical presentation?
Answer choices
- ACrohn disease
- BChronic pancreatitisCorrect answer
- CAcute pancreatitis
- DPeptic ulcer disease
- EPancreatic adenocarcinoma
- FAutoimmune pancreatitis
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