PANCE Exam Practice Questions: Quiz 231

A 43-year-old female with a history of cholelithiasis presents with moderate boring epigastric pain that came on suddenly 3 hours ago. The pain radiates to the back and is somewhat relieved by leaning forward. She is nauseous and has vomited twice. Exam reveals abdominal distension and tenderness without rigidity or rebound.What is the recommended management?
- A. aggressive IV rehydration, calcium gluconate, and fresh frozen plasma
- B. enteral nutrition, IV somatostatin, and stent placement across the pancreatic duct
- C. NPO, bed rest, nasogastric suction, and analgesia
- D. parenteral nutrition, antibiotics, and infusion of serum albumin

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