10 Hours Of Sudden in Medicine / Internal Medicine — 45yo Woman | Gastroenterology | SMLE Q#12222

SMLE Question #12222

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 45-year-old woman presents to the emergency department with 10 hours of sudden severe epigastric pain radiating to the back, nausea, and repeated non-bloody vomiting. Examination shows epigastric tenderness with guarding. Serum lipase is markedly elevated, and acute pancreatitis is suspected. The physician wants a biomarker that helps predict severity and systemic inflammatory response. Which of the following biomarkers is most useful for predicting severity in acute pancreatitis?

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