Question 13 / 30:  A 65 year old man presents with periumbilical abdominal pain which often radiates to the

back. The pain has been present intermittently for over 3 years. Approximately 5 years

ago he stopped drinking alcohol heavily. He used to drink two six-packs of beer daily,

more on weekends. His physical exam is unremarkable. An abdominal CT scan reveals

occasional small pancreatic calcifications. An endoscopic retrograde

cholangiopancreatography shows a dilated, irregular pancreatic duct with dilated side

branches.

Which of the following tests will most likely be abnormal in this patient?

A  Lactulose hydrogen breath test
B  Heliobacter pylori serology
C  Fecal elastase
D  Fecal leukocytes
E  Vitamin C level
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Gastrointestinal Pathophysiology Exam 2006

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Attribution:  Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA
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