Organ System Pathology USMLE Step 1 Practice Question
A 43-year-old woman with a history of gallstones presents with severe epigastric pain radiating to the back, nausea, and vomiting for 6 hours. Vital signs show BP 128/82 mmHg, HR 102/min, RR 20/min, temperature 38.2°C, SpO2 98% on room air. Serum lipase is 1,240 U/L (normal <200). CT abdomen shows pancreatic edema without necrosis. She denies fever or recent alcohol use. Which finding is most likely to develop if severe complications occur?
Answer choices
- APeriumbilical ecchymosisCorrect answer
- BPruritic vesicles on extensor surfaces
- CRebound tenderness localized to McBurney point
- DAuscultatory abdominal bruit that worsens after meals
- EPainless jaundice with palpable gallbladder
- FGrey Turner flank ecchymosis from retroperitoneal hemorrhage
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